A cultural model of pregnancy: a comparison between Mexican physicians and working-class women in Tijuana, B.C.

At the time this research was conducted, it was reported that a significant percentage of women in Tijnana, B.C. (18.6%) who gave birth in a hospital did so having had little or no prenatal care [Núcleo Regional para el Desarrollo de Sistemas de Salud (NUREDESS) 1993]. Why does this underutilization of prenatal care occur? Frequently, explanations for health-seeking behavior among poor and working-class Mexican women tend to focus on cultural beliefs. This research examined the accuracy of such a cultural explanation by discerning the cultural model of prenatal care of a group of working-class Mexican women and comparing it to the biomedical model, as represented by a group of Mexican physicians. The results demonstrate that both groups actually share a similar model of prenatal care, one rooted in biomedicine. Therefore, it is important to consider broader, structural and economic variables as key factors that influence prenatal health care behavior.