Volume 2 in this landmark 3-volume series The Anthropology of Obstetrics and Obstetricians: The Practice, Maintenance, and Reproduction of a Biomedical Profession looks at cognition, risk, and responsibility in obstetrics. This volume contains social science analyses of Swiss, Chilean, Mexican, US, Greek, and Irish obstetrics and obstetricians, particularly around their reasons for the overuse of cesareans; a chapter on "4 Stages of Cognition" and a condition called "Substage," which describes how these concepts apply to obstetricians; and a chapter on why obstetricians fear home birth. This book is a must-read for students, social scientists, and all maternity care practitioners who seek to understand obstetricians' differing ideologies and motives for practicing as they do. An excerpt from Vania Smith-Oka and Lydia Dixon's chapter: For systemic changes to occur, we must understand doctors’ decision-making rationales and take their fear-based perspectives about risk and responsibility into account, while also paying attention to the concerns raised by scholars and activists.
The final volume in this landmark 3-volume series The Anthropology of Obstetrics and Obstetricians: The Practice, Maintenance, and Reproduction of a Biomedical Profession looks at the challenges, and even violence, that obstetricians face across the world. Part I of this volume addresses obstetric violence and systemic racial, ethnic, gendered, and socio-structural disparities in obstetricians’ practices in the Dominican Republic, Mexico, Peru, and the US. Part II addresses decolonizing and humanizing obstetric training and practice in the UK, Russia, Brazil, New Zealand, and the US. Part 3 presents the ethnographic challenges that the chapter authors in Volumes II and III of this series faced in finding, surveying, interviewing, and observing obstetricians in various countries. This book is a must-read for students, social scientists, and all maternity care practitioners who seek to understand the diverse challenges that obstetricians must overcome. An excerpt: In our Series Overview in Volume 1, we asked the question, “Can a book create a field?” and answered that question with a resounding “Yes!” ... For us, the official creation of the field of the Anthropology of Obstetrics and Obstetricians has taken not one, but the 3 volumes that constitute this Book Series.
For the first time ever in a social science work, obstetricians tell their own stories of training, practice, fear, and transformation in this the first of the 3-volume series The Anthropology of Obstetrics and Obstetricians: The Practice, Maintenance, and Reproduction of a Biomedical Profession. These stories range from those of abortion providers to those of maternal-fetal medicine specialists. Several chapters tell the stories of obstetricians who have made paradigm shifts from technocratic to humanistic practices, the benefits and joys of these paradigm shifts, and the ostracism, bullying, and outright persecution these humanistic obstetricians have suffered. This book is a must-read for students, social scientists, and all maternity care practitioners who seek to understand the ideologies and motives of individual obstetricians. An excerpt from Kathleen Hanlon-Lundberg’s chapter: Largely maligned in reproductive anthropological literature as callous—if not brutal—self-serving effectors of the over-medicalization of childbirth, most obstetricians whom I know and have worked with are devoted to providing respectful, individualized care to their patients.
This classic book, first published in 1992 and again in 2003, has inspired three generations of childbearing people, birth activists and researchers, and birth practitioners—midwives, doulas, nurses, and obstetricians—to take a fresh look at the "standard procedures" that are routinely used to "manage" American childbirth. It was the first book to identify these non-evidence-based obstetric interventions as rituals that enact and transmit the core values of the American technocracy, thereby answering the pressing question of why these interventions continue to be performed despite all evidence to the contrary. This third edition brings together Davis-Floyd's insights into the intense ritualization of labor and birth and the technocratic, humanistic, and holistic models of birth with new data collected in recent years.
Provides fresh perspectives on the past, present and future-facing contributions of the anthropology of reproduction. A Companion to the Anthropology of Reproductive Medicine and Technology provides a timely and comprehensive overview of the anthropological study of reproductive practices, technologies, and interventions in a global context. Exploring the medical and technological management of human reproduction through a sociocultural lens, this groundbreaking volume reviews past and current research, discusses contemporary debates and recent theoretical developments, introduces key themes and trends, examines ongoing issues of equity, inclusivity, and reproductive justice around the world, and more. The Companion brings together essays by multidisciplinary scholars in fields including sociocultural anthropology, medical anthropology, reproductive health, global public health, Science and Technology Studies (STS), gender and sexuality studies, critical race studies, and environmental studies, to list but a few. Five thematically organized sections address reproductive practitioners and paradigms, global reproductive health and interventions, reproductive justice, the life-course approach to the study of reproductive health, and the future of reproductive technology and medicine. Using clear, jargon-free language, the authors investigate pregnancy and childbirth; fertility treatments; birth control, contraception and abortion; COVID-19 and reproduction; reproductive cancers; epigenetics; social discrimination; gender and sexualities and reproduction for LGBTQIA+ communities; race and reproduction; migration and reproduction; reproduction and war; reproductive health financing; reproduction and disabilities, reproduction and the environment; and other important contemporary topics. A cutting-edge guide to the modern study of reproduction, this groundbreaking volume: Provides an overview of the links between anthropological study and progressive work in medicine, healthcare, and technology Addresses both the challenges and opportunities facing researchers in the field Identifies gaps in current scholarship and offers recommendations for future research topics and methodologies Highlights the importance of ethnographic research combined with critical engagements with other disciplines for the anthropology of reproduction Explores the impact of socioeconomic conditions, environmental challenges, public policy, and legislation on reproductive health outcomes Traces the history of the field and demonstrates how anthropologists have engaged with issues of reproductive justice Part of the acclaimed Wiley Blackwell Companions to Anthropology series, A Companion to the Anthropology of Reproductive Medicine and Technology is an essential resource for undergraduate and graduate students, researchers, and scholars in medical anthropology, science technology and society, cultural anthropology, ethnology, and gender studies, as well as medical practitioners, policymakers, and activists involved in global and public health and reproductive justice.
Concise, with a structured approach, Algorithms for Obstetrics and Gynaecology supports development of key problem-solving skills obstetricians and gynaecologists are required to maintain under pressure. All algorithms are designed to support rapid decision making in the most clinically relevant situations to minimize the risks of a poor outcome. This book covers everything from common non-life-threatening emergencies such as hyperemesis in pregnancy, to life-threatening acute events such as ectopic pregnancy, acute fetal distress, or maternal collapse. Each topic is devoted to a different clinical problem or emergency. Key learning points aid trainees by distilling the essential information from the chapter. Each topic has an algorithm, a care pathway, or table of key information, suiting the learning needs of trainees. However, this is also an important resource of information for day to day practice as algorithms and care pathways have been created using current national guidelines and clinical evidence. Every algorithm and care pathway has been carefully structured to ensure a logical progression of thought to aid anticipation, early diagnosis, and prompt and appropriate management. Ethical, legal and social issues are also discussed where relevant. Book jacket.
This is a case-based guide to difficult scenarios faced in the fields of obstetrics and gynaecology. Each case is set off by an 'Expert Commentary' written by an expert, giving the reader both a solid base of knowledge and a nuanced view of current challenges.
Getting the right diagnosis is a key aspect of health care - it provides an explanation of a patient's health problem and informs subsequent health care decisions. The diagnostic process is a complex, collaborative activity that involves clinical reasoning and information gathering to determine a patient's health problem. According to Improving Diagnosis in Health Care, diagnostic errors-inaccurate or delayed diagnoses-persist throughout all settings of care and continue to harm an unacceptable number of patients. It is likely that most people will experience at least one diagnostic error in their lifetime, sometimes with devastating consequences. Diagnostic errors may cause harm to patients by preventing or delaying appropriate treatment, providing unnecessary or harmful treatment, or resulting in psychological or financial repercussions. The committee concluded that improving the diagnostic process is not only possible, but also represents a moral, professional, and public health imperative. Improving Diagnosis in Health Care, a continuation of the landmark Institute of Medicine reports To Err Is Human (2000) and Crossing the Quality Chasm (2001), finds that diagnosis-and, in particular, the occurrence of diagnostic errorsâ€"has been largely unappreciated in efforts to improve the quality and safety of health care. Without a dedicated focus on improving diagnosis, diagnostic errors will likely worsen as the delivery of health care and the diagnostic process continue to increase in complexity. Just as the diagnostic process is a collaborative activity, improving diagnosis will require collaboration and a widespread commitment to change among health care professionals, health care organizations, patients and their families, researchers, and policy makers. The recommendations of Improving Diagnosis in Health Care contribute to the growing momentum for change in this crucial area of health care quality and safety.
