Midwifery And Childbirth In America

Having a baby is an elemental human experience—profound, even sacred to some women and their families. At the same time, it is a significant component of health care. The medical model of childbirth emphasizes the pathological potential of pregnancy and birth, while an alternative model championed by midwives focuses on the normalcy of pregnancy and its potential for health. Now available in paperback, this definitive account of the many forces that intersect over the issue of childbirth explains in a comprehensive and authoritative manner the conceptual and philosophical differences between these models. The author has brought together in a clear and readable fashion the myriad strands of history, culture, science, economics, and policy that have resulted in the current condition of maternity care in the United States. She describes the disparate backgrounds, training, and roles of certified nurse-midwives and lay or direct entry midwives, and explains the contributions of both groups. Rooks believes that maternity care and childbirth in America can, and should, be better than it is today, and offers steps to take in the direction. Author note:Judith Rooksis a nurse-midwife and epidemiologist with a long career in public health. She has taught in a school of nursing, a school of medicine, and a school of midwifery. The author of more than 50 scientific and professional papers, she is also past-president of the American College of Nurse-Midwives. She is an Associate of the Pacific Institute for Women's Health in Los Angeles.

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.

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

This lively history of childbirth begins with colonial days, when childbirth was a social event, and moves on to the gradual medicalization of childbirth in America as doctors forced midwives out of business and to the home-birth movement of the 1980's. Widely praised when it was first published in 1977, the book has now been expanded to bring the story up to date. In a new chapter and epilogue, Richard and Dorothy Wertz discuss the recent focus on delivering perfect babies, with its emphasis on technology, prenatal testing, and Caesarean sections. They argue that there are many viable alternatives--including out-of-hospital births--in the search for the best birthing system. Review of the first edition: "Highly readable, extensively documented, and well illustrated...A welcome addition to American social history and women's studies. It can also be read with profit by health planners, hospital administrators, 'consumers' of health care, and all those who are concerned with improving the circumstances associated with childbirth."--Claire Elizabeth Fox, bulletin of the History of Medicine "A fascinating, brilliantly documented history not merely of childbirth, but of men's attitudes towards women, the effect of a burgeoning medical profession on our very conception of maternity and motherhood, and the influence of religion on medical technology and science."--Thomas J. Cottle, Boston Globe "This superb book...is both an impeccably documented recitation of the chronological history of medical intervention in American childbirth and a sociological analysis of the various meanings given to childbirth by individuals, interested groups, and American society as a whole."--Barbara Howe, American Journal of Sociology Richard W. Wertz, a builder in Westport, Massachusetts, is formerly an associate professor of American history at the Massachusetts Institute of Technology. Dorothy C. Wertz, is a research professor at the School of Public Health, Boston University

In a unique and detailed historical study, Nurse-Midwifery: The Birth of a New American Profession, Laura E. Ettinger fills a void with the first book-length documentation of the emergence of American nurse-midwifery. This occupation developed in the 1920s involving nurses who took advanced training in midwifery. In Nurse-Midwifery, Ettinger shows how nurse-midwives in New York City; eastern Kentucky; Santa Fe, New Mexico; and other places both rebelled against and served as agents of a nationwide professionalization of doctors and medicalization of childbirth. Nurse-Midwifery reveals the limitations that nurses, physicians, and nurse-midwives placed on the profession of nurse-midwifery from the outset because of the professional interests of nursing and medicine. The book argues that nurse-midwives challenged what scholars have called the "male medical model" of childbirth, but the cost of the compromises they made to survive was that nurse-midwifery did not become the kind of independent, autonomous profession it might have been.

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.

Surveys important issues in the history of medicine Although there is substantial literature on childbirth, it typically lacks the full medical, historical, and social context that these volumes provide. This series fills the gap in many institutions' libraries by bringing together key articles on the expectant mother, the attendants of her delivery, and the health of the newborn infant. The articles are from British and American publications that focus upon childbirth practices over the past 300 years and are selected from both primary and secondary sources. Some are classic works in medical literature; others are from historical, sociological, anthropological and feminist literature that present a wider range of scholarly perspectives on childbirth issues. Charts the progress of childbirth, midwifery, and obstetrics The series provides readers with key primary sources that illuminate the history of childbirth, midwifery and obstetrics. For example, general historical texts note that childbed (puerperal) fever claimed hundreds of thousands of maternal lives, and provoked much fear in Britain and America. The articles in this series, in addition to historical facts, also provide discussion of the causes and consequences of particular fever cases taken from the medical literature of the 19th and 20th centuries, and reveal what a challenge this disorder was to the medical profession. Includes more primary sources than other collections The articles serve as a resource for students and teachers in various fields including history, women's studies, human biology, sociology and anthropology. They also meet the educational needs of pre-medical and nursing students and aid pre-professional, allied health, and midwifery instructors in lesson preparations. The series examines a wide range of practical experience and offers a historical perspective on the most important developments in the history of British and American childbirth, midwifery, and obstetrics.