TRADITIONAL CARE PRACTICES IN THE INDIGENOUS PREGNANCY-POSTPARTUM CYCLE IN LATIN AMERICA: AN INTEGRATIVE REVIEW

Authors

DOI:

https://doi.org/10.25110/arqsaude.v30i2.2026-12556

Keywords:

Indigenous peoples, Maternal and child health, Postpartum Period, Pregnancy, Traditional knowledge

Abstract

Objective: To identify and analyze traditional care practices in the indigenous pregnancy-puerperium cycle in the Latin American context. Methodology: An integrative review was conducted in the MEDLINE, LILACS, and MOSAICO databases using the descriptors "Pregnancy," "Childbirth," "Postpartum Period," and "Indigenous Culture." Eligibility criteria were original articles published between 2020 and 2025, in Portuguese, English, and Spanish, addressing traditional practices in the pregnancy-puerperium cycle. The final sample comprised 22 studies from nine Latin American countries. Results: The findings highlight the predominance of natural childbirth, the centrality of traditional midwives, the use of herbs, spiritual rituals, and specific dietary norms in the puerperium. The sacred dimension of the female body, the spirituality of birth, and community participation were identified as fundamental to care. Tensions persist between traditional knowledge and biomedical practices in public health services. Conclusion: Indigenous traditional practices constitute complex systems of maternal and child health care that transcend the biological body and reinforce community and spiritual bonds. The results support intercultural health training and guide public policies that recognize and integrate ancestral knowledge in a respectful and equitable manner.

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Author Biographies

Marina Mezomo Soccal, Universidade Franciscana

Graduanda em Psicologia na Universidade Franciscana – UFN, Santa Maria/RS, Brasil.

Maria Joanna da Rosa dos Santos, Universidade Franciscana

Graduanda em Psicologia na Universidade Franciscana – UFN, Santa Maria/RS, Brasil.

Wélida Lemes Viana, Universidade Franciscana

Mestranda em Saúde Materno Infantil na Universidade Franciscana – UFN, Santa Maria/RS, Brasil.

Maria Luisa Suárez Gutiérrez Cella, Universidade Franciscana

Doutoranda em Saúde Materno Infantil na Universidade Franciscana – UFN, Santa Maria/RS, Brasil.

Rizioléia Marina Pinheiro Pina, Universidade Federal do Amazonas

Doutora em Ciências. Docente na Universidade Federal do Amazonas – UFAM, Manaus/AM, Brasil.

Dirce Stein Backes, Universidade Franciscana

Doutora em Enfermagem. Docente na Universidade Franciscana – UFN, Santa Maria/RS, Brasil.

Cristina Saling Kruel, Universidade Franciscana

Doutora em Distúrbios da Comunicação Humana. Docente na Universidade Franciscana – UFN, Santa Maria/RS, Brasil.

References

ABREU, G. R. et al. Adequação da assistência pré-natal ofertada à mulher indígena: características maternas e dos serviços de saúde. Ciência & Saúde Coletiva, v. 29, n. 12, p. e08722024, 2024. Disponível em: https://doi.org/10.1590/1413-812320242912.08722024. DOI: https://doi.org/10.1590/1413-812320242912.08722024en

ALVES, R. A. L. et al. Dialética entre dois mundos e saberes: das parteiras tradicionais à medicalização do parto. ContraCorrente: Revista do Programa de Pós-Graduação Interdisciplinar em Ciências Humanas, n. 18, p. 153-169, 2022. Disponível em: https://formularios.uea.edu.br/index.php/contracorrente/article/view/2484.

ANAYA, Y. O.; ROJAS, J. G. Cultural Care Practices Provided at Home by the Zenú Indigenous Mothers to their Premature Children and to Those with Low Birth Weight. Investigación y Educación en Enfermería, v. 40, n. 2, 2023. Disponível em: https://doi.org/10.17533/udea.iee.v40n2e09. DOI: https://doi.org/10.17533/udea.iee.v40n2e09

AUSTAD, K. et al. Improving the experience of facility-based delivery for vulnerable women through obstetric care navigation: a qualitative evaluation. BMC Pregnancy and Childbirth, v. 21, n. 425, 2021. Disponível em: https://doi.org/10.1186/s12884-021-03842-1. DOI: https://doi.org/10.1186/s12884-021-03842-1

BANDA-PÉREZ, A. J.; ÁLVAREZ-AGUIRRE, A.; DÍAZ-MANCHAY, R. J. Creencias y costumbres en la alimentación durante el puerperio mediato de las mujeres nahuas e implicaciones para Enfermería. Revista Cubana de Enfermería, v. 38, n. 4, 2022. Disponível em: https://revenfermeria.sld.cu/index.php/enf/article/view/4925.

BARDIN, L. Análise de conteúdo. São Paulo: Edições 70, 2016.

BOER, L. et al. Vivências de mulheres indígenas acerca do ciclo gravídico-puerperal. Revista Brasileira de Enfermagem, v. 77, p. e20230410, 2024. Disponível em: https://doi.org/10.1590/0034-7167-2023-0410. DOI: https://doi.org/10.1590/0034-7167-2023-0410

CARPIO-ARAS, T. V. et al. Healthcare professionals’ experiences and perceptions regarding health care of indigenous pregnant women in Ecuador. BMC Pregnancy and Childbirth, v. 22, n. 101, 2022. Disponível em: https://doi.org/10.1186/s12884-022-04432-5. DOI: https://doi.org/10.1186/s12884-022-04432-5

CHAVARRIA, S. T. S. et al. Percepción del parto respetado en gestantes indígenas shuar y achuar del cantón taisha, año 2018-2019. Más Vita, v. 4, n. 2, p. 140-159, 2022. Disponível em: https://doi.org/10.47606/ACVEN/MV0129. DOI: https://doi.org/10.47606/ACVEN/MV0129

DANTAS, H. L. L. et al. Como elaborar uma revisão integrativa: sistematização do método científico. Revista Científica de Enfermagem, v. 12, n. 37, p. 334-345, 2022. Disponível em: https://doi.org/10.24276/rrecien2022.12.37.334-345. DOI: https://doi.org/10.24276/rrecien2022.12.37.334-345

DEL MASTRO N. I. Providing culturally competent and universal health care in the Peruvian Amazon: The role of medical authority. Social Science & Medicine, v. 215, p. e115556, 2022. Disponível em: https://doi.org/10.1016/j.socscimed.2022.115556. DOI: https://doi.org/10.1016/j.socscimed.2022.115556

DEL MASTRO N. I. et al. Home birth preference, childbirth, and newborn care practices in rural Peruvian Amazon. PLOS One, v. 12, n. 5, p. e0250702, 2021. Disponível em: https://doi.org/10.1371/journal.pone.0250702. DOI: https://doi.org/10.1371/journal.pone.0250702

ÉVORA, M. A. Intersectionality and Birth in Latin America: A Research Protocol on Maternal Health of Indigenous and Afro-Descendant Women in La Guajira, Colombia. Social Sciences, v. 14, n. 1, 2025. Disponível em: https://doi.org/10.3390/socsci14010015. DOI: https://doi.org/10.3390/socsci14010015

GARZA, M.; MIGUEL, L. A. Health disparities among indigenous populations in Latin America: a scoping review. International Journal for Equity in Health, v. 24, n. 119, 2025. Disponível em: https://doi.org/10.1186/s12939-025-02495-2. DOI: https://doi.org/10.1186/s12939-025-02495-2

GLEASON, E. G. et al. Multistakeholder perspectives on the mistreatment of indigenous women during childbirth in Colombia: drivers and points for intervention. BMC Pregnancy and Childbirth, v. 22, n. 197, 2022. Disponível em: https://doi.org/10.1186/s12884-022-04495-4. DOI: https://doi.org/10.1186/s12884-022-04495-4

GLEASON, E. G. et al. "Parir no es un asunto de etnia, es un asunto de humanidad": experiencias frente a la violencia obstétrica durante la atención al parto en mujeres indígenas. Salud Colectiva, n. 17, p. e3727, 2021. Disponível em: https://doi.org/10.18294/sc.2021.3727 . DOI: https://doi.org/10.18294/sc.2021.3727

HALLOR, E.; ARTEAGA, E.; SAN SEBASTIÁN, M. Exploring the integration of Indigenous traditional birth attendants into the western healthcare system: A qualitative case study from the Amazon of Ecuador. Journal of Community Systems for Health, v. 1, n. 1, 2024. Disponível em: https://doi.org/10.36368/jcsh.v1i1.1051. DOI: https://doi.org/10.36368/jcsh.v1i1.1051

HORACKOVA, J. et al. Ethnobotanical inventory of medicinal plants used by Cashinahua (Huni Kuin) herbalists in Purus Province, Peruvian Amazon. Journal of Ethnobiology and Ethnomedicine, v. 19, n. 16, 2023. Disponível em: https://doi.org/10.1186/s13002-023-00586-4. DOI: https://doi.org/10.1186/s13002-023-00586-4

JOHNSON, S. M. et al. Effect of Education on Adherence to Recommended Prenatal Practices among Indigenous Ngäbe–Buglé Communities of Panama. Medicina, v. 60, n. 7, p. 1055, 2024. Disponível em: https://doi.org/10.3390/medicina60071055. DOI: https://doi.org/10.3390/medicina60071055

JUÁREZ-RAMÍREZ, C. Desafíos para la implementación de servicios obstétricos culturalmente competentes en un contexto indígena de México. Ciência & Saúde Coletiva, v. 29, n. 12, p. e07332024, 2024. Disponível em: https://doi.org/10.1590/1413-812320242912.07332024. DOI: https://doi.org/10.1590/1413-812320242912.07332024

JUÁREZ-RAMÍREZ, C. et al. Lags in the provision of obstetric services to indigenous women and their implications for universal access to health care in Mexico. Sexual and Reproductive Health Matters, v. 28, n. 2, 2020. Disponível em: https://doi.org/10.1080/26410397.2020.1778153. DOI: https://doi.org/10.1080/26410397.2020.1778153

KAMINSKI, L. S. et al. Práticas de mulheres indígenas mediante seu processo gestacional, pré-natal, parto e puerpério. Research, Society & Development, v. 11, n. 10, p. e541111032200, 2022. Disponível em: https://doi.org/10.33448/rsd-v11i10.32200. DOI: https://doi.org/10.33448/rsd-v11i10.32200

KRENAK, A. A vida não é útil. São Paulo: Companhia das Letras, 2020a.

KRENAK, A. O amanhã não está à venda. São Paulo: Companhia das Letras, 2020b.

MARTIN, M. A.; GURVEN, M. Traditional and biomedical maternal and neonatal care practices in a rural Indigenous population of the Bolivian Amazon. Global Public Health, v. 17, n. 6, p. 971-985, 2021. Disponível em: https://www.researchgate.net/publication/349288072_Traditional_and_biomedical_maternal_and_neonatal_care_practices_in_a_rural_Indigenous_population_of_the_Bolivian_Amazon. DOI: https://doi.org/10.1080/17441692.2021.1882531

MATUTE, S. E. D.; MARTINEZ, E. Z.; DONADI, E. A. Intercultural Childbirth: Impact on the Maternal Health of the Ecuadorian Kichwa and Mestizo People of the Otavalo Region. Revista Brasileira de Ginecologia e Obstetrícia, v. 43, n. 1, p. 14-19, 2021. Disponível em: https://doi.org/10.1055/s-0040-1721353. DOI: https://doi.org/10.1055/s-0040-1721353

MONTEIRO, M. A. C. et al. Assistência de enfermagem à saúde das populações indígenas: revisão de escopo. Cogitare Enfermagem, v. 28, p. e88372, 2023. Disponível em: https://doi.org/10.1590/ce.v28i0.88372. DOI: https://doi.org/10.1590/ce.v28i0.88372

ORGANIZAÇÃO PAN-AMERICANA DA SAÚDE. Estratégia e plano de ação sobre etnia e saúde 2019-2025. Washington, D.C.: OPAS, 2019.

PAGE, M. J. et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ, v. 371, n. 71, 2021. Disponível em: https://doi.org/10.1136/bmj.n71. DOI: https://doi.org/10.1136/bmj.n71

PELCASTRE-VILLAFUERTE, B. E. et al. Condiciones de salud y uso de servicios en pueblos indígenas de México. Salud Pública de México, v. 62, n. 6, p. 810-819, 2020. Disponível em: https://doi.org/10.21149/11861. DOI: https://doi.org/10.21149/11861

PEÑA REDONDO, M. I.; GUTIÉRREZ, V. F. V. Comprendiendo el significado del puerperio para las indígenas embera katíos de Tierralta, Córdoba, 2018. Revista Hacia la Promoción de la Salud, v. 25, n. 2, p. 94-108, 2020. Disponível em: https://doi.org/10.17151/hpsal.2020.25.2.11. DOI: https://doi.org/10.17151/hpsal.2020.25.2.11

SARMIENTO, I. et al. Safe birth in cultural safety in southern Mexico: a pragmatic non-inferiority cluster-randomised controlled trial. BMC Pregnancy and Childbirth, v. 22, n. 43, 2022. Disponível em: https://doi.org/10.1186/s12884-021-04344-w. DOI: https://doi.org/10.1186/s12884-021-04344-w

VENEGAS, V. R.; HIDALGO, C. D. Saberes ancestrales y prácticas tradicionales: embarazo, parto y puerperio en mujeres colla de la región de Atacama. Diálogo Andino, n. 63, p. 113-122, 2020. Disponível em: https://doi.org/10.4067/S0719-26812020000300113. DOI: https://doi.org/10.4067/S0719-26812020000300113

WHITTEMORE, R.; KNAFL, K. The integrative review: updated methodology. Journal of Advances Nursery, v. 52, n. 5, p. 546-553, 2005. Disponível em: https://doi.org/10.1111/j.1365-2648.2005.03621.x. DOI: https://doi.org/10.1111/j.1365-2648.2005.03621.x

WORLD BANK. Challenges in reducing maternal mortality in Latin America and the Caribbean. The World Bank [Internet], 2023. Disponível em: https://blogs.worldbank.org/en/latinamerica/challenges-reducing-maternal-mortality-latin-america-caribbean.

ZULUAGA, G. et al. Panorama de la medicina tradicional en el Resguardo Muisca de Cota, Colombia: estudio transversal. Medwave, v. 22, e002096, 2022. Disponível em: https://doi.org/10.5867/medwave.2022.02.002096. DOI: https://doi.org/10.5867/medwave.2022.02.002096

Published

2026-05-19

How to Cite

SOCCAL, Marina Mezomo; SANTOS, Maria Joanna da Rosa dos; VIANA, Wélida Lemes; CELLA, Maria Luisa Suárez Gutiérrez; PINA, Rizioléia Marina Pinheiro; BACKES, Dirce Stein; KRUEL, Cristina Saling. TRADITIONAL CARE PRACTICES IN THE INDIGENOUS PREGNANCY-POSTPARTUM CYCLE IN LATIN AMERICA: AN INTEGRATIVE REVIEW. Arquivos de Ciências da Saúde da UNIPAR, [S. l.], v. 30, n. 2, p. 1068–1088, 2026. DOI: 10.25110/arqsaude.v30i2.2026-12556. Disponível em: https://revistas.unipar.br/index.php/saude/article/view/12556. Acesso em: 24 may. 2026.

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