Choice Control And Contemporary Childbirth

Current maternity policy advocates choice and control for women in maternity care, and promotes women as active childbirth consumers and decision-makers. However, evidence that women receive true choice within contemporary maternity services is lacking, and continued and pervasive barriers to choice continue to have profound consequences for many. Choice, Control and Contemporary Childbirth explores the narrative childbirth experiences of a group of women, outlining current policy and providing an overview of the relevant discourses to which women are exposed when making choices for maternity care. This book is unique in presenting narratives that reveal varying identities for women across their maternity exerience, illustrating how maternity choices are simulataneously promised and constrained. It provides practitioners, service providers and policymakers in maternity care, and all those with an interest in birth provision, with profound insights into both women's experiences of childbirth and how choices can be better facilitated in future. 'Maternal choice and control are a challenge in contemporary society, with the changing demography of the population, the rising birth rate and financial constraints. Collecting this diverse information in one publication is timely and an invaluable resource for the practising and academically active midwives, obstetricians and health service managers.' - From the Foreword by Tina Lavender

Current maternity policy advocates choice and control for women in maternity care, and promotes women as active childbirth consumers and decision-makers. However, evidence that women receive true choice within contemporary maternity services is lacking, and continued and pervasive barriers to choice continue to have profound consequences for many. Choice, Control and Contemporary Childbirth explores the narrative childbirth experiences of a group of women, outlining current policy and providing an overview of the relevant discourses to which women are exposed when making choices for maternity c.

A groundbreaking narrative investigation of childbirth in the age of machines, malpractice, and managed care, Pushed presents the complete picture of maternity care in America. From inside the operating room of a hospital with a 44% Cesarean rate to the living room floor of a woman who gives birth with an illegal midwife, Block exposes a system in which few women have an optimal experience. Pushed surveys the public health impact of routine labor inductions, C-sections, and epidurals, but also examines childbirth as a women’s rights issue: Do women even have the right to choose a normal birth? Is that right being upheld? A wake-up call for our times, Block’s gripping research reveals that while emergency obstetric care is essential, we are overusing medical technology at the expense of maternal and infant health.

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.

Birthing Autonomy brings some balance to the difficult arguments that arise from debates about home births, and focuses on women’s views and their experiences of planning home births. It provides an in-depth exploration of how women make decisions about home births and what aspects matter most to them. Comparing how differently the pros and cons of home births are constructed and contemplated by mothers and by the medical profession, the book looks at how current obstetric thinking and practices can disempower and harm women emotionally and spiritually as well as physically. Written in an accessible style, this book is enlightening for student and practicing midwives and obstetricians, as well as researchers and students of nursing, medical sociology, health studies, gender studies, feminist practitioners and theorists. It will also be invaluable to expectant mothers who want to be more informed about the choices they are facing and the wider context within which their birth options are considered.

Factors constraining women's choices are examined from a wide range of perspectives, including service users, midwives, obstetricians and social scientists, to highlight the social, cultural and clinical factors influencing decision making.

This book analyses the significant socio-cultural factors impacting childbirth experiences of women living in remote and complex social settings. This book challenges the notion that childbirth is a universal biological event which women experience in their reproductive lives and provides an in-depth social perspective of understanding childbirth. Drawing on evocative stories of women living in the Himalayas, the author discusses how childbirth should be supported to enable women to take control and ownership of their experiences. Based on extensive research undertaken in remote mountain regions of Nepal, the book provides evidence for and discussion of childbirth in the context of other countries, cultures and communities. Utilising a feminist perspective, this book critiques medical control of childbirth and argues in favour of giving power to women so that they can make decisions which are right for them. In doing so, the author unpacks complexities associated with women’s lives in remote communities and highlights the significance of addressing broader determinants impacting birth outcomes and valuing childbirth traditions to ensure cultural safety for women, families and societies. Through exploring the wide range of factors influencing women and their childbirth experiences, this book offers a new model for childbirth that policy makers, practitioners, communities, educators, researchers and other professionals can use to make childbirth an empowering experience for women. It will be of interest to academics and professionals in the fields of public health, midwifery, health promotion, sociology and South Asian Studies.

This collection brings together the leading research in maternity care from the United States, Canada and Europe to discuss systems of care for pregnancy and childbirth. A groundbreaking work which provides a truly international understanding