Abstract
This paper addresses the ways globalization and the medicalization of birth has legally influenced a woman’s right to “choose” her birthing practices. With the medicalization of birth in recent years, the Western ideology that a hospital birth is safer, and more “modern” has resulted in legal influences on the role of a woman’s “choice” in delivery. Three influences, including patriarchy, globalization and development, are examined to analyze how the medicalization of women’s reproductive processes were originated and are currently perpetuated. The expression of these three factors as well as other social and legal factors that influence a woman’s choice in a medicalized birth verses a home birth vary globally. Therefore, this paper will focus on an Inuit case study regarding a law made in the 1970’s for mandatory evacuation of all pregnant women to Canadian hospitals. Although women, medical anthropologists, and feminist scholars are fighting against this control, the mandate remains in effect today. This case study, along with other legal and social influences limiting women’s choice in the birthing process, needs to come to the public’s attention. Only then can women start to regain control over choices regarding their own pregnancies.
Conceptual Framework
Beginning in the 1900’s, pregnancy and childbirth have become increasingly medicalized (Mullin, 2005). In her book, Reconceiving Pregnancy and Childcare, Amy Mullin states the medicalization of birth
The topic of reproductive rights surrounding women in Texas has been a hot buttoned issue since the closing of many reproductive centers across the state. Recently damaging abortion restrictions were passed and therefor encroach on women’s reproductive rights even more by decreasing access to abortion care. Texas’ 84th Legislature, both passed HB 3994 as a law and had it Governor Abbott make it effective with his signature on July 8, or this year. This law complicates access to abortion services for mistreated and neglected minors and for those who do not possess specific identification cards in Texas.
There were numerous powerful testimonies and striking findings noted throughout the and first two chapters of the book Birth Matters by Ina May Gaskin. As a health care provider, and therefore someone who is entrusted to care for individuals during their most private and sacred times, I found Gaskin’s statements regarding the environment and care surrounding birth experiences very impactful. According to Gaskin (2011), the “women’s perceptions about their bodies and their babies’ capabilities will be deeply influenced by the care they recieve around the time of birth” (p. 22). The statements made by Gaskin in Birth Matters not only ring true, but inspires one
The paper introduces a sophisticated analysis of the maternity-related issues as well as childbearing policies in the USA. The American documentary “Born in the USA” serves as a material for the study. It is the first public television documentary to provide an in-depth look at childbirth in America. It offers a fascinating overview of birthing, beginning with the early days of our country when almost everyone knew of mothers or babies who died in childbirth. As medicine advanced, maternal and infant mortality rates dropped radically. Hospitals were soon promoted as the safe, modern way to have a baby. The film reveals some crucial specifications of pregnancy, giving birth to a child and raising an offspring in the United States. Specifically, it verifies a general assumption, according to which American obstetricians possess a worldwide recognition, due to their proficiency (Wagner, 2008, p. 4). Moreover, the paper reviews such issues as pregnancy
“If a sweeping pestilence struck down as many women in a community as are taken in childbirth we would immediately be aroused,” claimed Beatrice E. Tucker, Director and Associate Obstetrician of The Chicago Maternity Center. Beatrice was determined to helped needed women, in a needed community, in Chicago. (Tucker, Beatrice E., and Harry B. Benaron, 1) The Chicago Maternity Center was founded in 1895, by Dr. Joseph DeLee. However, it was led and directed by Dr. Beatrice Tucker, accompanied by her partner Dr. Harry Benaron. The center was opened from 1932 until 1973. The center provided free obstetrical care for poor women while at the same time helping doctors train for the latest methods to as well provide safe delivery for these women (Simpson, 1). The center wasn’t such a famous hospital or clinic as the time. It also wasn’t located by means of a medical school, such as the University of Chicago. Instead, the Chicago Maternity Center was located at 1334 South Newberry Street, centered at Chicago’s West Side. The reason for this was because, when Beatrice Tucker became the Chicago Maternity Center’s leader, the community was trapped as a desperate poor immigrant working class (Simpson, 1). Therefore, the center had two purposes. The first, was to care for and treat poor women, in childbirth, right at their homes. Second, was to teach doctors, medical students, and nurses “the science and art of obstetrics” (Tucker, Beatrice E., and Harry B. Benaron, 1). Through these
The way people interact and live in North America is to this day impacted by colonial thought and beliefs that have been enforced through both the government and social constructs. The impacts are present subtly throughout our entire lives in Canada without us fully realizing the changes it enforces in social interactions and natural body functions. This paper will focus on the differences between Indigenous and “western” ways of birthing affect women, and how the processes of birth have changed and are currently changing. The question that guided the research for this paper was; How does Haudenosaunee and Anishinaabe births and “western” Canadian births compare and how does resurgence, found in traditional births, influence cultural revitalization?
Robin Yates’s paper, “Pregnancy and Childbirth, The 1800’s vs. Now: What to Expect When You’re Not Expecting,” was filled with many clear points on the advancement of labor and medicine since the 1800s. This essay was filled with interesting and grabbing facts; however, the structure of the essay needs more support.
A Tree Grows in Brooklyn focuses on a poor American family in the early 1900s. They faced many hardships including those related to obstetrics. Medical care was not reliable during this time period and caused a variety of problems. The poor had the worst birthing conditions and were at a high risk for complications concerning themselves and the child. Betty Smith provides an accurate representation of medical care relating to delivery, infant mortality, and pregnancy at the turn of the twentieth century in her book A Tree Grows in Brooklyn.
Midwifery has been practiced in several communities of the world since time immemorial. A midwife is a trained person, mostly a woman, who assists in the pregnancy, delivery and post-partum care of an infant. In most countries of the world, the act of midwifery has been neglected for more modern and westernized medical practices deemed safer. In the First nations community, midwives have always been an integral part of the health system assisting expecting women during delivery. In the mid nineteenth and twentieth century, midwifery was outlawed in many communities and reserves ‘for the sake of the health of the country’ (Parkland Memorial Hospital School of Nurse Midwifery). With the outlaw of midwifery in First nation reserves, expectant mothers were transported to hospitals and clinics in urban centers for delivery. With this came several new challenges for expectant first nations women and mothers including, ‘increased maternal newborn complications, increased postpartum depression and decreased breast-feeding rates’ (O’Neil et al., 1990, Smith, 2002 and Klein et al., 2002a. The relegation of first nations midwifery has done more harm than good because it makes the birth process more medical, has led to the inflict of new post natal diseases and has led to the neglect of the traditional and spiritual roles in child
In the mid 1930’s childbirth was extremely dangerous and high percentages of women and their babies died sooner or later after birth. As people took notice, medicine took a lot of steps to lower the mortality rates. A lot of deliveries moved from the homes of people to the hospitals with more safer conditions of birth. Throughout the years, hosptials worked on getting their public sanitation, public nutrition and better control of some deadly chronic diseases. By the 1940s medicines surgical techniques and antibodies improved so much that it made the hospital that much more safer for people to deliver children. Medical Doctor, Elizabeth Eden, stated “By the 1950s, routine maternity care, originally designed to improve safety, had become almost too rigid. For example, the fear of infection, a major killer of mothers and babies, led to such practices as taking away all a woman's personal belongings when she entered the hospital; administering large, uncomfortable enemas; prohibiting fathers and other loved ones from entering the maternity area; keeping babies in nurseries, away from their mothers; and handling babies as little as possible. At the time, bottle-feeding was believed to be more sanitary and superior in almost every way to breast-feeding.” Medical Doctor, Elizabeth Eden also stated “The 1960s was a time when national and international organizations were founded to
Women having been fighting for equal rights for many years. Because of our genitalia, we will be paid less, we will be judged more, and we will have to fight to protect our basic human rights. Most women are born with the amazing ability to carry life; this is a blessing and a curse. Because of this ability, some people believe that a woman’s body is not completely her own, but that the government has rights to that body as well. We have been fighting to control our own bodies for many years. All women must understand that fighting for our reproductive rights is not just a simple pro-life or pro-choice battle, but a complex fight to teach proper sex education, maintain women’s health facilities, and protect our essential human rights.
For hundred of years, women have wrestled with their womanhood, bodies, and what it means to be a woman in our society. Being a woman comes with a wonderful and empowering responsibility--giving birth. What sets us aside from other countries is that the process and expectations of giving birth has changed in our society; coming from midwifery, as it has always been since the early times, to hospitals where it is now expected to give birth at. Midwifery was a common practice in delivering babies in
The horrifying pregnancy mortality rates and health disparities that exist between races are striking as well as terrifying to me. Although I was aware of the existence of health disparities, I was still taken back by the discrepancies in pregnancy-related mortality ratios of “12.7 deaths per 100,000 live births” in white women, to “43.5 deaths per 100,000 live births” in black women (CDC, n.d). Through root cause analyses, as well as reflection on the analogy provided in Levels of Racism: A Theoretic Framework and a Gardener’s Tale, it is clear that in order to effectively address and make positive change in the aforementioned ratios, we must focus on correcting institutionalized racism, personally mediated racism and internalized racism.
Not only did the citizens look to gain information on the human aspect of pregnancy, so did the medical field. Much was left unknown prior to the 19th century about the obstetrical prowess of the human body. Speaking from a gynecological point-of-view, medicine knew very little about this aspect of the human being. Strictly from an objective view, doctors were thinking along the train of thought that when women had medical problems, they were centered in the womb, and it was only their energy that was misdirected. Also, women’s menstruation was not studied well until
Throughout American history, women have faced many challenges to earn equal rights in almost all aspects of life. Although changes have been made, today there are still battle to be won. One of these issues is the struggle for improving reproductive rights. Women are often judged for their maternal decisions, whether that is in choosing surrogacy, abortion, and even those who choose different forms of contraception. Over the years, Planned Parenthood and other health services have recieved a negative connotation for what services they provide, especially on the basis of providing abortion services. With our new president in office, women are concerned that their reproductive rights, such as the right to have an
Giving birth to a baby is the most amazing and miraculous experiences for parents and their loved ones. Every woman’s birth story is different and full of joy. Furthermore, the process from the moment a woman knows that she’s pregnant to being in the delivering room is very critical to both her and the newborn baby. Prenatal care is extremely important and it can impact greatly the quality of life of the baby. In this paper, the topic of giving birth will be discussed thoroughly by describing the stories of two mothers who gave birth in different decades and see how their prenatal cares are different from each other with correlation of the advancement of modern medicine between four decades.