Having a baby is an elemental human experience—profound, even sacred to some women and their families. At the same time, it is a significant component of health care. The medical model of childbirth emphasizes the pathological potential of pregnancy and birth, while an alternative model championed by midwives focuses on the normalcy of pregnancy and its potential for health. Now available in paperback, this definitive account of the many forces that intersect over the issue of childbirth explains in a comprehensive and authoritative manner the conceptual and philosophical differences between these models. The author has brought together in a clear and readable fashion the myriad strands of history, culture, science, economics, and policy that have resulted in the current condition of maternity care in the United States. She describes the disparate backgrounds, training, and roles of certified nurse-midwives and lay or direct entry midwives, and explains the contributions of both groups. Rooks believes that maternity care and childbirth in America can, and should, be better than it is today, and offers steps to take in the direction. Author note:Judith Rooksis a nurse-midwife and epidemiologist with a long career in public health. She has taught in a school of nursing, a school of medicine, and a school of midwifery. The author of more than 50 scientific and professional papers, she is also past-president of the American College of Nurse-Midwives. She is an Associate of the Pacific Institute for Women's Health in Los Angeles.

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.

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.

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.

This anthology examines Love's Labours Lost from a variety of perspectives and through a wide range of materials. Selections discuss the play in terms of historical context, dating, and sources; character analysis; comic elements and verbal conceits; evidence of authorship; performance analysis; and feminist interpretations. Alongside theater reviews, production photographs, and critical commentary, the volume also includes essays written by practicing theater artists who have worked on the play. An index by name, literary work, and concept rounds out this valuable resource.

Written by two of the professionís most prominent midwifery leaders, this authoritative history of midwifery in the United States, from the 1600s to the present, is distinguished by its vast breadth and depth. The book spans the historical evolution of midwives as respected, autonomous health care workers and midwifery as a profession, and considers the strengths, weaknesses, threats, and opportunities for this discipline as enduring motifs throughout the text. It surveys the roots of midwifery, the beginnings of professional practice, the founding of educational institutions and professional organizations, and entry pathways into the profession. Woven throughout the text are such themes as the close link between midwives and the communities in which they live, their view of pregnancy and birth as normal life events, their efforts to promote health and prevent illness, and their dedication to being with women wherever they may be and in whatever health condition and circumstances they may be in. The text examines the threats to midwifery past and present, such as the increasing medicalization of childbearing care, midwiferyís lack of a common identity based on education and practice standards, the mix of legal recognition, and reimbursement issues for midwifery practice. Illustrations and historical photos depict the many facets of midwifery, and engaging stories provide cultural and spiritual content. This is a ìmust-haveî for all midwives, historians, professional and educational institutions, and all those who share a passion for the history of midwifery and women. Key Features: Encompasses the most authoritative and comprehensive information available about the history of midwifery in the United States Considers the strengths, weaknesses, threats, and opportunities for midwifery Illustrated with historical photos and drawings Includes engaging stories filled with cultural and spiritual content, introductory quotes to each chapter, and plentiful chapter notes Written by two preeminent leaders in the field of midwifery

Born in the USA examines issues including midwifery and the safety of out-of-hospital birth, how the process of becoming a doctor can adversely affect both practitioners and their patients, and why there has been a rise in the use of risky but doctor-friendly interventions, including the use of Cytotec, a drug that has not been approved by the FDA for pregnant women. Most importantly, this investigation, supported by many troubling personal stories, explores how women can reclaim the childbirth experience for the betterment of themselves and their children."--Jacket.

Coming Home tells the story of how a significant number of parents in postwar America opted out of the standardized medicated hospital birth and recast home birth as a legitimate and desirable choice.

Awarded second place in the 2013 AJN Book of the Year Awards in the Maternal-Child Nursing/Childbirthing category "This book is one of those turning points that will make an enormous difference." Judith P. Rooks, CNM, MS, MPH Author of Midwifery and Childbirth in America "This book provides a well-rounded examination of the issues we face in using evidence to inform our everyday clinical decisions...The authors have gathered current evidence and created practice scenarios to help the reader visualize EBP in action." "In a country that has more independent midwives and group practices than hospital based midwives this type of book could possibly become the cornerstone in terms of the standards of midwifery care."--Nursing Times From the Foreword by Holly Powell Kennedy, CNM, PhD, FACNM, FAAN President, American College of Nurse Midwives Helen Varney Professor of Midwifery Yale University School of Nursing Nurse-midwives often find themselves in situations where current research-based treatment conflicts with established practices that may be ineffective or even harmful. This text provides a roadmap for nurse-midwives who strive to implement change through evidence-based practice by presenting the most current evidence-based research on the care of childbearing women. It is the only book about evidence-based practice for nurse-midwives that encompasses the most controversial areas of practice. The text incorporates the foundations of midwifery and the midwifery model of care throughout. The book discusses the use of electronic databases in examining evidence and identifying best practices. It considers how the current workforce environment affects the practice of nurse-midwifery, and describes evidence-based practices in the care of childbearing women. Each chapter reviews current literature, describes contemporary practices and explores whether these practices are based on scientific evidence. Case studies enhance the examination of evidence and the identification of best practices. Key Features: Focuses on scientific evidence as the framework for the practice of nurse-midwifery Incorporates the hallmarks of midwifery and the midwifery model of care Examines practices that are in conflict with scientific evidence Provides guidance for practicing nurse-midwives in implementing best practices based upon scientific evidence

In the late nineteenth century, Japan's modernizing quest for empire transformed midwifery into a new woman's profession. With the rise of Japanese immigration to the United States, Japanese midwives (sanba) served as cultural brokers as well as birth attendants for Issei women. They actively participated in the creation of Japanese American community and culture as preservers of Japanese birthing customs and agents of cultural change. Japanese American Midwives reveals the dynamic relationship between this welfare state and the history of women and health. Susan L. Smith blends midwives' individual stories with astute analysis to demonstrate the impossibility of clearly separating domestic policy from foreign policy, public health from racial politics, medical care from women's caregiving, and the history of women and health from national and international politics. By setting the history of Japanese American midwives in this larger context, Smith reveals little-known ethnic, racial, and regional aspects of women's history and the history of medicine.