Midwives, Society and Childbirth


Book Description

Midwives, Society and Childbirth is the first book to examine midwives' lives and work in the nineteenth and twentieth centuries on a national and international scale. Focusing on six countries from Europe, the approach is interdisciplinary with the studies written by a diverse team of social, medical and midwifery historians, sociologists, and those with experience in delivering childbirth services. Questioning for the first time many conventional historical assumptions, this book is fundamental to a better understanding of the effect on midwives of the unprecedented progress of science in general and obstetric science in particular from the late nineteenth century. The contributors challenge the traditional bleak picture of midwives' decline in the face of institutional obstetrics, medical technology, and the growing power of the medical profession, while stressing the importance of regional influences and locality. Dr Anne Marie Rafferty, Philadelphia, Dr Hilary Marland, Erasmus Universiteit Rotterdam, Dr Irvine Louden, Oxfordshire, Joan Mottram, Wellcome Unit for the History of Medic




Birth Settings in America


Book Description

The delivery of high quality and equitable care for both mothers and newborns is complex and requires efforts across many sectors. The United States spends more on childbirth than any other country in the world, yet outcomes are worse than other high-resource countries, and even worse for Black and Native American women. There are a variety of factors that influence childbirth, including social determinants such as income, educational levels, access to care, financing, transportation, structural racism and geographic variability in birth settings. It is important to reevaluate the United States' approach to maternal and newborn care through the lens of these factors across multiple disciplines. Birth Settings in America: Outcomes, Quality, Access, and Choice reviews and evaluates maternal and newborn care in the United States, the epidemiology of social and clinical risks in pregnancy and childbirth, birth settings research, and access to and choice of birth settings.




Midwifery and the Medicalization of Childbirth


Book Description

This book provides an introduction to the sociological study of midwifery. The readings have been selected to highlight the interplay between midwifery and medicine, reflecting the medicalization of childbirth. It highlights the major themes in both a historical and a current context, as well as western and non-western societies. Two major themes underlie the organization of this book: that the conception of midwifery must be broadened to encompass a sociological perspective; and that the ongoing trend toward the medicalization of midwifery is crucial to an understanding of the historical, current, and future status of midwifery. By medicalization of childbirth and midwifery the author mean the increasing tendency for women to prefer a hospital delivery to a home delivery, the increasing trend toward the use of technology and clinical intervention in childbirth, and the determination of medical practitioners to confine the role played by midwives in pregnancy and childbirth, if any, to a purely subordinate one.




Childbirth, Midwifery and Concepts of Time


Book Description

All cultures are concerned with the business of childbirth, so much so that it can never be described as a purely physiological or even psychological event. This volume draws together work from a range of anthropologists and midwives who have found anthropological approaches useful in their work. Using case studies from a variety of cultural settings, the writers explore the centrality of the way time is conceptualized, marked and measured to the ways of perceiving and managing childbirth: how women, midwives and other birth attendants are affected by issues of power and control, but also actively attempt to change established forms of thinking and practice. The stories are engaging as well as critical and invite the reader to think afresh about time, and about reproduction.




Catching Babies


Book Description

Childbirth is a quintessential family event that simultaneously holds great promise and runs the risk of danger. By the late nineteenth century, the birthing room had become a place where the goals of the new scientific professional could be demonstrated, but where traditional female knowledge was in conflict with the new ways. Here the choice of attendants and their practices defined gender, ethnicity, class, and the role of the professional. Using the methodology of social science theory, particularly quantitative statistical analysis and historical demography, Charlotte Borst examines the effect of gender, culture, and class on the transition to physician-attended childbirth. Earlier studies have focused on physician opposition to midwifery, devoting little attention to the training for and actual practice of midwifery. As a result, until now we knew little about the actual conditions of the midwife's education and practice. Catching Babies is the first study to examine the move to physician-attended birth within the context of a particular community. It focuses on four representative counties in Wisconsin to study both midwives and physicians within the context of their community. Borst finds that midwives were not pushed out of practice by elitist or misogynist obstetricians. Instead, their traditional, artisanal skills ceased to be valued by a society that had come to embrace the model of disinterested, professional science. The community that had previously hired midwives turned to physicians who shared ethnic and cultural values with the very midwives they replaced.




Birthing a Movement


Book Description

Rich, personal stories shed light on midwives at the frontier of women's reproductive rights. Midwives in the United States live and work in a complex regulatory environment that is a direct result of state and medical intervention into women's reproductive capacity. In Birthing a Movement, Renée Ann Cramer draws on over a decade of ethnographic and archival research to examine the interactions of law, politics, and activism surrounding midwifery care. Framed by gripping narratives from midwives across the country, she parses out the often-paradoxical priorities with which they must engage—seeking formal professionalization, advocating for reproductive justice, and resisting state-centered approaches. Currently, professional midwives are legal and regulated in their practice in 32 states and illegal in eight, where their practice could bring felony convictions and penalties that include imprisonment. In the remaining ten states, Certified Professional Midwives (CPMs) are unregulated, but nominally legal. By studying states where CPMs have differing legal statuses, Cramer makes the case that midwives and their clients engage in various forms of mobilization—at times simultaneous, and at times inconsistent—to facilitate access to care, autonomy in childbirth, and the articulation of women's authority in reproduction. This book brings together literatures not frequently in conversation with one another, on regulation, mobilization, health policy, and gender, offering a multifaceted view of the experiences and politics of American midwifery, and promising rich insights to a wide array of scholars, activists, healthcare professionals alike.




Delivered by Midwives


Book Description

Winner of the 2019 American Association for the History of Nursing Lavinia L. Dock Award for Exemplary Historical Research and Writing in a Book “Catchin’ babies” was merely one aspect of the broad role of African American midwives in the twentieth-century South. Yet, little has been written about the type of care they provided or how midwifery and maternity care evolved under the increasing presence of local and federal health care structures. Using evidence from nursing, medical, and public health journals of the era; primary sources from state and county departments of health; and personal accounts from varied practitioners, Delivered by Midwives: African American Midwifery in the Twentieth-Century South provides a new perspective on the childbirth experience of African American women and their maternity care providers. Author Jenny M. Luke moves beyond the usual racial dichotomies to expose a more complex shift in childbirth culture, revealing the changing expectations and agency of African American women in their rejection of a two-tier maternity care system and their demands to be part of an inclusive, desegregated society. Moreover, Luke illuminates valuable aspects of a maternity care model previously discarded in the name of progress. High maternal and infant mortality rates led to the passage of the Sheppard-Towner Maternity and Infancy Protection Act in 1921. This marked the first attempt by the federal government to improve the welfare of mothers and babies. Almost a century later, concern about maternal mortality and persistent racial disparities have forced a reassessment. Elements of the long-abandoned care model are being reincorporated into modern practice, answering current health care dilemmas by heeding lessons from the past.




The Social Context of Birth


Book Description

Greatly expanded, revised and updated, with an entirely new chapter on disability, The Social Context of Birth, Second Edition provides an essential understanding of how social issues affect midwives, the birth process and motherhood. Childbirth is much more than a biological event or a set of case notes. No-one has an uneventful pregnancy, and women seek narratives through which they can explain and try to make sense of what has happened to them. This is often neglected in the relentlessly technocratic modern culture of childbirth. Appreciating the social context surrounding an individual enriches the understanding a midwife must have if she is to work successfully alongside a woman and her family throughout a pregnancy and birth in an insightful, intelligent and informed manner. This comprehensive guide provides countless valuable insights for midwives, nurses, obstetricians and health visitors into the many different lives, experiences and expectations of women in their childbearing years, their babies and families in the 21st Century. Written by a team of highly experienced health professionals, it also covers contentious areas of maternity care, such as new reproductive technologies and fetal surveillance.




In the Way of Our Grandmothers


Book Description

Based on the accounts of midwives, their descendants, and the women they served, In the Way of Our Grandmothers tells of the midwife's trade--her principles, traditions, and skills--and of the competing medical profession's successful program to systematically destroy the practice. The rural South was one of the last strongholds of the traditional "granny" midwife. Whether she came by her trade through individual choice or inherited a practice from an older relative, a woman who accepted the "call" of midwife launched a lifelong vocation of public service. While the profession was arduous, it had numerous rewards. Midwives assumed positions of leadership within their communities, were able to define themselves and their actions on their own terms, and derived a great sense of pride and satisfaction from performing a much-loved job. Despite national statistics that placed midwives above all other attendants in low childbirth mortality, Florida's state health experts began in the early twentieth century to view the craft as a menace to public health. Efforts to regulate midwives through education and licensing were part of a long-term plan to replace them with modern medical and hospital services. Eager to demonstrate their good will and common interest, most midwives complied with the increasingly restrictive rules imposed by the state, unknowingly contributing to the demise of their own profession. The recent interest of the youthful middle class in home birth methods has been accompanied by a rediscovery of the midwife's craft. Yet the new midwifery represents the state's successful attainment of a long-awaited goal: the replacement of the traditional lay midwife with the modern nurse-midwife. In the Way of Our Grandmothers provides a voice for the few women in the South who still remember the earlier trade--one that evolved organically from the needs of women and existed outside the realms of men.




Midwives


Book Description

NATIONAL BESTSELLER • This modern classic from the author of The Flight Attendant is a compulsively readable novel that explores questions of human responsibility that are as fundamental to our society now as they were when the book was first published. A selection of Oprah's original Book Club that has sold more than two million copies. On an icy winter night in an isolated house in rural Vermont, a seasoned midwife named Sibyl Danforth takes desperate measures to save a baby’s life. She performs an emergency cesarean section on a mother she believes has died of stroke. But what if—as Sibyl's assistant later charges—the patient wasn't already dead? The ensuing trial bears the earmarks of a witch hunt, forcing Sibyl to face the antagonism of the law, the hostility of traditional doctors, and the accusations of her own conscience. Exploring the complex and emotional decisions surrounding childbirth, Midwives engages, moves, and transfixes us as only the very best novels ever do. Look for Chris Bohjalian's new novel, The Lioness!