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Published in: Journal of Ethnobiology and Ethnomedicine 1/2012

Open Access 01-12-2012 | Research

An analysis of two indigenous reproductive health illnesses in a Nahua community in Veracruz, Mexico

Author: Vania Smith-Oka

Published in: Journal of Ethnobiology and Ethnomedicine | Issue 1/2012

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Abstract

Background

This article describes the local concepts indigenous Nahua women hold regarding their reproduction. Specifically it provides a description of two indigenous illnesses—isihuayo and necaxantle, it discusses their etiology, symptoms, and treatments, and it analyzes them within the local ethnomedical framework and sociopolitical context. A perception of female vulnerability is shown to be an underlying shaper of women’s experiences of these illnesses.

Methods

This research took place in a small Nahua village in Mexico. Qualitative data on local perceptions of these illnesses were collected by a combination of participant observation and interviews. Ethnobotanical data was obtained through interviews, and medicinal plants were collected in home gardens, fields, stream banks, and forested areas. The total study population consisted of traditional birth attendants (N = 5), clinicians (N = 8), and laywomen (N = 48).

Results

Results showed that 20% of the village women had suffered from one or both of these illnesses. The article includes a detailed description of the etiology, symptoms, and treatments of these illnesses. Data shows that they were caused by mechanical, physical, and social factors related to a woman’s weakness and/or lack of support. Traditional birth attendants often treated women’s illnesses. Five medicinal plants were salient in the treatment of these illnesses: Ocimum basilicum L., Mentzelia aspera L., Pedilanthus tithymaloides (L.) Poit., and Piper umbellatum L. were used for isihuayo, while Solanum wendlandii Hook f. was used for necaxantle.

Conclusions

The research on these two ethnomedical conditions is a useful case study to understanding how indigenous women experience reproductive health. Reproductive health is not simply about clinically-based medicine but is also about how biomedicine intersects with the local bodily concepts. By describing and analyzing indigenous women’s ill health, one can focus upon the combination of causes—which extend beyond the physical body and into the larger structure that the women exist in.
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Literature
1.
go back to reference Browner CH: Criteria for selecting herbal remedies. Ethnology. 1985, 24: 13-32. 10.2307/3773487.CrossRef Browner CH: Criteria for selecting herbal remedies. Ethnology. 1985, 24: 13-32. 10.2307/3773487.CrossRef
2.
go back to reference Farfán Morales O: Los nahuas de la sierra norte de Puebla: el chamanismo entre los nahuas. Estudios nahuas. Edited by: Suárez y Farías MC. 1988, INAH, México, 127-144. Farfán Morales O: Los nahuas de la sierra norte de Puebla: el chamanismo entre los nahuas. Estudios nahuas. Edited by: Suárez y Farías MC. 1988, INAH, México, 127-144.
3.
go back to reference Sandstrom AR: Corn is our Blood: Culture and Ethnic Identity in a Contemporary Aztec Village. 1991, University of Oklahoma Press, Norman Sandstrom AR: Corn is our Blood: Culture and Ethnic Identity in a Contemporary Aztec Village. 1991, University of Oklahoma Press, Norman
4.
go back to reference Jordan B: Birth in Four Cultures: A Crosscultural Investigation of Childbirth in Yucatán, Holland, Sweden, and the United States. 1993, Waveland Press, Inc., Prospect Heights, IL Jordan B: Birth in Four Cultures: A Crosscultural Investigation of Childbirth in Yucatán, Holland, Sweden, and the United States. 1993, Waveland Press, Inc., Prospect Heights, IL
5.
go back to reference Castañeda-Camey X, García-Barrios C, Romero-Guerrero X, Nuñez-Urquiza RM, Gonzalez-Hernández D, Glass AL: Traditional birth attendants in Mexico: advantages and inadequacies of care for normal deliveries. Soc Sci Med. 1996, 43: 199-207. 10.1016/0277-9536(95)00362-2.PubMedCrossRef Castañeda-Camey X, García-Barrios C, Romero-Guerrero X, Nuñez-Urquiza RM, Gonzalez-Hernández D, Glass AL: Traditional birth attendants in Mexico: advantages and inadequacies of care for normal deliveries. Soc Sci Med. 1996, 43: 199-207. 10.1016/0277-9536(95)00362-2.PubMedCrossRef
6.
go back to reference Weimann C, Heinrich M: Indigenous medicinal plants in Mexico: The example of the Nahua (Sierra de Zongolica). Botanica Acta. 1997, 110: 62-72.CrossRef Weimann C, Heinrich M: Indigenous medicinal plants in Mexico: The example of the Nahua (Sierra de Zongolica). Botanica Acta. 1997, 110: 62-72.CrossRef
7.
go back to reference Giovannini P, Heinrich M: Xki yoma’ (our medicine) and xki tienda (patent medicine)—interface between traditional and modern medicine among the Mazatecs of Oaxaca, Mexico. J Ethnopharmacol. 2009, 121: 383-399. 10.1016/j.jep.2008.11.003.PubMedCrossRef Giovannini P, Heinrich M: Xki yoma’ (our medicine) and xki tienda (patent medicine)—interface between traditional and modern medicine among the Mazatecs of Oaxaca, Mexico. J Ethnopharmacol. 2009, 121: 383-399. 10.1016/j.jep.2008.11.003.PubMedCrossRef
8.
go back to reference Groark KP: Vital warmth and well-being: steam bathing as household therapy among the Tzeltal and Tzotzil Maya of highland Chiapas, Mexico. Soc Sci Med. 2005, 61: 785-795. 10.1016/j.socscimed.2004.08.044.PubMedCrossRef Groark KP: Vital warmth and well-being: steam bathing as household therapy among the Tzeltal and Tzotzil Maya of highland Chiapas, Mexico. Soc Sci Med. 2005, 61: 785-795. 10.1016/j.socscimed.2004.08.044.PubMedCrossRef
9.
go back to reference Smith-Oka V: Unintended consequences: exploring the tensions between development programs and indigenous women in Mexico in the context of reproductive health. Soc Sci Med. 2009, 68: 2069-2077. 10.1016/j.socscimed.2009.03.026.PubMedCrossRef Smith-Oka V: Unintended consequences: exploring the tensions between development programs and indigenous women in Mexico in the context of reproductive health. Soc Sci Med. 2009, 68: 2069-2077. 10.1016/j.socscimed.2009.03.026.PubMedCrossRef
10.
go back to reference Berlin EA, Jara VM, Berlin B, Breedlove DE, Duncan TO, Laughlin RM: Me'winik: discovery of the biomedical equivalence for a Maya ethnomedical syndrome. Soc Sci Med. 1993, 37: 671-678. 10.1016/0277-9536(93)90106-E.PubMedCrossRef Berlin EA, Jara VM, Berlin B, Breedlove DE, Duncan TO, Laughlin RM: Me'winik: discovery of the biomedical equivalence for a Maya ethnomedical syndrome. Soc Sci Med. 1993, 37: 671-678. 10.1016/0277-9536(93)90106-E.PubMedCrossRef
11.
go back to reference Fuller N, Jordan B: Maya women and the end of the birthing period: postpartum massage-and-binding in Yucatán, Mexico. Med Anth. 1981, 5: 35-50. 10.1080/01459740.1981.9986974.CrossRef Fuller N, Jordan B: Maya women and the end of the birthing period: postpartum massage-and-binding in Yucatán, Mexico. Med Anth. 1981, 5: 35-50. 10.1080/01459740.1981.9986974.CrossRef
12.
go back to reference Larme AC: Environment, vulnerability, and gender in Andean ethnomedicine. Soc Sci Med. 1998, 47: 1005-1015. 10.1016/S0277-9536(98)00162-2.PubMedCrossRef Larme AC: Environment, vulnerability, and gender in Andean ethnomedicine. Soc Sci Med. 1998, 47: 1005-1015. 10.1016/S0277-9536(98)00162-2.PubMedCrossRef
13.
go back to reference Singer M, Davison L, Gerdes G: Culture, critical theory, and reproductive illness behavior in Haiti. Med Anthropol Q. 1988, 2: 370-385. 10.1525/maq.1988.2.4.02a00060.CrossRef Singer M, Davison L, Gerdes G: Culture, critical theory, and reproductive illness behavior in Haiti. Med Anthropol Q. 1988, 2: 370-385. 10.1525/maq.1988.2.4.02a00060.CrossRef
14.
go back to reference Meyer CL: The Wandering Uterus: Politics of Reproductive Rights of Women. 1997, New York University Press, New York Meyer CL: The Wandering Uterus: Politics of Reproductive Rights of Women. 1997, New York University Press, New York
15.
go back to reference Earth B, Sthapit S: Uterine prolapse in rural Nepal: gender and human rights implications. Culture, Health & Sexuality. 2002, 4: 281-296. 10.1080/13691050110090248.CrossRef Earth B, Sthapit S: Uterine prolapse in rural Nepal: gender and human rights implications. Culture, Health & Sexuality. 2002, 4: 281-296. 10.1080/13691050110090248.CrossRef
16.
go back to reference Hinojosa SZ: The Mexican American sobador, convergent disease discourse, and pain validation in south Texas. Hum Org. 2008, 67: 194-206.CrossRef Hinojosa SZ: The Mexican American sobador, convergent disease discourse, and pain validation in south Texas. Hum Org. 2008, 67: 194-206.CrossRef
17.
go back to reference López Austin A: The Human Body and Ideology. Concepts of the Ancient Nahuas, Vol. I. Edited by: Ortiz de Montellano T, Ortiz de Montellano B. 1988, University of Utah Press, Salt Lake City López Austin A: The Human Body and Ideology. Concepts of the Ancient Nahuas, Vol. I. Edited by: Ortiz de Montellano T, Ortiz de Montellano B. 1988, University of Utah Press, Salt Lake City
18.
go back to reference Cosminsky S: Maya midwives in southern Mexico and Guatemala. Mesoamerican Healers. Edited by: Huber BR, Sandstrom AR. 2001, University of Texas Press, Austin, 179-210. Cosminsky S: Maya midwives in southern Mexico and Guatemala. Mesoamerican Healers. Edited by: Huber BR, Sandstrom AR. 2001, University of Texas Press, Austin, 179-210.
19.
go back to reference Doshani A, Teo REC, Mayne CJ, Tincello DG: Uterine prolapse. B Med J. 2007, 335: 819-823. 10.1136/bmj.39356.604074.BE.CrossRef Doshani A, Teo REC, Mayne CJ, Tincello DG: Uterine prolapse. B Med J. 2007, 335: 819-823. 10.1136/bmj.39356.604074.BE.CrossRef
20.
go back to reference Mant J, Painter R, Vessey M: Epidemiology of genital prolapse: observations from the Oxford family planning association study. B J Obs Gyn. 1997, 104: 579-585. 10.1111/j.1471-0528.1997.tb11536.x.CrossRef Mant J, Painter R, Vessey M: Epidemiology of genital prolapse: observations from the Oxford family planning association study. B J Obs Gyn. 1997, 104: 579-585. 10.1111/j.1471-0528.1997.tb11536.x.CrossRef
21.
go back to reference Smith-Oka V: Plants used for reproductive health by Nahua women in northern Veracruz, Mexico. J Econ Bot. 2008, 62: 604-614. 10.1007/s12231-008-9026-7.CrossRef Smith-Oka V: Plants used for reproductive health by Nahua women in northern Veracruz, Mexico. J Econ Bot. 2008, 62: 604-614. 10.1007/s12231-008-9026-7.CrossRef
22.
go back to reference Leatherman T: A space of vulnerability in poverty and health: political-ecology and biocultural analysis. Ethos. 2005, 33: 46-70. 10.1525/eth.2005.33.1.046.CrossRef Leatherman T: A space of vulnerability in poverty and health: political-ecology and biocultural analysis. Ethos. 2005, 33: 46-70. 10.1525/eth.2005.33.1.046.CrossRef
24.
go back to reference Escobar Ohmstede A: Historia de los Pueblos Indígenas de México: De la Costa a la Sierra, Las Huastecas. 1998, CIESAS-INI, México, 1750-1900. Escobar Ohmstede A: Historia de los Pueblos Indígenas de México: De la Costa a la Sierra, Las Huastecas. 1998, CIESAS-INI, México, 1750-1900.
25.
go back to reference Sandstrom AR: The image of disease: medical practices of Nahua Indians of the Huasteca. University of Missouri Monographs in Anthropology, No. 3. Department of Anthropology. 1978, University of Missouri-Columbia, Columbia Sandstrom AR: The image of disease: medical practices of Nahua Indians of the Huasteca. University of Missouri Monographs in Anthropology, No. 3. Department of Anthropology. 1978, University of Missouri-Columbia, Columbia
26.
go back to reference Avendaño Reyes S: El conocimiento de la flora útil: una base para conservar los recursos vegetales. Problemática Ambiental en el Estado de Veracruz: Los Recursos Vegetales. Edited by: Castillo-Campos G, Mejía-Saulés MT. 1994, Universidad Veracruzana, Xalapa, México, 59-67. Avendaño Reyes S: El conocimiento de la flora útil: una base para conservar los recursos vegetales. Problemática Ambiental en el Estado de Veracruz: Los Recursos Vegetales. Edited by: Castillo-Campos G, Mejía-Saulés MT. 1994, Universidad Veracruzana, Xalapa, México, 59-67.
28.
go back to reference Ruvalcaba Mercado J: Presentación. Nuevos aportes al conocimiento de la Huasteca. Edited by: Ruvalcaba Mercado J. 1998, CIESAS, México, 11-26. Ruvalcaba Mercado J: Presentación. Nuevos aportes al conocimiento de la Huasteca. Edited by: Ruvalcaba Mercado J. 1998, CIESAS, México, 11-26.
29.
go back to reference Thomas E, Vandebroek I, Van Damme P: What works in the field? a comparison of different interviewing methods in ethnobotany with special reference to the use of photographs. Econ Bot. 2007, 614: 376-384.CrossRef Thomas E, Vandebroek I, Van Damme P: What works in the field? a comparison of different interviewing methods in ethnobotany with special reference to the use of photographs. Econ Bot. 2007, 614: 376-384.CrossRef
30.
go back to reference Quinlan MB: Ethnomedicine and ethnobotany of fright, a Caribbean culture-bound psychiatric syndrome. J Ethnobiol Ethnomed. 2010, 6: 9-10.1186/1746-4269-6-9.PubMedCentralPubMedCrossRef Quinlan MB: Ethnomedicine and ethnobotany of fright, a Caribbean culture-bound psychiatric syndrome. J Ethnobiol Ethnomed. 2010, 6: 9-10.1186/1746-4269-6-9.PubMedCentralPubMedCrossRef
31.
go back to reference Emerson RM, Fretz RI, Shaw LL: Writing Ethnographic Fieldnotes. 1995, University of Chicago Press, ChicagoCrossRef Emerson RM, Fretz RI, Shaw LL: Writing Ethnographic Fieldnotes. 1995, University of Chicago Press, ChicagoCrossRef
32.
go back to reference Vázquez-García V: Gender, ethnicity, and economic status in plant management: un- cultivated edible plants among the Nahua and Popolucas of Veracruz, Mexico. Agri Hum Values. 2008, 25: 65-77.CrossRef Vázquez-García V: Gender, ethnicity, and economic status in plant management: un- cultivated edible plants among the Nahua and Popolucas of Veracruz, Mexico. Agri Hum Values. 2008, 25: 65-77.CrossRef
33.
go back to reference Alarcón AM, Nahuelcheo Y: Pregnancy, delivery, and post partum beliefs among Mapuche women: private conversations. Chungara, Revista de Antropologiá Chilena. 2008, 40: 193-202. Alarcón AM, Nahuelcheo Y: Pregnancy, delivery, and post partum beliefs among Mapuche women: private conversations. Chungara, Revista de Antropologiá Chilena. 2008, 40: 193-202.
34.
go back to reference Finkler K: Biomedicine globalized and localized: western medical practices in an outpatient clinic of a Mexican hospital. Soc Sci Med. 2004, 59: 2037-2051. 10.1016/j.socscimed.2004.03.008.PubMedCrossRef Finkler K: Biomedicine globalized and localized: western medical practices in an outpatient clinic of a Mexican hospital. Soc Sci Med. 2004, 59: 2037-2051. 10.1016/j.socscimed.2004.03.008.PubMedCrossRef
35.
go back to reference Bussmann RW, Glenn A: Medicinal plants used in Northern Peru for reproductive problems and female health. J Ethnobiol Ethnomed. 2010, 6: 30-10.1186/1746-4269-6-30.PubMedCentralPubMedCrossRef Bussmann RW, Glenn A: Medicinal plants used in Northern Peru for reproductive problems and female health. J Ethnobiol Ethnomed. 2010, 6: 30-10.1186/1746-4269-6-30.PubMedCentralPubMedCrossRef
36.
go back to reference Rubel AJ, Hass MR: Ethnomedicine. Medical anthropology: contemporary theory and method. Revised edition. Edited by: Sargent CF, Johnson TM. 1996, Praeger Publishers, Westport, 113-130. Rubel AJ, Hass MR: Ethnomedicine. Medical anthropology: contemporary theory and method. Revised edition. Edited by: Sargent CF, Johnson TM. 1996, Praeger Publishers, Westport, 113-130.
37.
go back to reference López Austin A: Cosmovisión y medicina náhuatl. Estudios sobre botánica y antropología médica. Edited by: Viesca Treviño C. 1976, Instituto Mexicano para el Estudio de las Plantas Medicinales, Mexico, 13-27. López Austin A: Cosmovisión y medicina náhuatl. Estudios sobre botánica y antropología médica. Edited by: Viesca Treviño C. 1976, Instituto Mexicano para el Estudio de las Plantas Medicinales, Mexico, 13-27.
38.
go back to reference Etkin NL: Ethnopharmacology: the conjunction of medical ethnography and the biology of therapeutic action. Medical anthropology: contemporary theory and method. Revised edition. Edited by: Sargent CF, Johnson TM. 1996, Praeger Publishers, Westport, 151-164. Etkin NL: Ethnopharmacology: the conjunction of medical ethnography and the biology of therapeutic action. Medical anthropology: contemporary theory and method. Revised edition. Edited by: Sargent CF, Johnson TM. 1996, Praeger Publishers, Westport, 151-164.
39.
go back to reference Lamxai V, de Boer HJ, Björk L: Traditions and plant use during pregnancy, childbirth and postpartum recovery by the Kry ethnic group in Lao PDR. J Ethnobiol Ethnomed. 2011, 7: 14-10.1186/1746-4269-7-14.CrossRef Lamxai V, de Boer HJ, Björk L: Traditions and plant use during pregnancy, childbirth and postpartum recovery by the Kry ethnic group in Lao PDR. J Ethnobiol Ethnomed. 2011, 7: 14-10.1186/1746-4269-7-14.CrossRef
40.
go back to reference Maraesa A: A competition over reproductive authority: prenatal risk assessment in southern Belize. Risk, reproduction, and narratives of experience. Edited by: Fordyce L, Maraesa A. 2012, Vanderbilt University Press, Nashville Maraesa A: A competition over reproductive authority: prenatal risk assessment in southern Belize. Risk, reproduction, and narratives of experience. Edited by: Fordyce L, Maraesa A. 2012, Vanderbilt University Press, Nashville
41.
go back to reference Chapman R: Chikotsa—secrets, silence, and hiding: social risk and reproductive vulnerability in central Mozambique. Med Anth Quar. 2006, 20: 487-515. 10.1525/maq.2006.20.4.487.CrossRef Chapman R: Chikotsa—secrets, silence, and hiding: social risk and reproductive vulnerability in central Mozambique. Med Anth Quar. 2006, 20: 487-515. 10.1525/maq.2006.20.4.487.CrossRef
42.
go back to reference Manderson L: Shaping reproduction: maternity in early twentieth century Malaya. Maternities and modernities: colonial and postcolonial experiences in Asia and the Pacific. Edited by: Ram K, Jolly M. 1998, Cambridge University Press, Cambridge, 26-50.CrossRef Manderson L: Shaping reproduction: maternity in early twentieth century Malaya. Maternities and modernities: colonial and postcolonial experiences in Asia and the Pacific. Edited by: Ram K, Jolly M. 1998, Cambridge University Press, Cambridge, 26-50.CrossRef
43.
go back to reference Blanchard K, Elul B, RamaRao S: Reproductive Health Indicators: Moving Forward. 1999, Population Council, New York Blanchard K, Elul B, RamaRao S: Reproductive Health Indicators: Moving Forward. 1999, Population Council, New York
Metadata
Title
An analysis of two indigenous reproductive health illnesses in a Nahua community in Veracruz, Mexico
Author
Vania Smith-Oka
Publication date
01-12-2012
Publisher
BioMed Central
Published in
Journal of Ethnobiology and Ethnomedicine / Issue 1/2012
Electronic ISSN: 1746-4269
DOI
https://doi.org/10.1186/1746-4269-8-33

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