Interprofessional care for Indigenous women during pregnancy and childbirth in light of Complexity Theory; [Cuidado interprofissional de mulheres indígenas no ciclo gravídico-puerperal à luz da Teoria da Complexidade]

Rosso J.; Meneghello L.P.; Naujorks S.; Arévalo-Ipanaqué J.M.; Backes D.S.; Colomé J.S. · Revista da Escola de Enfermagem da USP (2026) · DOI: 10.1590/1980-220x-reeusp-2025-0504es

Resumen

Objective: To reflect, in light of complexity theory, on the dynamics of interprofessional healthcare for indigenous women during pregnancy and the postpartum period. Method: A theoretical-reflective study, using Edgar Morin’s complexity framework, through the tetragram to reveal the encounters, tensions, and possibilities present in interprofessional care in intercultural contexts. Results: Interprofessional care emerges as a crucial strategy for overcoming the fragmentation of the hegemonic biomedical model. The application of the tetragram has demonstrated that: order resides in traditional practices and biomedical protocols; disorder manifests itself in cultural ruptures and conflicts; interaction occurs in experiences of articulation between different types of knowledge; and organization indicates the construction of more inclusive and adaptive care arrangements. Conclusion: Complexity theory offers a fruitful lens for rethinking and (re)orienting attention to indigenous women’s health, highlighting the imperative of active listening, valuing traditional knowledge, and building culturally safe, contextualized, and transformative interprofessional practices. © (1905), (Escola de Enfermagem de Universidade de Sao Paulo). All rights reserved.

Instituciones: Universidad Peruana Cayetano Heredia