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Cultures de la naissance, entre la tradition et le biomédical : Étude comparative en Équateur et au Portugal

Abstract : The culture of birth is a ritual of passage which is the basis of the construction of identity for the motherand for the child. This transition is conceived in different ways in distinct cultural contexts.Based on an ethnographic work in Portugal and the Amazonia of Ecuador, we have identified threeexisting health systems: biomedicine or the official system (which was constituted as “official” from the19th century onwards), the traditional system or ancestral system, and the alternative system (in this case,embodied by doulas).In the framework of these three health systems, a culture of birth is woven into a discourse legitimizingtheir practices, which are presented as "adequate", and their representations.Although there are important differences between the procedures of the medical protocols - specific tothe formal health system, to the traditional health system, and to the alternative system - for the deliveryof childbirth, for pre-lactated feeding (colostrum feed), and for postpartum, we also found bridgesbetween them.Sometimes the boundaries between these different health systems, between tradition and modernity, areeither disappeared or blurred.Various practices are associated with representations relating to death, bodies, pain, health and diseaseparadigms, religion, cleanliness and hygiene, social ties, among others.
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María Fernanda Acosta Altamirano. Cultures de la naissance, entre la tradition et le biomédical : Étude comparative en Équateur et au Portugal. Sociologie. Université Côte d'Azur, 2017. Français. ⟨NNT : 2017AZUR2034⟩. ⟨tel-02426263⟩

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