Cognition Risk And Responsibility In Obstetrics

Volume 2 in this landmark 3-volume series The Anthropology of Obstetrics and Obstetricians: The Practice, Maintenance, and Reproduction of a Biomedical Profession looks at cognition, risk, and responsibility in obstetrics. This volume contains social science analyses of Swiss, Chilean, Mexican, US, Greek, and Irish obstetrics and obstetricians, particularly around their reasons for the overuse of cesareans; a chapter on "4 Stages of Cognition" and a condition called "Substage," which describes how these concepts apply to obstetricians; and a chapter on why obstetricians fear home birth. This book is a must-read for students, social scientists, and all maternity care practitioners who seek to understand obstetricians' differing ideologies and motives for practicing as they do. An excerpt from Vania Smith-Oka and Lydia Dixon's chapter: For systemic changes to occur, we must understand doctors’ decision-making rationales and take their fear-based perspectives about risk and responsibility into account, while also paying attention to the concerns raised by scholars and activists.

The final volume in this landmark 3-volume series The Anthropology of Obstetrics and Obstetricians: The Practice, Maintenance, and Reproduction of a Biomedical Profession looks at the challenges, and even violence, that obstetricians face across the world. Part I of this volume addresses obstetric violence and systemic racial, ethnic, gendered, and socio-structural disparities in obstetricians’ practices in the Dominican Republic, Mexico, Peru, and the US. Part II addresses decolonizing and humanizing obstetric training and practice in the UK, Russia, Brazil, New Zealand, and the US. Part 3 presents the ethnographic challenges that the chapter authors in Volumes II and III of this series faced in finding, surveying, interviewing, and observing obstetricians in various countries. This book is a must-read for students, social scientists, and all maternity care practitioners who seek to understand the diverse challenges that obstetricians must overcome. An excerpt: In our Series Overview in Volume 1, we asked the question, “Can a book create a field?” and answered that question with a resounding “Yes!” ... For us, the official creation of the field of the Anthropology of Obstetrics and Obstetricians has taken not one, but the 3 volumes that constitute this Book Series.

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 title is directed primarily towards health care professionals outside of the United States. This book explores the complex interrelationship between risk and choice in maternity care, taking a close look at how "high" and "low" risk are defined and what impact this has on a woman's ability to exercise informed choices throughout pregnancy. It offers an international collaboration that highlights different perspectives on debated issues, with chapters on maternity care in the UK, United States, Australia, and Ireland contributed by midwives, obstetricians, risk management experts, and sociologists. The aim of this book is to illustrate the changing reality of risk management as it relates to maternity care, and to highlight risk management concerns that may limit the choices available to pregnant women. Clarifies how applications of risk affect the choices pregnant women are able to exercise. Locates pregnancy risk considerations within the overall scheme of risk management. Analyzes practitioners' responses to the requirements of risk management. Presents risk management and choice from the risk manager's perspective, providing an understanding of risk as a "macro concept" in health care. Highlights medico-legal opinions on exercising choice, underscoring the need for accurate information and the ability to make informed decisions. Two chapters examine women's perspectives on risk labeling and the impact this has on choice - one in which the concept of safety within maternity care is discussed, and one in which the views of women with defined risk factors are explored and their ability to make choices is evaluated. Two chapters written by health service risk managers discuss the differences between an inner-city approach and a rural approach to the debate surrounding risk and choice. Discusses midwifery's focus on "normality" in childbirth and considers how this viewpoint affects the risk dialogue, including a chapter on clinical trends in maternity care. An obstetric perspective on risk refutes criticisms of obstetricians as being more likely to impose risk labels and limit choices by discussing how risks and choices are presented and considered within obstetric care. Explores the debate surrounding a woman's right to have a home birth in Ireland, in light of its risk management climate. Two chapters discuss the collaboration between service users, midwives, and obstetricians in Australia regarding the organization and delivery of maternity care, as well as the views concerning risk among indigenous Australians. Perspectives from nurse-midwives in the U.S. discuss the complex relationships among nurse-midwives, obstetricians, and pregnant women with regard to choice, including views on risk within immigrant communities.

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.

Provides fresh perspectives on the past, present and future-facing contributions of the anthropology of reproduction. A Companion to the Anthropology of Reproductive Medicine and Technology provides a timely and comprehensive overview of the anthropological study of reproductive practices, technologies, and interventions in a global context. Exploring the medical and technological management of human reproduction through a sociocultural lens, this groundbreaking volume reviews past and current research, discusses contemporary debates and recent theoretical developments, introduces key themes and trends, examines ongoing issues of equity, inclusivity, and reproductive justice around the world, and more. The Companion brings together essays by multidisciplinary scholars in fields including sociocultural anthropology, medical anthropology, reproductive health, global public health, Science and Technology Studies (STS), gender and sexuality studies, critical race studies, and environmental studies, to list but a few. Five thematically organized sections address reproductive practitioners and paradigms, global reproductive health and interventions, reproductive justice, the life-course approach to the study of reproductive health, and the future of reproductive technology and medicine. Using clear, jargon-free language, the authors investigate pregnancy and childbirth; fertility treatments; birth control, contraception and abortion; COVID-19 and reproduction; reproductive cancers; epigenetics; social discrimination; gender and sexualities and reproduction for LGBTQIA+ communities; race and reproduction; migration and reproduction; reproduction and war; reproductive health financing; reproduction and disabilities, reproduction and the environment; and other important contemporary topics. A cutting-edge guide to the modern study of reproduction, this groundbreaking volume: Provides an overview of the links between anthropological study and progressive work in medicine, healthcare, and technology Addresses both the challenges and opportunities facing researchers in the field Identifies gaps in current scholarship and offers recommendations for future research topics and methodologies Highlights the importance of ethnographic research combined with critical engagements with other disciplines for the anthropology of reproduction Explores the impact of socioeconomic conditions, environmental challenges, public policy, and legislation on reproductive health outcomes Traces the history of the field and demonstrates how anthropologists have engaged with issues of reproductive justice Part of the acclaimed Wiley Blackwell Companions to Anthropology series, A Companion to the Anthropology of Reproductive Medicine and Technology is an essential resource for undergraduate and graduate students, researchers, and scholars in medical anthropology, science technology and society, cultural anthropology, ethnology, and gender studies, as well as medical practitioners, policymakers, and activists involved in global and public health and reproductive justice.