This book provides an introduction to the sociological study of midwifery. The readings have been selected to highlight the interplay between midwifery and medicine, reflecting the medicalization of childbirth. It highlights the major themes in both a historical and a current context, as well as western and non-western societies. Two major themes underlie the organization of this book: that the conception of midwifery must be broadened to encompass a sociological perspective; and that the ongoing trend toward the medicalization of midwifery is crucial to an understanding of the historical, current, and future status of midwifery. By medicalization of childbirth and midwifery the author mean the increasing tendency for women to prefer a hospital delivery to a home delivery, the increasing trend toward the use of technology and clinical intervention in childbirth, and the determination of medical practitioners to confine the role played by midwives in pregnancy and childbirth, if any, to a purely subordinate one.

This book deals with the central theme of freedom to practise midwifery in selected countries of the world. Each chapter has a separate author who has specific knowledge of the country for that chapter either as a citizen or researcher. The underpinning theme of this book is the philosophy of best midwifery practice - particularly that which is evidence-based. To clarify the meaning of the term, the book includes an initial chapter that discusses the aims and realities of achieving 'best practice' - wherever in the world a midwife may be and under whatever circumstances she may be working.

The book looks at a broad perspective of decision making and each chapter focuses on a specific aspect related to making crucial decisions. Following an initial introduction the book explores the concept of autonomy and the many factors that influence autonomous practise. The role of knowledge in decision making, using evidence to inform decisions, as well as different approaches to decision making are also examined - including the traditional or rational approach, decision analysis and the development of professional judgement. Dilemmas arise when decisions are made and therefore ethical decision making is an important component of this book. Management decisions may be different from those related to giving specific care to women, hence one chapter focuses on making management decisions. Emphasis is also placed on the role of the midwife in helping women make their own decisions, the role of reflection in enhancing the decisions midwives make and the support midwives can receive from their Supervisor of Midwives. Flowcharts explain and facilitate the decision-making process. A very practical approach to decision-making in midwifery, with contributions from midwives who have considerable experience in this area Provides guidelines on how to achieve successful autonomous midwifery practice, enabling theory to be effectively applied to practice Includes coverage of management roles and decision-making as well as clinical scenarios, offering frameworks and flowcharts to guide the inexperienced Suggests different approaches to making difficult decisions

An up-to-date discussion of community and public health care in relation to midwifery practice, using real life scenarios in a range of hot topic areas. Explores the role the midwife can play in providing and improving public healthReflects current policy on public health issuesClear focus on practice and implementation of public health initiativesThe first book to integrate public health with midwifery

Why ethics for midwives? -- Existing ethical codes, guidelines, and value statements -- Privacy and confidentiality -- Informed consent/choice -- Who is the client? -- Multiple relationships -- Scope of practice and competence -- Working with other professionals -- Client non-compliance and termination of care -- Diversity, equity, and justice -- Addressing ethical concerns -- Ethical thinking, caring, and decision-making.

Known as the “bible†of midwifery, this new edition of Varney's Midwifery has been extensively revised and updated to reflect the full scope of current midwifery practice in a balance of art and science, a blend of spirituality and evidence-based care, and a commitment to being with women.

This is Volume 5 in the Midwifery: Best Practice series. Each of the volumes in this Series is built around the familiar core of four main topic areas relevant to midwifery: pregnancy, labour / birth, postnatal and stories / reflection - and also includes a number of 'focus on.' sections. These are different in each volume and reflect a wide range of key and topical issues within midwifery. Each volume builds upon the others to provide a comprehensive library of articles that shows the development of thought in key midwifery areas. Volume 5 offers a range of wholly new topic areas within the 'focus on.' sections covering: 'the birthing environment', 'women, midwives and risk', 'holistic health' and 'working/international stories'. A practical reference source containing a wide range of articles, research and original material in an easily accessible format Volume 5 offers a more interactive learning experience by inviting midwives to create their own questions before reading the articles, and then returning to these afterwards for reflective thought Diverse opinions on selected topics provide a comprehensive resource for debate and discussion Unique approach includes ideas on how to turn reading into professional development activities Includes 60 articles from The Practising Midwife (2004-5);4 research articles from Midwifery (2004-5); 3 articles from The Journal of Midwifery and Women's Health (2003-5); and 5 original articles commissioned for this book. . 60 articles from The Practising Midwife (2004-05). . 4 research articles from Midwifery (2004-05). . 3 articles from The Journal of Midwifery and Women's Health 2003-05 . 5 original articles commissioned for this book.

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.

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.

This text presents a compilation of current practices that includes evidence-based, traditional, and empiric care from a wide variety of sources. Each Guideline moves through problem identification and treatment using a standardized format for day-to-day clinical practice with diverse populations. The Guidelines are currently in use by many practices as a way of meeting the American College of Nurse Midwives (ACNM) recommendations, and are acceptable for collaborative practice with physician colleagues.