Obstetric Violence And Systemic Disparities

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.

In this book, we make space to interrogate obstetric violence; from its historical and legal roots and contemporary realities, to responses of advocacy and resistance. Through the lens of obstetric violence, we are able to see overlap in structural vulnerability across continents as well as recognize the ways in which obstetric violence is symptomatic of larger global problems including systemic injustices related to reproductive health. Combining the perspectives of care providers, birthing people, advocates and researchers, our volume seeks to include both a systematic and structural understanding of obstetric violence. We bring together diverse voices, from practitioners, to activists, to academics, and provide a global perspective on obstetric violence with research from around the world, including indigenous communities from North America (Canada and Hawaii), examples from Latin American and Caribbean countries as well as country-specific cases from Argentina, Australia, Egypt, Mexico, Portugal, and the United States. The range of disciplinary perspectives and global experiences presented in this book demonstrates that obstetric violence is neither bound to one discipline, nor site specific. Together the chapters of this volume work to understand obstetric violence, moving beyond static definitions towards a spectrum of lived experiences that highlight three main areas: Legislation and Policy, Experiencing Obstetric Violence, and Advocacy, Resistance and Reframing. The time for a global recognition of obstetric violence &– of the larger structural forces embedded in systems that cross cultures and violate bodies in acutely vulnerable life moments &– is now. By naming it and saying it out loud we recognize obstetric violence exists and can together begin the process of systemic change necessary to prevent it.

"In this book, we make space to interrogate obstetric violence; from its historical and legal roots and contemporary realities, to responses of advocacy and resistance. Through the lens of obstetric violence, we are able to see overlap in structural vulnerability across continents as well as recognize the ways in which obstetric violence is symptomatic of larger global problems including systemic injustices related to reproductive health. Combining the perspectives of care providers, birthing people, advocates and researchers, our volume seeks to include both a systematic and structural understanding of obstetric violence. We bring together diverse voices, from practitioners, to activists, to academics, and provide a global perspective on obstetric violence with research from around the world, including indigenous communities from North America (Canada and Hawaii), examples from Latin American and Caribbean countries as well as country-specific cases from Argentina, Australia, Egypt, Mexico, Portugal, and the United States. The range of disciplinary perspectives and global experiences presented in this book demonstrates that obstetric violence is neither bound to one discipline, nor site specific. Together the chapters of this volume work to understand obstetric violence, moving beyond static definitions towards a spectrum of lived experiences that highlight three main areas: Legislation and Policy, Experiencing Obstetric Violence, and Advocacy, Resistance and Reframing. The time for a global recognition of obstetric violence - of the larger structural forces embedded in systems that cross cultures and violate bodies in acutely vulnerable life moments - is now. By naming it and saying it out loud we recognize obstetric violence exists and can together begin the process of systemic change necessary to prevent it."--

This book is inspired by a statement released by the World Health Organization directed at preventing and eliminating disrespectful and abusive treatment during facility-based childbirth. Exploring the nature of vulnerability during childbirth, and the factors which make childbirth a site for violence and control, the book looks at the role of law in the regulation of professional intervention in childbirth. The WHO statement and other published work on ‘mistreatment’, ‘obstetric violence’, ‘birth trauma’, ‘birth rape’, and ‘dehumanised care’ all point to the presence of vulnerability, violence, and control in childbirth. This collected edition explores these issues in the experience of those giving birth, and for those providing obstetric services. It further offers insights regarding legal avenues of redress in the context of this emerging area of concern. Using violence, vulnerability, and control as a lens through which to consider multiple facets of the law, the book brings together innovative research from an interdisciplinary selection of authors. The book will appeal to scholars of law and legal academics, specifically in relation to tort, criminal law, medical law, and human rights. It will also be of interest to postgraduate scholars of medical ethics and those concerned with gender studies more broadly.

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.

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.

Examining which actors determine undocumented migrants’ access to healthcare on the ground, this volume looks at what happens in the daily interactions between administrative personnel, healthcare professionals and migrant patients in healthcare institutions across Europe. Borders across Healthcare explores contemporary moral economies of the healthcare-migration nexus. The volume documents the many ways in which borders come to disrupt healthcare settings and illuminates how judgements of a health-related deservingness become increasingly important, producing hierarchies that undermine a universal right to healthcare.

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.