"[S]heds light not only on the obstacles to making motherhood
safer, but to improving the health of poor populations in
general."-Social Anthropology Since 1987, when the global community
first recognized the high frequency of women in developing
countries dying from pregnancy-related causes, little progress has
been made to combat this problem. This study follows the global
policies that have been implemented in Solola, Guatemala in order
to decrease high rates of maternal mortality among indigenous Mayan
women. The author examines the diverse meanings and understandings
of motherhood, pregnancy, birth and birth-related death among the
biomedical personnel, village women, their families, and midwives.
These incongruous perspectives, in conjunction with the
implementation of such policies, threaten to disenfranchise clients
from their own cultural understandings of self. The author
investigates how these policies need to meld with the everyday
lives of these women, and how the failure to do so will lead to a
failure to decrease maternal deaths globally. From the
Introduction: An unspoken effect of reducing maternal mortality to
a medical problem is that life and death become the only outcomes
by which pregnancy and birth are understood. The specter of death
looms large and limits our full exploration of either our attempts
to curb maternal mortality, or the phenomenon itself. Certainly
women's survival during childbirth is the ultimate measure of
success of our efforts. Yet using pregnancy outcomes and biomedical
attendance at birth as the primary feedback on global efforts to
make pregnancy safer is misguided.
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