Childbirth In A Technocratic Age

Across time and place, pregnancy and childbirth rank among the most transformative physical and psychological events in women's lives. Women's childbearing experiences depend not only on their own biology and psyche but also on the nature and quality of care they receive. The nature of the prevailing obstetric care model in the early 21st-century United States has been described as "high-tech, low touch," highlighting its emphasis on using medical technology, as opposed to non-technological care and support, to control unproblematic physical processes on the argument that this approach improves maternal safety and comfort. However, it should be noted that reasonably reliable national data fail to show significant maternal or newborn health gains corresponding to recent, dramatic rises in hospital obstetric procedures such as labor induction, labor acceleration, and cesarean delivery. In this context where medical intervention, necessary or not, assumes an increasingly central role in the childbearing equation, questions of what mothers expect to happen in labor and delivery and how their subsequent birth experiences meet those expectations become paramount. Global numeric indicators cannot capture the quality of women's reactions to childbirth itself, particularly as maternal care shifts in response to consumer interests it presupposes, offering options for comfort, care, and even the possibility of foregoing the labor process altogether. This work reflects the critical need to document early 21st-century U.S. mothers' own words on what they expected to happen in childbirth and later, how labor and delivery went and how it met their expectations. Among this book's most important contributions is its inclusion of extensive interview material drawn from 75 diverse women who spoke freely on their childbirth expectations and subsequent experiences. By itself, the interview material lends an important, though at times unsettling, insider perspective on how labor and delivery can unfold. The narratives also provide a maternal view on how those charged with their care respond during this physically and emotionally demanding transition. In addition, the book provides a timely analysis of scientific data on contemporary maternal care procedures, making plain why so many refer to 21st-century mainstream obstetric care as "technocratic." The scientific data serve as an excellent backdrop for more extensive coverage of the maternal interviews, organized around the distinctions mothers made related to the childbirth pathway on which they anticipated traveling such as natural childbirth in a hospital, planned cesarean delivery, or planned vaginal birth after cesarean. The pathways are in turn discussed in terms of their relationship to an underlying technocratic, humanistic, or holistic maternal care philosophy. The book is targeted towards an academic readership, including scholars and medical professionals with interest in women's health, women's and maternal mental health, women's reproductive health, reproductive technology, medical humanities, medical anthropology, narrative studies, pregnancy, and childbirth.

This book informs and enlighten health professionals on how the recognition of fearing women can change their episode of care during childbearing. It gives practical advice on the way women present to services and the challenges that this invokes. This work is the first of its kind aimed at clinicians to deconstruct ideology around childbearing myths and its challenges. The authors review the evidence that exists and how modern maternity systems are responding to fear and shaping healthcare. Whilst some worry and anxiety is expected and indeed considered normal during childbearing, it has been suggested that this has now proliferated to a degree of abnormal for many women. Why is that and how is this panic spread? Media portrayal of birth is suggested as unrealistic material and to show only that which is dramatic and horrific. This has been considered as one factor influencing modern women. Medicalisation, technology and demand upon services is another consequence of providing almost all maternity care in hospitals. Given that the majority of childbearing women are fit and healthy is this another causative factor? By removing women from their homes and families at such a vulnerable time has a serious consequence for how she will experience her greatest leap of faith into motherhood. All of these issues are explored and examined in the book with ideas and practical suggestions of what may be done to change this increasingly common problem. This book is intended at midwives and clinicians working in maternity settings.

This classic book, first published in 1992 and again in 2003, has inspired three generations of childbearing people, birth activists and researchers, and birth practitioners—midwives, doulas, nurses, and obstetricians—to take a fresh look at the "standard procedures" that are routinely used to "manage" American childbirth. It was the first book to identify these non-evidence-based obstetric interventions as rituals that enact and transmit the core values of the American technocracy, thereby answering the pressing question of why these interventions continue to be performed despite all evidence to the contrary. This third edition brings together Davis-Floyd's insights into the intense ritualization of labor and birth and the technocratic, humanistic, and holistic models of birth with new data collected in recent years.

This stunning sequel to Brigitte Jordan’s landmark Birth in Four Cultures brings together the work of fifteen reproductive anthropologists to address core cultural values and knowledge systems as revealed in contemporary birth practices in Brazil, Greece, Japan, Mexico, the Netherlands, New Zealand, Tanzania, and the United States. Six ethnographic chapters form the heart of the book, three of which are set up as dyads that compare two countries; each demonstrates the power of anthropology’s cross-cultural comparative method. An additional chapter with ethnographic vignettes gives readers a feel for what fieldwork is really like on the ground. The eminently readable, theoretically rich chapters are enhanced by absorbing stories, photos, quotes, thought questions, and film suggestions that nudge the reader toward eureka flashes of understanding and render the book suitable for undergraduate and graduate audiences alike.

For the first time ever in a social science work, obstetricians tell their own stories of training, practice, fear, and transformation in this the first of the 3-volume series The Anthropology of Obstetrics and Obstetricians: The Practice, Maintenance, and Reproduction of a Biomedical Profession. These stories range from those of abortion providers to those of maternal-fetal medicine specialists. Several chapters tell the stories of obstetricians who have made paradigm shifts from technocratic to humanistic practices, the benefits and joys of these paradigm shifts, and the ostracism, bullying, and outright persecution these humanistic obstetricians have suffered. This book is a must-read for students, social scientists, and all maternity care practitioners who seek to understand the ideologies and motives of individual obstetricians. An excerpt from Kathleen Hanlon-Lundberg’s chapter: Largely maligned in reproductive anthropological literature as callous—if not brutal—self-serving effectors of the over-medicalization of childbirth, most obstetricians whom I know and have worked with are devoted to providing respectful, individualized care to their patients.

This new edition builds on the strengths of the popular first edition, with updated national and international data, and the most recent debate around the controversial area of childbirth. With the increasing risk of litigation, there can be a tendency to classify women as 'at risk' if they present with even a hint of a problem. This is a contentious area and midwives need to be aware of the wide parameters of 'normal' in order to practise autonomously, effectively and safely. This book provides an evidence-based source for all midwives and other health professionals with an interest normal birth. Explores the wider range of normal childbirth that is unique to individual mothers and babies Challenges the assumptions underpinning current beliefs and attitudes Updated statistics, both national and international Latest research and debate

This important volume includes key papers which outline the history, concepts, research findings and recent controversies in medical anthropology - the cross-cultural study of health, illness and medical care. Among the topics covered are transcultural psychiatry, food and nutrition, anthropology of the body, alcohol and drug use, traditional healers, childbirth and bereavement and the applications of medical anthropology to international health issues, such as the HIV/AIDS pandemic, malaria prevention and family planning. It is a valuable resource not only for scholars and students of medical anthropology but also for health professionals working in multi-cultural settings, or in international medical aid programmes.