Violencia Obstétrica desde una perspectiva de género, interculturalidad y derechos humanos: Experiencia Hospital San Luis de Otavalo

The present study analyzes obstetric violence from an intercultural perspective at the San Luis de Otavalo Hospital. Although the Constitution of Ecuador guarantees respect for ancestral knowledge, there are actions by hospital staff that, for the indigenous culture of the city of Otavalo, could manifest as violence. The general objective of this work is to assess the experiences of obstetric violence in indigenous women with a focus on gender, interculturality and human rights, using various data collection techniques in the aforementioned hospital. The problem is to determine if obstetric violence exists from a gender, intercultural and human rights perspective at the San Luis de Otavalo Hospital. The approach used is mixed (quantitative and qualitative) and the scope is exploratory. The method used was the ethnographic method, using documentary techniques, interviews with medical personnel and surveys of women who gave birth at the institution. The results show that significant efforts have been made to make indigenous women feel comfortable, such as the creation of a delivery room, a maternity home, the acceptance of midwives to accompany parturients and the creation of different public policies such as ESAMyN. However, despite these advances, obstetric violence has not been completely eradicated. In conclusion, a considerable decrease in maternal and neonatal mortality has been observed, but challenges persist. The evaluation of these experiences reveals a lack of respect for the indigenous worldview and the folklorization of their prepartum, childbirth, and postpartum rituals. Although free-position birth is accepted, other cultural practices are not fully respected. The regulatory framework has improved cultural birth care, but regulations need to be developed to ensure the protection of all the rights of ancestral peoples.

• Main Author: Pasquel Piedra, Kandi Belén (author)
• Format: bachelorThesis
• Published: 2024
• Subjects: violencia obstétrica, género, interculturalidad, derechos humanos
• Online Access: https://repositorio.puce.edu.ec/handle/123456789/44620