Gleason Emily Gaffney, Molina Berrío Diana Patricia, López Ríos Jennifer Marcela, Mejía Merino Cristina María
Bachelor of Arts en Antropología. Perelman School of Medicine, University of Pennsylvania, Philadelphia, EEUU.
Magíster en Salud Pública. Profesora e investigadora, Universidad de Antioquia, Medellín, Colombia.
Salud Colect. 2021 Nov 23;17:e3727. doi: 10.18294/sc.2021.3727.
This study aims to understand the experiences of obstetric violence experienced by Embera women during childbirth at healthcare facilities in the city of Medellin, Colombia. Employing a qualitative, ethnographic approach, semi-structured interviews were conducted with nine indigenous Embera women between February and March of 2020. The data indicate these women, members of the largest indigenous community in Medellín, experience similar forms of obstetric violence to non-indigenous women, which might be explained by the authoritarian medical habitus and a health system that prioritizes market forces. However, the data also reveal that indigenous women experience a specific form of this phenomenon: a lack of respect or cultural sensitivity, stemming from the process of colonialism to which indigenous peoples have been subjected. This dynamic continues to be expressed during delivery in healthcare childbirth settings via ignorance and disregard for indigenous ancestral knowledge, which can be understood as microaggressions that occur frequently but are difficult to identify.
本研究旨在了解哥伦比亚麦德林市医疗机构中,恩贝拉族妇女在分娩期间遭受产科暴力的经历。采用定性的民族志方法,于2020年2月至3月间对9名恩贝拉族土著妇女进行了半结构化访谈。数据表明,这些作为麦德林最大土著社区成员的妇女,遭受着与非土著妇女相似形式的产科暴力,这可能是由专制的医疗习惯和优先考虑市场力量的卫生系统所导致的。然而,数据还显示,土著妇女经历了这种现象的一种特殊形式:缺乏尊重或文化敏感性,这源于土著人民所遭受的殖民主义进程。这种动态在医疗分娩环境中的分娩过程中,通过对土著祖传知识的无知和漠视继续表现出来,这可被理解为频繁发生但难以识别的微侵犯行为。