Care from the Cultural Perspective in Women with Physiological Pregnancy: a Meta-Ethnography.
Iliana Milena Ulloa Sabogal, Lucy Muñoz de Rodríguez
PMID 31083840WHAT IT FOUND
Pregnant women described protecting themselves and the unborn child through family, spirituality, midwives, rest, exercise, food choices, and beliefs.
The synthesis of 23 qualitative studies is a map of meanings, not proof these practices work.
Key findings
01The synthesis identified 12 categories describing cultural care in physiological pregnancy, including family and spiritual support, midwives, emotional balance, exercise, rest, feeding, avoiding harmful substances, intrauterine stimulation, heat and cold, sexuality, and traditional beliefs.
02The overall interpretation was that cultural care aimed to protect the mother and the unborn child.
03Feeding practices included choosing soft or healthy foods, restricting strong or heavy foods, and following rituals believed to help labor and delivery.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The authors say no clear guide exists for judging the rigor of a meta-ethnography. They also say not all relevant published studies may have been included. The synthesis reports interpretive categories and meanings, not measured clinical outcomes. The included studies varied by country and participant group, so the categories may not fit every patient.
The easy way to misread this
Do not read the 12 categories as proof that any practice improves the health of the mother or unborn child. The synthesis describes meanings and practices, and the authors call it an interpretative qualitative method, not a tested intervention.