Birth Models That Work - Hardcover

Hardcover

ISBN 10: 0520248635 ISBN 13: 9780520248632

Verlag: University of California Press, 2009

Inhaltsangabe

This groundbreaking book takes us around the world in search of birth models that work in order to improve the standard of care for mothers and families everywhere. The contributors describe examples of maternity services from both developing countries and wealthy industrialized societies that apply the latest scientific evidence to support and facilitate normal physiological birth; deal appropriately with complications; and generate excellent birth outcomes—including psychological satisfaction for the mother. The book concludes with a description of the ideology that underlies all these working models—known internationally as the midwifery model of care.

Über diesen Titel

Über die Autorin bzw. den Autor

Robbie E. Davis-Floyd is Senior Research Fellow in the Department of Anthropology at University of Texas, Austin, and Fellow of the Society for Applied Anthropology. She is author of Birth as an American Rite of Passage (second edition, UC Press), among other books. Lesley Barclay is Director and Professor at the Centre for Family Health and Midwifery at the University of Technology in Sydney, Australia. Betty-Anne Daviss is a practicing midwife and Adjunct Professor at the Pauline Jewett Institute of Women's Studies at Carleton University. Jan Tritten is founder and editor-in-chief of Midwifery Today magazine.

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"This book is a major contribution to the global struggle for control of women's bodies and their giving birth and should be read by all obstetricians, midwives, obstetric nurses, pregnant women and anyone else with interest in maternity care. It documents the worldwide success of programs for pregnancy and birth which honor the women and put them in control of their own reproductive lives."—Marsden Wagner, MD, author of Born In The USA: How a Broken Maternity System Must Be Fixed to Put Women and Children First

Aus dem Klappentext

"This book is a major contribution to the global struggle for control of women's bodies and their giving birth and should be read by all obstetricians, midwives, obstetric nurses, pregnant women and anyone else with interest in maternity care. It documents the worldwide success of programs for pregnancy and birth which honor the women and put them in control of their own reproductive lives."Marsden Wagner, MD, author ofBorn In The USA: How a Broken Maternity System Must Be Fixed to Put Women and Children First

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Birth Models That Work

By Robbie Davis-Floyd, Lesley Barclay, Betty-Anne Daviss, Jan Tritten

UNIVERSITY OF CALIFORNIA PRESS

Copyright © 2009 The Regents of the University of California
All rights reserved.

ISBN: 978-0-520-24863-2

Contents

LIST OF FIGURES AND TABLES, ix, 
INTRODUCTION Robbie Davis-Floyd, Lesley Barclay, Betty-Anne Daviss, and Jan Tritten, 1, 
PART ONE. LARGE-SCALE SYSTEMS: NATIONAL AND REGIONAL MODELS, 
1. The Dutch Obstetrical System: Vanguard of the Future in Maternity Care Raymond De Vries, Therese A. Wiegers, Beatrijs Smulders, and Edwin van Teijlingen, 31, 
2. The New Zealand Maternity System: A Midwifery Renaissance Chris Hendry, 55, 
3. The Ontario Midwifery Model of Care Margaret E. MacDonald and Ivy Lynn Bourgeault, 89, 
4. Samoan Midwives' Stories: Joining Social and Professional Midwives in New Models of Birth Lesley Barclay Utumuu, 119, 
PART TWO. LOCAL MODELS IN DEVELOPED NATIONS: HOSPITALS AND BIRTH CENTERS, 
5. The Albany Midwifery Practice Becky Reed and Cathy Walton, 141, 
6. Small Really Is Beautiful: Tales from a Freestanding Birth Center in England Denis Walsh, 159, 
7. Transforming the Culture of a Maternity Service: St George Hospital, Sydney, Australia Pat Brodie and Caroline Homer, 187, 
8. Maternity Homes in Japan: Reservoirs of Normal Childbirth Etsuko Matsuoka and Fumiko Hinokuma, 213, 
9. The Northern New Mexico Midwifery Center Model, Taos, New Mexico Elizabeth Gilmore, 239, 
PART THREE. LOCAL MODELS IN DEVELOPING NATIONS: TRADITIONAL MIDWIVES, PROFESSIONAL MIDWIVES, AND OBSTETRICIANS WORKING TOGETHER, 
10. Teamwork: An Obstetrician, a Midwife, and a Doula in Brazil Ricardo Herbert Jones, 271, 
11. The CASA Hospital and Professional Midwifery School: An Education and Practice Model That Works Lisa Mills and Robbie Davis-Floyd, 305, 
12. Mercy in Action: Bringing Mother- and Baby-Friendly Birth Centers to the Philippines Vicki Penwell, 337, 
PART FOUR. MAKING MODELS WORK, 
13. Circles of Community: The CenteringPregnancy Group Prenatal Care Model Sharon Schindler Rising and Rima Jolivet, 365, 
14. Humanizing Childbirth to Reduce Maternal and Neonatal Mortality: A National Effort in Brazil Daphne Rattner, Isa Paula Hamouche Abreu, Maria José de Oliveira Araújo, and Adson Roberto França Santos, 385, 
15. "Orchestrating Normal": The Conduct of Midwifery in the United States Holly Powell Kennedy, 415, 
CONCLUSION Robbie Davis-Floyd, Lesley Barclay, Betty-Anne Daviss, and Jan Tritten, 441, 
CONTRIBUTORS, 463, 
INDEX, 473, 

CHAPTER 1

The Dutch Obstetrical System

Vanguard of the Future in Maternity Care

Raymond De Vries, Therese A. Wiegers, Beatrijs Smulders, and Edwin van Teijlingen

INTRODUCTION

The German poet Heinrich Heine is reported to have said, "When the world comes to an end, I shall go to Holland, for everything there happens fifty years later." For some, this Dutch "quaintness" explains the unusual system of obstetric care found in the Netherlands, a system where nearly one-third of births occur at home and where midwives have a degree of professional independence unrivaled by midwives in any other country. Heine's observation about the Netherlands suggests that the unique Dutch way of birth is a vestige from a bygone era—a credible conclusion if you believe that humans are helpless in the face of technology. But the stubborn persistence of midwifery and home birth in the Netherlands, in spite of the declaration of medical professionals elsewhere that midwife-attended birth at home is a dangerous anachronism, forces us to conclude that Dutch obstetrics can be the vanguard of the future.

The singularity of the Dutch maternity care system has made it a model for all those who seek to slow or reverse the march toward the medicalization of birth found in the developed world (Van Teijlingen et al. 2004). For birth activists, the Netherlands has become the destination for inspiration and for instruction on how to reorganize birth in their home countries. The uniqueness of the system, coupled with the desire of short-term visitors to find what they are looking for, has resulted in mischaracterizations of the Dutch way of birth. For example, Mehl-Madrona and Mehl-Madrona (1993: 1) claimed that "over 70% of births [in the Netherlands] are still attended by midwives." In fact, in the early 1990s midwives accompanied about half of all births in the Netherlands (see Table 1.1). As far back as 1910, the first year a breakdown by caregiver is available, midwives in the Netherlands attended 57.7 percent of all births, and at no point since did they attend more than 60 percent of births. Midwives do attend over 70 percent of the births that occur at home. It is likely the authors heard this statistic and somehow assumed that the 70 percent figure applied to all Dutch births. In her ethnographically based discussion of the lessons of Dutch obstetrics for Americans, Rothman (1993: 201) sets the scene by discussing windmills, tulips, bicycles, and Rembrandt, giving an over-romanticized picture of Dutch midwifery and society. Her description of the Netherlands as a "Mecca for midwives" and the home of noninterventive obstetrics makes it difficult to believe that Dutch midwives once argued for the right to wield forceps (see Marland 1995: 328) or that they are beginning to outfit their offices with the apparatus for sonograms (see Pasveer and Akrich 2001).

Even the Dutch misrepresent their obstetric system. For example, Expecting, an annual special issue on pregnancy and birth of a Dutch parenting magazine, states that "in the Netherlands about 70% of babies are born at home, without complication or unusual interventions" (Schiet 1994: 112). In the early 1960s, this was the case (72.6 percent of births were at home in 1960), but throughout the last decades of the twentieth century, the percent of births at home continued to decline. By 1994, the date of the article in Expecting, the home birth rate was just over 30 percent.

Although we count ourselves among the champions of the way obstetrics is organized and accomplished in the Netherlands, we believe that the Dutch system can serve as a model only if we see it clearly, with its strengths and its flaws, and with its ties to the structure and culture of Dutch society. To that end, we offer a description of the Dutch way of birth that includes (1) stories and statistics that paint a picture of the players and outcomes of the system; (2) accounts of the history of midwifery and its place in the organization of medical care; and (3) explanations of the ways obstetrics in the Netherlands expresses the culture of that country.

SEEING MATERNITY CARE IN THE NETHERLANDS

Too often descriptions of the Dutch way of birth are limited to statistical portrayals of caregivers and outcomes; even though these are clearly necessary, they exclude the voices of midwives and the women and families they serve, and they fail to convey what occurs in the homes, polyclinics, and hospitals of the Netherlands. In the following pages, we provide a statistical picture of the Dutch way of birth, interspersed with stories of births that reveal what birth in the Netherlands feels like and how it is valued.

We open with a story told by a Dutch mother that illustrates the features of maternity care in the Netherlands much admired by non-Netherlanders:

My second pregnancy was not as exciting as my first. I was often tired and had many...

Details zur Ausgabe

• Verlag: University of California Press
• Erscheinungsdatum: 2009
• Sprache: Englisch
• ISBN 10: 0520248635
• ISBN 13: 9780520248632
• Einband: Gebundene Ausgabe
• Anzahl der Seiten: 484
• Herausgeber: Davis-Floyd Robbie, Barclay Lesley, Daviss Betty-anne, Tritten Jan
• Kontakt zum Hersteller: Nicht verfügbar
• Verantwortliche Person: Nicht verfügbar