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The Medicalization of Birth and Death

The Medicalization of Birth and Death PDF Author: Lauren K. Hall
Publisher: JHU Press
ISBN: 1421433346
Category : Medical
Languages : en
Pages : 350

Book Description
Improving how individuals give birth and die in the United States requires reforming the regulatory, reimbursement, and legal structures that centralize care in hospitals and prevent the growth of community-based alternatives. In 1900, most Americans gave birth and died at home, with minimal medical intervention. By contrast, most Americans today begin and end their lives in hospitals. The medicalization we now see is due in large part to federal and state policies that draw patients away from community-based providers, such as birth centers and hospice care, and toward the most intensive and costliest kinds of care. But the evidence suggests that birthing and dying people receive too much—even harmful—medical intervention. In The Medicalization of Birth and Death, political scientist Lauren K. Hall describes how and why birth and death became medicalized events. While hospitalization provides certain benefits, she acknowledges, it also creates harms, limiting patient autonomy, driving up costs, and causing a cascade of interventions, many with serious side effects. Tracing the regulatory, legal, and financial policies that centralize care during birth and death, Hall argues that medicalization reduces competition, stifles innovation, and prevents individuals from accessing the most appropriate care during their most vulnerable moments. She also examines the profound implications of policy-enforced medicalization on informed consent and shows how medicalization challenges the healthcare community's most foundational ethical commitments. Drawing on interviews with medical and nonmedical healthcare providers, as well as surveys of patients and their families, Hall provides a broad overview of the costs, benefits, and origins of medicalized birth and death. The Medicalization of Birth and Death is required reading for academics, patients, providers, policymakers, and anyone else interested in how policy shapes healthcare options and limits patients and providers during life's most profound moments.

The Medicalization of Birth and Death

The Medicalization of Birth and Death PDF Author: Lauren K. Hall
Publisher: JHU Press
ISBN: 1421433346
Category : Medical
Languages : en
Pages : 350

Book Description
Improving how individuals give birth and die in the United States requires reforming the regulatory, reimbursement, and legal structures that centralize care in hospitals and prevent the growth of community-based alternatives. In 1900, most Americans gave birth and died at home, with minimal medical intervention. By contrast, most Americans today begin and end their lives in hospitals. The medicalization we now see is due in large part to federal and state policies that draw patients away from community-based providers, such as birth centers and hospice care, and toward the most intensive and costliest kinds of care. But the evidence suggests that birthing and dying people receive too much—even harmful—medical intervention. In The Medicalization of Birth and Death, political scientist Lauren K. Hall describes how and why birth and death became medicalized events. While hospitalization provides certain benefits, she acknowledges, it also creates harms, limiting patient autonomy, driving up costs, and causing a cascade of interventions, many with serious side effects. Tracing the regulatory, legal, and financial policies that centralize care during birth and death, Hall argues that medicalization reduces competition, stifles innovation, and prevents individuals from accessing the most appropriate care during their most vulnerable moments. She also examines the profound implications of policy-enforced medicalization on informed consent and shows how medicalization challenges the healthcare community's most foundational ethical commitments. Drawing on interviews with medical and nonmedical healthcare providers, as well as surveys of patients and their families, Hall provides a broad overview of the costs, benefits, and origins of medicalized birth and death. The Medicalization of Birth and Death is required reading for academics, patients, providers, policymakers, and anyone else interested in how policy shapes healthcare options and limits patients and providers during life's most profound moments.

The Culture of Death: The Assault on Medical Ethics in America (Large Print 16pt)

The Culture of Death: The Assault on Medical Ethics in America (Large Print 16pt) PDF Author: Wesley J. Smith
Publisher: ReadHowYouWant.com
ISBN: 145877841X
Category : Medical
Languages : en
Pages : 474

Book Description
When his teenaged son Christopher, brain-damaged in an auto accident, developed a 106-degree fever following weeks of unconsciousness, John Campbell asked the attending physician for help. The doctor refused. Why bother? The boy's life was effectively over. Campbell refused to accept this verdict. He demanded treatment and threatened legal action. The doctor finally relented. With treatment, Christopher's temperature subsided almost immediately. Soon afterwards he regained consciousness and today he is learning to walk again. This story is one of many Wesley Smith recounts in his groundbreaking new book, The Culture of Death. Smith believes that American medicine ''is changing from a system based on the sanctity of human life into a starkly utilitarian model in which the medically defenseless are seen as having not just a 'right' but a 'duty' to die.'' Going behind the current scenes of our health care system, he shows how doctors withdraw desired care based on Futile Care Theory rather than provide it as required by the Hippocratic Oath. And how ''bioethicists'' influence policy by considering questions such as whether organs may be harvested from the terminally ill and disabled. This is a passionate, yet coolly reasoned book about the current crisis in medical ethics by an author who has made ''the new thanatology'' his consuming interest.

Midwives and Mothers

Midwives and Mothers PDF Author: Sheila Cosminsky
Publisher: University of Texas Press
ISBN: 1477311394
Category : Social Science
Languages : en
Pages : 318

Book Description
The World Health Organization is currently promoting a policy of replacing traditional or lay midwives in countries around the world. As part of an effort to record the knowledge of local midwives before it is lost, Midwives and Mothers explores birth, illness, death, and survival on a Guatemalan sugar and coffee plantation, or finca, through the lives of two local midwives, Do�a Maria and her daughter Do�a Siriaca, and the women they have served over a forty-year period. By comparing the practices and beliefs of the mother and daughter, Sheila Cosminsky shows the dynamics of the medicalization process and the contestation between the midwives and biomedical personnel, as the latter try to impose their system as the authoritative one. She discusses how the midwives syncretize, integrate, or reject elements from Mayan, Spanish, and biomedical systems. The midwives' story becomes a lens for understanding the impact of medicalization on people's lives and the ways in which women's bodies have become contested terrain between traditional and contemporary medical practices. Cosminsky also makes recommendations for how ethno-obstetric and biomedical systems may be accommodated, articulated, or integrated. Finally, she places the changes in the birthing system in the larger context of changes in the plantation system, including the elimination of coffee growing, which has made women, traditionally the primary harvesters of coffee beans, more economically dependent on men.

Partial Stories

Partial Stories PDF Author: Claire L. Wendland
Publisher: University of Chicago Press
ISBN: 0226816885
Category : History
Languages : en
Pages : 365

Book Description
"Partial Stories takes readers to Malawi, where roughly one in twenty women can expect to die of a pregnancy or childbirth complication, despite decades of safe-motherhood programs. The stories of these mothers are told in hospitals and villages, by chiefs and doctors, herbalists and nurses, epidemiologists and healers, and competing explanations proliferate. The mothers' stories are used by elders for technical education and moral instruction at a coming-of-age-ritual, a district hospital's mortality review, and in the reflected glow of a computer screen at an international conference. After orienting readers to urban Malawi's context of therapeutic pluralism and material scarcity, Claire Wendland discusses the ways various experts account for maternal death, showing how their diverse explanations reflect competing visions of the past and shared concerns about social change. She looks to a series of pregnancy-related deaths in order to consider bodies as biosocial phenomena, shaped from before birth by history and social inequality. Wendland reveals an uneven therapeutic landscape that pushes experts to improvise, clinically and ethically. Their creative, essential, and sometimes deadly improvisations ask us to reconsider the "best practice" dogmas of global health and transnational research, as well as the nature of medical authority and expertise. Wendland demonstrates how strategies of legitimation render care more dangerous and knowledge more partial than it might otherwise be"--

Midwifery and the Medicalization of Childbirth

Midwifery and the Medicalization of Childbirth PDF Author: Edwin R. Van Teijlingen
Publisher: Nova Publishers
ISBN: 9781594540318
Category : Maternal health services
Languages : en
Pages : 416

Book Description
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.

The Medicalization of Obstetrics

The Medicalization of Obstetrics PDF Author: Philip K. Wilson
Publisher: Routledge
ISBN: 1000525090
Category : Social Science
Languages : en
Pages : 420

Book Description
First published in 1996. Childbirth: Changing Ideas and Practices is intended to pro-vide readers with key primary sources and exemplary historio-graphical approaches through which they can more fully appreciate a variety of themes in British and American childbirth, mid-wifery, and obstetrics. The articles in this series are designed to serve as a resource for students and teachers in fields including history, women’s studies, human biology, sociology, and anthropology. They will also meet the socio-historical educational needs of pre-medical and nursing students and aid pre-professional, allied health, and midwifery instructors in their lesson preparations.

Birth Settings in America

Birth Settings in America PDF Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 0309669820
Category : Social Science
Languages : en
Pages : 369

Book Description
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.

A Colonial Lexicon

A Colonial Lexicon PDF Author: Nancy Rose Hunt
Publisher: Duke University Press
ISBN: 9780822323662
Category : Social Science
Languages : en
Pages : 500

Book Description
A Colonial Lexicon is the first historical investigation of how childbirth became medicalized in Africa. Rejecting the “colonial encounter” paradigm pervasive in current studies, Nancy Rose Hunt elegantly weaves together stories about autopsies and bicycles, obstetric surgery and male initiation, to reveal how concerns about strange new objects and procedures fashioned the hybrid social world of colonialism and its aftermath in Mobutu’s Zaire. Relying on archival research in England and Belgium, as well as fieldwork in the Congo, Hunt reconstructs an ethnographic history of a remote British Baptist mission struggling to survive under the successive regimes of King Leopold II’s Congo Free State, the hyper-hygienic, pronatalist Belgian Congo, and Mobutu’s Zaire. After exploring the roots of social reproduction in rituals of manhood, she shows how the arrival of the fast and modern ushered in novel productions of gender, seen equally in the forced labor of road construction and the medicalization of childbirth. Hunt focuses on a specifically interwar modernity, where the speed of airplanes and bicycles correlated with a new, mobile medicine aimed at curbing epidemics and enumerating colonial subjects. Fascinating stories about imperial masculinities, Christmas rituals, evangelical humor, colonial terror, and European cannibalism demonstrate that everyday life in the mission, on plantations, and under a strongly Catholic colonial state was never quite what it seemed. In a world where everyone was living in translation, privileged access to new objects and technologies allowed a class of “colonial middle figures”—particularly teachers, nurses, and midwives—to mediate the evolving hybridity of Congolese society. Successfully blurring conventional distinctions between precolonial, colonial, and postcolonial situations, Hunt moves on to discuss the unexpected presence of colonial fragments in the vibrant world of today’s postcolonial Africa. With its close attention to semiotics as well as sociology, A Colonial Lexiconwill interest specialists in anthropology, African history, obstetrics and gynecology, medical history, religion, and women’s and cultural studies.

Human Remains

Human Remains PDF Author: Jonathan Strauss
Publisher: Fordham Univ Press
ISBN: 0823233790
Category : Family & Relationships
Languages : en
Pages : 413

Book Description
The living and the dead cohabited Paris until the late 18th century, when, in the name of public health, measures were taken to drive the latter from the city. Cemeteries were removed from urban space, and corpses started to be viewed as terrifyingly noxious substances. Working across a broad range of disciplines this book seeks to understand the meaning of the dead and their role in creating one of the most important cities of the contemporary world.

Women and Health in America

Women and Health in America PDF Author: Judith Walzer Leavitt
Publisher: Univ of Wisconsin Press
ISBN: 9780299159641
Category : Women
Languages : en
Pages : 712

Book Description
Organised chronologically and then by topic, this volume covers studies of women and health in the colonial and revolutionary periods through the Civil War. The remainder of the book focuses on the late 19th and 20th centuries.