Browsing by Subject "Childbirth"
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Item Am I In Labor?(2008-10-16) Smith, TimUnderstanding the signs of labor and how to seek appropriate help is important to decrease unnecessary visits as well as decreasing delay for medical treatment.Item Home birth in the United States and the Netherlands: understanding women's experiences of stigma, nature, and trauma(2013-12) Kulick, Rachael BethThis is an ethnographic study of contemporary home birth in the United States and the Netherlands. Data include (1) fieldnotes collected at prenatal appointments, births, postpartum visits, and professional meetings, (2) transcripts from pre- and post-birth interviews with pregnant women as well as interviews with midwives, and (3) textual materials including statements by medical and midwifery associations and books by leaders of the natural birth movement. Analysis reveals three key components of women's experience: stigma, natural birth, and trauma. Home birth in the U.S. is seen as risky behavior and women who plan such births are labeled risk mothers. Women cope with this stigma by employing isolation and secrecy, attempting an education campaign, or seeking comfort in a family tradition of alternative approaches to health. In the Netherlands, home birth is part of the mainstream health care system. In the absence of stigma, structures for collaboration between midwives and physicians facilitate relatively smooth interactions. An international discourse of natural birth informs a script for how to accomplish home birth in the U.S. This script emphasizes a warm, dark, and quiet environment, continuous labor support, and the achievement of an altered state of consciousness. A different script operates in the Netherlands - one that focuses on home birth as ordinary (as opposed to extraordinary) and is based on a tradition of independent midwifery, insurance industry support, and professional postpartum home care. Home-to-hospital transport is a traumatic experience in the U.S. - not so much because of the obstetric complications that necessitate the transfer as because of the disruption of beliefs and values that occurs when women move from the midwifery to the biomedical model of care. In the Netherlands, non-Dutch women with a medicalized view of birth experience a similar rupture between their worldview and a system that promotes unmedicated, low-intervention birth.Item Perceptions of Childbirth Among Undergraduates(2019) Mazurek, Samantha; Emad, MitraIn 2017, over 3.8 million babies were born in the United States (Hamilton et. al, 2018). Of these births, 1.2 million were born via cesarean section. This translates to a cesarean delivery rate of 32.0%, which is over three times the rate recommended by the World Health Organization (WHO, 2015). A cesarean birth rate greater than 10% of all births indicates that the procedure is being done in the absence of medical necessity, and at risk to the health and safety of the woman giving birth. There is also excessive use of medical interventions such as amniotomy, continuous electronic fetal monitoring, labor induction, and episiotomy; which have been shown to have little to no benefit to mother or baby, while increasing the risk of cesarean section and contributing to the high maternal mortality in the United States (Goer, Leslie, & Romano, 2007). To understand what influences women to decide to have excessive interventions during childbirth, one must first look at the underlying cultural values in the society she lives in.