Interculturality in nursing services for pregnant women in Ecuador
DOI:
https://doi.org/10.47606/ACVEN/MV0331Keywords:
Interculturality, pregnancy, childbirth, nursing;, EcuadorAbstract
Introduction: Interculturality is a fundamental approach in nursing care for pregnant women in Ecuador, given the influence of cultural diversity on practices and beliefs related to pregnancy and childbirth. Objective: The objective of this study was to analyze interculturality in nursing services for pregnant women in Ecuador, considering the integration of traditional knowledge and the biomedical model. Material and methods: A systematic review with a qualitative approach was conducted, following the PRISMA statement, by searching for articles in databases such as PubMed, Scopus, and SciELO, considering publications from 2021 to 2026. Fifteen studies were selected for analysis. Results: The results show that 60.0% of the studies report intercultural practices such as the involvement of traditional midwives, the use of ancestral medicine, upright childbirth, and family support. However, 73.3% of the studies identified structural barriers and 66.7% identified sociocultural barriers, highlighting the predominance of the biomedical model, the lack of intercultural training among healthcare personnel, and limitations in the organization of services. Conclusion: It is concluded that the implementation of an intercultural approach in nursing care promotes more humanized, equitable, and culturally relevant maternal care. However, its consolidation in Ecuador requires strengthening the training of healthcare personnel and adapting the health services to sociocultural realities and promoting the institutionalization of this approach within the health system.
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Aklilu H, Aiggan T, Demelash W, Fitsum EF, Biruk B, Addisalem G. The prevalence of respectful maternity care during childbirth and its determinants in Ethiopia: a systematic review and meta-analysis. PLoS One. 2022;17(11):e0277889. doi:10.1371/journal.pone.0277889
Oommen H, Osman KM, Abdullahi MA, Lukasse M. Language barriers and cultural differences in childbirth: a qualitative study of Somali women’s experiences in Norway. Eur J Midwifery. 2025;9(August):37. doi:10.18332/ejm/207799
Navarro-Prado S, Sánchez-Ojeda MA, Marmolejo-Martín J, Kapravelou G, Fernández-Gómez E, Martín-Salvador A. Cultural influence on the expression of labour-associated pain. BMC Pregnancy Childbirth. 2022;22(1):836. doi:10.1186/s12884-022-05173-1
Sivertsen N, Johnson T, Mehus G, Ness TSM, Smith S, McGill J. What is known about Indigenous women’s dissatisfaction of birthing experiences in mainstream maternity hospitals in Australia, Aotearoa, Canada, US, Kalaallit Nunaat and Sápmi? A systematic scoping review. Front Public Health. 2025;13:1495197. doi:10.3389/fpubh.2025.1495197
McNeil D, Elliott SA, Wong A, Kromm S, Bialy L, Montesanti S, et al. Indigenous maternal and infant outcomes and women’s experiences of midwifery care: a mixed-methods systematic review. Birth. 2024;52(2):173–188. doi:10.1111/birt.12841
Guamán Morocho MR, Fernández Alfonso A. Costumbres de mujeres indígenas gestantes que interfieren en el acceso a servicios sanitarios: revisión sistemática. Iberoam J Health Res. 2025;5(1). doi:10.56183/iberojhr.v5i1.746
Hernández-Berrones MB, Olalla-García MH. Parto intercultural en la región andina: implicaciones para la salud materna en poblaciones indígenas y mestizas de América Latina. MQRInvestigar [Internet]. 23 de octubre de 2025 [citado 26 de abril de 2026];9(4):e1142. Disponible en: https://www.investigarmqr.com/2025/index.php/mqr/article/view/1142
Pesantes MA, Bazán Maccera M, Ponce Lucero V. Intercultural maternal health in the Peruvian Amazon: an unenforced policy. Human Organization. 2025;84(2):234–246. doi:10.1080/00187259.2024.2435614
Juárez-Ramírez C, Nigenda G, Sauceda-Valenzuela AL, et al. Desafíos para la implementación de servicios obstétricos culturalmente competentes en un contexto indígena de México. Cienc Saude Colet. 2024;29(12):e07332024. doi:10.1590/1413-812320242912.07332024
Asamblea Nacional del Ecuador. Constitución de la República del Ecuador [Internet]. Quito: Registro Oficial; 2008 [citado 2026 Abr 27]. Disponible en: https://www.asambleanacional.gob.ec/sites/default/files/documents/old/constitucion_de_bolsillo.pdf
Carpio Arias TV, Verdezoto N, Guijarro Garvi M, Abril Ulloa V, Mackintosh N, Eslambolchilar P, et al. Healthcare professionals’ experiences and perceptions regarding health care of indigenous pregnant women in Ecuador. BMC Pregnancy Childbirth. 2022;22(1):101. doi:10.1186/s12884-022-04432-5
Quiroz-Hidrovo AL, Larrea-Killinger C, Rodríguez-Martín D. La hegemonía del modelo biomédico desde las representaciones del personal de salud en el contexto de un modelo de atención en salud con enfoque intercultural en Chugchilán, Ecuador. Saude Soc. 2024;33(1):e230087es. doi:10.1590/S0104-12902024230087es
Dalmaijer M, Emmens N, de Jonge A, Visser SS, Feijen-de Jong EI. Cultural competence of maternity care professionals caring for women with low socioeconomic position: a scoping review. Discover Public Health. 2025;22:93. doi:10.1186/s12982-025-00473-1
Shorey S, Ng ED, Downe S. Cultural competence and experiences of maternity health care providers in caring for migrant women: a qualitative meta-synthesis. Birth. 2021;48(4):458–469. doi:10.1111/birt.12581.
Carlo L, Cruz E, Carpio-Arias FA, Baca M, Jaramillo Carlo MP, Carpio-Arias V, Waters W, Mackintosh N, Verdezoto N. Socio-technical challenges in accessing antenatal services during pregnancy complications in Ecuador and the opportunities for digital health. Digit Health. 2025;11:20552076251343684. doi:10.1177/20552076251343684.
Suárez-Máximo JD, Meza-García CF. Análisis del concepto cuidado en el parto con enfoque cultural. Sanus. 2025;10:e515. doi:10.36789/sanusrevenf.vi21.515
Cedeño Tapia SJ, Zambrano Alcívar VM, Delgado Bravo IM. Rol de enfermería en el parto intercultural en Ecuador. Dilemas Contemp Educ Polit Valores. 2021;9(1):1–17. doi:10.46377/dilemas.v9i.3034.
Dueñas Matute SE, Zangiacomi Martínez E, Donadi EA. Intercultural childbirth: impact on the maternal health of the Ecuadorian Kichwa and mestizo people of the Otavalo region. Rev Bras Ginecol Obstet. 2021;43(1):14–19. doi:10.1055/s-0040-1721353
World Health Organization. WHO recommendations: intrapartum care for a positive childbirth experience [Internet]. Geneva: WHO; 2018. Disponible en: https://www.who.int/publications/i/item/9789241550215
Osmancevic S, Steiner LM, Großschädl F, Lohrmann C, Schoberer D. The effectiveness of cultural competence interventions in nursing: a systematic review and meta-analysis. Int J Nurs Stud. 2025;167:105079. doi:10.1016/j.ijnurstu.2025.105079
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Copyright (c) 2026 Karina Ines Huaraca-Huaraca , Evelyn Estefany Flores-Hernández , Cristian Guillermo Quilumba-Sánchez
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