Invisible Coloniality and the Politics of Suffering: An Analysis of the Femicide of Pregnant Women
No. 92 (2025-04-08)Author(s)
-
Alejandra Bello-UrregoUniversidad de Antioquia, ColombiaORCID iD: https://orcid.org/0000-0001-7530-2853
Abstract
This article explores the femicide of pregnant women through the lens of feminist and decolonial political theory. It examines how the exclusion of femicide from the causes officially recognized in the World Health Organization’s (WHO) definition of maternal mortality relates to the persistence and reconfiguration of colonial mechanisms that define the human. I argue that cruelty—operating through a colonial regime that renders ordinary violence invisible and sustains a political economy of suffering— classifies bodies on a daily basis, determining which are deemed worthy or unworthy of care. This is a theoretical investigation grounded in documentary analysis of both primary and secondary sources. The corpus comprises 36 documents selected through a systematic review of scientific literature available in international, interdisciplinary academic databases. The findings show that globally, racialized, impoverished, and young pregnant women are more likely to die from gender-based violence than from the maternal mortality causes recognized by the WHO. The exclusion of femicide from these official categories exposes the persistence of colonial power structures in the WHO’s regime of intelligibility, which continues to normalize certain forms of violence. This exclusion highlights how the invisibilization of subaltern suffering—and the normalization of indifference that sustains it—remains central to the ongoing denial of full human recognition.
References
Alves, Mércia Maria Rodrigues, Sandra Valongueiro Alves, Maria Bernadete de Cerqueira Antunes y Dirce Luiza Pereira dos Santos. 2013. “Causas externas e mortalidade materna: proposta de classificação”. Revista de Saúde Pública 47 (2): 283-291. https://doi.org/10.1590/S0034-8910.2013047003642
Anzaldúa, Gloria. 2016. Borderlands / La frontera: la nueva mestiza. Traducido por Carmen Valle. Madrid: Capitán Swing.
Australian Bureau of Statistics. 2005. “Personal Safety Survey”. Australian Bureau of Statistics. https://www.abs.gov.au/AUSSTATS/abs@.nsf/Lookup/4906.0Main+Features12005%20(Reissue)?OpenDocument=
Bailey, Beth A. 2010. “Partner Violence during Pregnancy: Prevalence, Effects, Screening, and Management”. International Journal of Women’s Health 2: 183-197. https://doi.org/10.2147/ijwh.s8632
Blay, Eva Alterman. 2008. Assassinato de mulheres e direitos humanos. São Paulo: Editora 34.
Bowser, Benjamin. 2018. “Comment analyser l’héritage psychologique de l’esclavage?”. En L’esclavage: quel impact sur la psychologie des populations?, dirigido por Aimé Charles-Nicolas y Benjamin Bowser. París: Idem Editions.
Bruyn, Maria. 2003. La violencia, el embarazo y el aborto: cuestiones de derechos de la mujer y de salud pública. Chapel Hill: Ipas.
Campero, Lourdes, Dilys Walker, Bernardo Hernández, Henry Espinoza, Sofía Reynoso y Ana Langer. 2006. “La contribución de la violencia a la mortalidad materna en Morelos, México”. Salud Pública de México 48 (2): 297-306. https://www.saludpublica.mx/index.php/spm/article/view/4727
Césaire, Aimé. 2000. Discourse on Colonialism. Nueva York: Monthly Review.
Chang, Jeani, Cynthia J. Berg, Linda E. Saltzman y Joy Herndon. 2005. “Homicide: A Leading Cause of Injury Deaths among Pregnant and Postpartum Women in the United States, 1991-1999”. American Journal of Public Health 95 (3): 471-477. https://doi.org/10.2105/ajph.2003.029868
Cheng, Diana e Isabelle L. Horon. 2010. “Intimate-Partner Homicide among Pregnant and Postpartum Women”. Obstetrics and Gynecology 115 (6): 1181-1186. https://doi.org/10.1097/AOG.0b013e3181de0194
Cliffe, Charlotte, Maddalena Miele y Steven Reid. 2019. “Homicide in Pregnant and Postpartum Women Worldwide: A Review of the Literature”. Journal of Public Health Policy 40 (2): 180-216. https://doi.org/10.1057/s41271-018-0150-z
Colombo, Graciela, Roxana C. Ynoub, Mónica Viglizzo, Luciana Veneranda, Gabriela Iglesias y Pablo Stropparo. 2005. “Prevalencia de casos de violencia familiar contra la mujer en la etapa de embarazo, parto y puerperio”. Convergencia: Revista de Ciencias Sociales 12 (38): 81-107. https://www.redalyc.org/articulo.oa?id=10503804
Costa, Aurélio Antônio Ribeiro da, Maria do Socorro Sampaio de Sousa Ribas, Melânia Maria Ramos Amorim y Luiz Carlos Santos. 2002. “Mortalidade materna na cidade do Recife”. Revista Brasileira de Ginecologia e Obstetrícia 24 (7): 455-462. https://doi.org/10.1590/s0100-72032002000700005
Dorlin, Elsa. 2009. La matrice de la race: généalogie sexuelle et coloniale de la Nation francaise. París: La Découverte.
Drife, James. 1999. “Maternal Mortality: Lessons from the Confidential Enquiry”. Hospital Medicine 60 (3): 156-157. https://doi.org/10.12968/hosp.1999.60.3.1056
Fanon, Frantz. 1986. Black Skin, White Masks. Londres: Pluto Press.
Fauveau, Vincent, Michael A. Koenig, J. Chakraborty y A. I. Chowdhury. 1988. “Causes of Maternal Mortality in Rural Bangladesh, 1976-85”. Bulletin of the World Health Organization 66 (5): 643- 651. https://pmc.ncbi.nlm.nih.gov/articles/PMC2491193/
Fino, Elena. 2007. Mortalidad relacionada con el embarazo. Colombia, 1985-2005: Orinoquia, Amazonia y Chocó. Medellín: Universidad de Antioquia.
Fregoso Rosa-Linda y Cynthia Bejarano, eds. 2010. Terrorizing Women: Feminicide in the Americas. Durham: Duke University Press.
Gissler, Mika, Cynthia Berg, Marie-Hélène Bouvier-Colle y Pierre Buekens. 2004. “Pregnancy-Associated Mortality after Birth, Spontaneous Abortion, or Induced Abortion in Finland, 1987-2000”. American Journal of Obstetrics and Gynecology 190 (2): 422-427. https://doi.org/10.1016/j.ajog.2003.08.044
Gissler, Mika, Cynthia Berg, Marie-Hélène Bouvier-Colle y Pierre Buekens. 2005. “Injury Deaths, Suicides and Homicides Associated with Pregnancy: Finland, 1987-2000”. European Journal of Public Health 15 (5): 459-463. https://doi.org/10.1093/eurpub/cki042
Granja, Ana Carla, Eugenio Zacarias y Staffan Bergstrôm. 2002. “Violent Deaths: The Hidden Face of Maternal Mortality”. British Journal of Obstetrics and Gynaecology 109 (1): 5-8. https://doi.org/10.1111/j.1471-0528.2002.01082.x
Gunter Jennifer. 2007. “Intimate Partner Violence”. Obstetrics and Gynecology Clinics of North America 34 (3): 367-388. https://doi.org/10.1016/j.ogc.2007.06.010
Horon, Isabelle L. y Diana Cheng. 2001. “Enhanced Surveillance for Pregnancy-Associated Mortality—Maryland, 1993-1998”. Journal of the American Medical Association 285 (11): 1455-1459. https://doi.org/10.1001/jama.285.11.1455
Khlat, Myriam y Carine Ronsmans. 2000. “Deaths Attributable to Childbearing in Matlab, Bangladesh: Indirect Causes of Maternal Mortality Questioned”. American Journal of Epidemiology 151 (3): 300-306. https://doi.org/10.1093/oxfordjournals.aje.a010206
Krug, Etienne, Linda L. Dahlberg, Jamers A. Mercy, Anthony Zwi y Rafael Lozano-Ascencio. 2002. Rapport mondial sur la violence et la sante. Ginebra: OMS. https://iris.who.int/bitstream/handle/10665/42545/9242545619_fre.pdf
Krulewitch, Cara J., Marie Lydie Pierre-Louis, Regina de Leon-Gomez, Richard Guy y Richard Green. 2001. “Hidden from View: Violent Deaths among Pregnant Women in the District of Columbia, 1988-1996”. Journal of Midwifery & Women’s Health 46 (1): 4-10. https://doi.org/10.1016/S1526-9523(00)00096-9
Langer, Ana. 2002. “El embarazo no deseado: impacto sobre la salud y la sociedad en América Latina y el Caribe”. Revista Panamericana de Salud Pública 11 (3): 192-203. https://iris.paho.org/handle/10665.2/8688
Lorde, Audre. 2012. Sister Outsider: Essays and Speeches. Nueva York: Penguin Random House.
Lugones, María. 2008. “Colonialidad y género”. Tabula Rasa 9: 73-102. https://revistas.unicolmayor.edu.co/index.php/tabularasa/article/view/1501
Mbizvo, Michael T., Susan Fawcus, Gunilla Lindmark, Lennarth Nystrom y Maternal Mortality Study Group. 1993. “Maternal Mortality in Rural and Urban Zimbabwe: Social and Reproductive Factors in an Incident Case-referent Study”. Social Science & Medicine 36 (9): 1197-1205. https://doi.org/10.1016/0277-9536(93)90240-5
McFarlane, Judith, Jacquelyn C. Campbell, Phyllis Sharps y Kathy Watson. 2002. “Abuse during Pregnancy and Femicide: Urgent Implications for Women’s Health”. Obstetrics and Gynecology 100 (1): 27-36. https://doi.org/10.1016/s0029-7844(02)02054-9
Menicucci de Oliveira, Eleonora y Lucila Amaral Carneiro Vianna. 1993. “Violência conjugal na gravidez”. Revista Estudos Feministas 1 (1): 162-165. https://periodicos.ufsc.br/index.php/ref/article/view/16002/14502
Monárrez, Julia. 2002. “Feminicidio sexual serial en Ciudad Juárez (1993-2001)”. Debate Feminista 25: 279-305. https://www.jstor.org/stable/42624702
Ndlovu-Gatsheni, Sabelo J. 2018. Epistemic Freedom in Africa. Nueva York: Routledge.
OMS (Organización Mundial de la Salud). 1992. Clasificación estadística internacional de enfermedades y problemas relacionados con la salud. 10.ª revisión (CIE-10). Ginebra: OMS. https://iris.paho.org/bitstream/handle/10665.2/6282/Volume1.pdf
OMS (Organización Mundial de la Salud). 2019. Clasificación internacional de enfermedades. 11.ª revisión (CIE-11). Ginebra: OMS. https://icd.who.int/es
Parsons, Linn y Margaret A. Harper. 1999. “Violent Maternal Deaths in North Carolina”. Obstetrics and Gynecology 94 (6): 990-993. https://doi.org/10.1016/S0029-7844(99)00466-4
Petersen, Ruth, Linda E. Saltzman, Mary Goodwin y Alison Spitz. 1997. Key Scientific Issues for Research on Violence Occurring around the Time of Pregnancy. Atlanta: Center for Disease Control and Prevention.
Soares, Marcela Quaresma, Cristiane Magalhães de Melo y Paula Dias Bevilacqua. 2024. “Femicide during Pregnancy and Postpartum Period by an Intimate Partner: An Integrative Review”. Aggression and Violent Behavior 76: 101919. https://doi.org/10.1016/j.avb.2024.101919
Radford, Jill y Diana E. H Russell, eds. 1992. Femicide: The Politics of Women Killing. Londres: Open University Press.
Rivera Cusicanqui, Silvia. 2010. Ch’ixinakax utxiwa: una reflexión sobre prácticas y discursos descolonizadores. Buenos Aires: Tinta Limón.
Rizzi, R. G., R. Ruiz Córdoba y J. J Maguna. 1998. “Maternal Mortality Due to Violence”. International Journal of Gynecology and Obstetrics 63 (1): 19-24. https://doi.org/10.1016/S0020-7292(98)00180-5
Samandari, Ghazaleh, Sandra L. Martin y Sharon Schiro. 2010. “Homicide among Pregnant and Postpartum Women in the United States: A Review of the Literature”. Trauma, Violence, & Abuse 11 (1): 42-54. https://doi.org/10.1177/1524838009358891
Segato Rita. 2018. Contra-pedagogías de la crueldad. Buenos Aires: Prometeo Libros.
Taylor, Rae y Erin L. Nabors. 2009. “Pink or Blue… Black and Blue? Examining Pregnancy as a Predictor of Intimate Partner Violence and Femicide”. Violence against Women 15 (11): 1273-1293. https://doi.org/10.1177/1077801209346714
Turner, Linda A., Michael S. Kramer, Shiliang Liu y Maternal Mortality and Morbidity Study Group of the Canadian Perinatal Surveillance System. 2002. “Cause-specific Mortality during and after Pregnancy and the Definition of Maternal Death”. Chronic Diseases in Canada 23 (1): 31-36. https://epe.bac-lac.gc.ca/100/202/301/maladies_chroniques_canada/html/2008/v28n04/publicat/cdic-mcc/23-1/e_e.html
Valdez-Santiago, Rosario y Luz Helena Sanín-Aguirre. 1996. “La violencia doméstica durante el embarazo y su relación con el peso al nacer”. Salud Pública de México 38 (5): 352-362. https://www.redalyc.org/pdf/106/10638506.pdf
Varona Pérez, Patricia y Juan Carlos Alvizu-Campos. 2022. “La mortalidad materna en Cuba: el color cuenta”. Revista
Novedades en Población 18 (36): 292-330. http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1817-40782022000200292&lng=es&tlng=es
Venkatesh, Sudhir. 2008. Gang Leader for a Day: A Rogue Sociologist Takes to the Streets. Nueva York: Penguin Press.
Wallace, Maeve E. 2022. “Trends in Pregnancy-Associated Homicide, United States, 2020”. American Journal of Public Health 112 (9): 1333-1336. https://doi.org/10.2105/ajph.2022.306937
Wallace, Maeve E., Joia Crear-Perry, Pooja K. Mehta y Katherine P. Theall. 2020. “Homicide during Pregnancy and the Postpartum Period in Louisiana, 2016-2017”. The Journal of the American Medical Association Pediatrics 174 (4): 387-388. https://doi.org/10.1001/jamapediatrics.2019.5853
Wallace, Maeve E., Veronica Gillispie-Bell, Kiara Cruz, Kelly Davis y Dovile Vilda. 2021. “Homicide during Pregnancy and the Postpartum Period in the United States, 2018-2019”. Obstetrics & Gynecology 138 (5): 762-769. https://doi.org/10.1097/aog.0000000000004567
Wynter, Sylvia. 2000. “Africa, the West and the Analogy of Culture: The Cinematic Text after Man”. En Symbolic Narratives/African Cinema: Audience, Theory and the Moving Image, editado por June Givanni, 25-76. Londres: British Film Institute.
Wynter, Sylvia. 2015. “The Ceremony Found: Towards the Autopoietic Turn/Over-Turn, Its Autonomy of Human Agency and Extraterritoriality of (Self-)cognition”. En Black Knowledges/Black Struggles: Essays in Critical Epistemology, editado por Jason R. Ambroise y Sabina Broeck, 184-245. Liverpool: Liverpool University Press.
Yusuf, Hussain R., Halida H. Akhter, Mahbub Elahi Chowdhury y Roger W. Rochat. 2007. “Causes of Death among Women Aged 10-50 Years in Bangladesh, 1996-1997”. Journal of Health, Population and Nutrition 25 (3): 302-311. https://pmc.ncbi.nlm.nih.gov/articles/PMC2754034/
License
Copyright (c) 2025 Alejandra Bello-Urrego

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.