Maternal health and Indigenous traditional midwives in southern Mexico: contextualisation of a scoping review
Objectives Collate published evidence of factors that affect maternal health in Indigenous communities and contextualise the findings with stakeholder perspectives in the Mexican State of Guerrero.Design Scoping review and stakeholder fuzzy cognitive mapping.Inclusion and exclusion The scoping revie...
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BMJ Publishing Group
2021-12-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/11/12/e054542.full |
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| author | Anne Cockcroft Neil Andersson Iván Sarmiento Germán Zuluaga Sergio Paredes-Solís Juan Pimentel Anna Dion Hilah Silver Emily Vargas Paloma Cruz |
| author_facet | Anne Cockcroft Neil Andersson Iván Sarmiento Germán Zuluaga Sergio Paredes-Solís Juan Pimentel Anna Dion Hilah Silver Emily Vargas Paloma Cruz |
| author_sort | Anne Cockcroft |
| collection | DOAJ |
| description | Objectives Collate published evidence of factors that affect maternal health in Indigenous communities and contextualise the findings with stakeholder perspectives in the Mexican State of Guerrero.Design Scoping review and stakeholder fuzzy cognitive mapping.Inclusion and exclusion The scoping review included empirical studies (quantitative, qualitative or mixed methods) that addressed maternal health issues among Indigenous communities in the Americas and reported on the role or influence of traditional midwives before June 2020. The contextualisation drew on two previous studies of traditional midwife and researcher perspectives in southern Mexico.Results The initial search identified 4461 references. Of 87 selected studies, 63 came from Guatemala and Mexico. Three small randomised trials involved traditional midwives. One addressed the practice of traditional midwifery. With diverse approaches to cultural differences, the studies used contrasting definitions of traditional midwives. A fuzzy cognitive map graphically summarised the influences identified in the scoping review. When we compared the literature’s map with those from 29 traditional midwives in Guerrero and eight international researchers, the three sources coincided in the importance of self-care practices, rituals and traditional midwifery. The primary concern reflected in the scoping review was access to Western healthcare, followed by maternal health outcomes. For traditional midwives, the availability of hospital or health centre in the community was less relevant and had negative effects on other protective influences, while researchers conditioned its importance to its levels of cultural safety. Traditional midwives highlighted the role of violence against women, male involvement and traditional diseases.Conclusions The literature and stakeholder maps showed maternal health resulting from complex interacting factors in which promotion of cultural practices was compatible with a protective effect on Indigenous maternal health. Future research challenges include traditional concepts of diseases and the impact on maternal health of gender norms, self-care practices and authentic traditional midwifery. |
| format | Article |
| id | doaj-art-841d75d5bea443369c9b1e892ff83f67 |
| institution | DOAJ |
| issn | 2044-6055 |
| language | English |
| publishDate | 2021-12-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-841d75d5bea443369c9b1e892ff83f672025-08-20T02:48:49ZengBMJ Publishing GroupBMJ Open2044-60552021-12-01111210.1136/bmjopen-2021-054542Maternal health and Indigenous traditional midwives in southern Mexico: contextualisation of a scoping reviewAnne Cockcroft0Neil Andersson1Iván Sarmiento2Germán Zuluaga3Sergio Paredes-Solís4Juan Pimentel5Anna Dion6Hilah Silver7Emily Vargas8Paloma Cruz9CIET-PRAM, Department of Family Medicine, McGill University, Montreal, Quebec, CanadaCIET-PRAM, Department of Family Medicine, McGill University, Montreal, Quebec, CanadaEscuela de Medicina y Ciencias de la Salud, Universidad del Rosario, Bogotá, ColombiaGESTS, Escuela de Medicina y Ciencias de la Salud, Universidad del Rosario, Bogota, Cundinamarca, ColombiaCentro de Investigación de Enfermedades Tropicales - CIET, Universidad Autónoma de Guerrero, Acapulco, Guerrero, MexicoCIET-PRAM, Department of Family Medicine, McGill University, Montreal, Québec, CanadaCHEO Research Institute, Ottawa, Ontario, CanadaDepartment of Family Medicine, McGill University, Montreal, Québec, CanadaUnidad de Posgrados e Investigación, Universidad Autónoma de Yucatán, Merida, Yucatán, MéxicoEscuela de Medicina y Ciencias de la Salud, Universidad del Rosario, Bogotá, ColombiaObjectives Collate published evidence of factors that affect maternal health in Indigenous communities and contextualise the findings with stakeholder perspectives in the Mexican State of Guerrero.Design Scoping review and stakeholder fuzzy cognitive mapping.Inclusion and exclusion The scoping review included empirical studies (quantitative, qualitative or mixed methods) that addressed maternal health issues among Indigenous communities in the Americas and reported on the role or influence of traditional midwives before June 2020. The contextualisation drew on two previous studies of traditional midwife and researcher perspectives in southern Mexico.Results The initial search identified 4461 references. Of 87 selected studies, 63 came from Guatemala and Mexico. Three small randomised trials involved traditional midwives. One addressed the practice of traditional midwifery. With diverse approaches to cultural differences, the studies used contrasting definitions of traditional midwives. A fuzzy cognitive map graphically summarised the influences identified in the scoping review. When we compared the literature’s map with those from 29 traditional midwives in Guerrero and eight international researchers, the three sources coincided in the importance of self-care practices, rituals and traditional midwifery. The primary concern reflected in the scoping review was access to Western healthcare, followed by maternal health outcomes. For traditional midwives, the availability of hospital or health centre in the community was less relevant and had negative effects on other protective influences, while researchers conditioned its importance to its levels of cultural safety. Traditional midwives highlighted the role of violence against women, male involvement and traditional diseases.Conclusions The literature and stakeholder maps showed maternal health resulting from complex interacting factors in which promotion of cultural practices was compatible with a protective effect on Indigenous maternal health. Future research challenges include traditional concepts of diseases and the impact on maternal health of gender norms, self-care practices and authentic traditional midwifery.https://bmjopen.bmj.com/content/11/12/e054542.full |
| spellingShingle | Anne Cockcroft Neil Andersson Iván Sarmiento Germán Zuluaga Sergio Paredes-Solís Juan Pimentel Anna Dion Hilah Silver Emily Vargas Paloma Cruz Maternal health and Indigenous traditional midwives in southern Mexico: contextualisation of a scoping review BMJ Open |
| title | Maternal health and Indigenous traditional midwives in southern Mexico: contextualisation of a scoping review |
| title_full | Maternal health and Indigenous traditional midwives in southern Mexico: contextualisation of a scoping review |
| title_fullStr | Maternal health and Indigenous traditional midwives in southern Mexico: contextualisation of a scoping review |
| title_full_unstemmed | Maternal health and Indigenous traditional midwives in southern Mexico: contextualisation of a scoping review |
| title_short | Maternal health and Indigenous traditional midwives in southern Mexico: contextualisation of a scoping review |
| title_sort | maternal health and indigenous traditional midwives in southern mexico contextualisation of a scoping review |
| url | https://bmjopen.bmj.com/content/11/12/e054542.full |
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