The Medicalization Of Birth And Death
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| Author | : Lauren K. Hall |
| Publisher | : Johns Hopkins University Press |
| Total Pages | : 350 |
| Release | : 2019-12-17 |
| Genre | : Medical |
| ISBN | : 1421433338 |
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.
| Author | : Sheila Cosminsky |
| Publisher | : University of Texas Press |
| Total Pages | : 318 |
| Release | : 2016-12-06 |
| Genre | : Social Science |
| ISBN | : 1477311394 |
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.
| Author | : Wesley J. Smith |
| Publisher | : ReadHowYouWant.com |
| Total Pages | : 474 |
| Release | : 2010-10-06 |
| Genre | : Medical |
| ISBN | : 145877841X |
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.
| Author | : National Academies of Sciences, Engineering, and Medicine |
| Publisher | : National Academies Press |
| Total Pages | : 369 |
| Release | : 2020-05-01 |
| Genre | : Social Science |
| ISBN | : 0309669820 |
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.
| Author | : Claire L. Wendland |
| Publisher | : University of Chicago Press |
| Total Pages | : 365 |
| Release | : 2022-04-22 |
| Genre | : History |
| ISBN | : 0226816885 |
"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"--
| Author | : Robert Black |
| Publisher | : World Bank Publications |
| Total Pages | : 419 |
| Release | : 2016-04-11 |
| Genre | : Medical |
| ISBN | : 1464803684 |
The evaluation of reproductive, maternal, newborn, and child health (RMNCH) by the Disease Control Priorities, Third Edition (DCP3) focuses on maternal conditions, childhood illness, and malnutrition. Specifically, the chapters address acute illness and undernutrition in children, principally under age 5. It also covers maternal mortality, morbidity, stillbirth, and influences to pregnancy and pre-pregnancy. Volume 3 focuses on developments since the publication of DCP2 and will also include the transition to older childhood, in particular, the overlap and commonality with the child development volume. The DCP3 evaluation of these conditions produced three key findings: 1. There is significant difficulty in measuring the burden of key conditions such as unintended pregnancy, unsafe abortion, nonsexually transmitted infections, infertility, and violence against women. 2. Investments in the continuum of care can have significant returns for improved and equitable access, health, poverty, and health systems. 3. There is a large difference in how RMNCH conditions affect different income groups; investments in RMNCH can lessen the disparity in terms of both health and financial risk.
| Author | : Shai J. Lavi |
| Publisher | : Princeton University Press |
| Total Pages | : 239 |
| Release | : 2009-01-10 |
| Genre | : Social Science |
| ISBN | : 1400826772 |
How we die reveals much about how we live. In this provocative book, Shai Lavi traces the history of euthanasia in the United States to show how changing attitudes toward death reflect new and troubling ways of experiencing pain, hope, and freedom. Lavi begins with the historical meaning of euthanasia as signifying an "easeful death." Over time, he shows, the term came to mean a death blessed by the grace of God, and later, medical hastening of death. Lavi illustrates these changes with compelling accounts of changes at the deathbed. He takes us from early nineteenth-century deathbeds governed by religion through the medicalization of death with the physician presiding over the deathbed, to the legalization of physician-assisted suicide. Unlike previous books, which have focused on law and technique as explanations for the rise of euthanasia, this book asks why law and technique have come to play such a central role in the way we die. What is at stake in the modern way of dying is not human progress, but rather a fundamental change in the way we experience life in the face of death, Lavi argues. In attempting to gain control over death, he maintains, we may unintentionally have ceded control to policy makers and bio-scientific enterprises.
| Author | : Jonathan Strauss |
| Publisher | : Fordham Univ Press |
| Total Pages | : 413 |
| Release | : 2012 |
| Genre | : Family & Relationships |
| ISBN | : 0823233790 |
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.
| Author | : Nancy Rose Hunt |
| Publisher | : Duke University Press |
| Total Pages | : 500 |
| Release | : 1999-11-15 |
| Genre | : Social Science |
| ISBN | : 9780822323662 |
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.
| Author | : Michelle Newhart |
| Publisher | : Routledge |
| Total Pages | : 277 |
| Release | : 2018-09-03 |
| Genre | : Social Science |
| ISBN | : 0429833776 |
Winner of the Donald W. Light Award for the Applied or Public Practice of Medical Sociology Medical marijuana laws have spread across the U.S. to all but a handful of states. Yet, eighty years of social stigma and federal prohibition creates dilemmas for patients who participate in state programs. The Medicalization of Marijuana takes the first comprehensive look at how patients negotiate incomplete medicalization and what their experiences reveal about our relationship with this controversial plant as it is incorporated into biomedicine. Is cannabis used similarly to other medicines? Drawing on interviews with midlife patients in Colorado, a state at the forefront of medical cannabis implementation, this book explores the practical decisions individuals confront about medical use, including whether cannabis will work for them; the risks of registering in a state program; and how to handle questions of supply, dosage, and routines of use. Individual stories capture how patients redefine and reclaim cannabis use as legitimate—individually and collectively—and grapple with an inherently political identity. These experiences help illustrate how stigma, prejudice, and social change operate. By positioning cannabis use within sociological models of medical behavior, Newhart and Dolphin provide a wide-reaching, theoretically informed analysis of the issue that expands established concepts and provides new insight on medical cannabis and how state programs work.
