SciELO - Scientific Electronic Library Online

vol.71 issue4Prevalence of high-risk human papilloma virus infection and abnormal cytology of the anal transformation zone in women with cervical dysplasia. Bogotá, Colombia, 2017-2019 author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand




Related links

  • On index processCited by Google
  • Have no similar articlesSimilars in SciELO
  • On index processSimilars in Google


Revista Colombiana de Obstetricia y Ginecología

Print version ISSN 0034-7434On-line version ISSN 2463-0225


BEDOYA-RUIZ., Libia Amparo; AGUDELO-SUAREZ, Andrés Alonso; RESTREPO-OCHOA, Diego Alveiro  and  HENAO-VILLEGAS, Santiago. Institutional practices in maternal health according to social class. Bogotá, Colombia, 2018. Rev Colomb Obstet Ginecol [online]. 2020, vol.71, n.4, pp.323-344. ISSN 0034-7434.


To understand institutional practices in healthcare as relates to women during pregnancy, childbirth and the postpartum period according to social class in Bogota.

Materials and methods:

Qualitative study based on the critical hermeneutics paradigm. Critical ethnographic method with theoretical sampling. The participants included 9 women and 8 health-care professionals from the city of Bogotá, attending public and private healthcare institutions that serve populations under both the subsidized as well as the contributive regimes of the General Social Security System. Overall, 38 in-depth interviews were conducted during a 13 month period, with 62 instances of support to the mothers in terms of prenatal care, vaccination, labor, postpartum visits, follow-up tests, psychoprophylactic course, hospitalization and waiting room. Triangulation analysis on Atlas Ti.


Taking into account the discourse of the different players, observations and context, two categories were found to be determining factors of inequities: “Market-regulated health” and “Over- sight and control in health services”.


It is advisable in medical practice to build competencies in the population in order to ensure the realization of the rights of women and healthcare personnel. Qualitative research offers the opportunity to promote the transformation of medical rationale affecting women.

Keywords : Social Class; Pregnancy; Childbirth; Postpartum Period; Medicalization.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )