Four years' experience with home birth by licensed midwives in Arizona.

Sullivan, Deborah A.; Beeman, R

doi:10.2105/ajph.73.6.641

Cited by 32 publications

(15 citation statements)

References 1 publication

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“…In the first four years of the reactivated licensure system, 14 per cent of mothers were transferred to a hospital before delivery. Of those who delivered at home, 15 per cent of mothers and 3 per cent of newborns required postpartum outpatient care and 3 per cent of mothers and 2 per cent of babies required postpartum hospitalization (Sullivan and Beeman, 1983). Thus, while the typical delivery confirms the midwives' definition of childbirth as a natural, healthy process, they increasingly see the potential for medical problems to arise.…”

Section: Changing Definitions Of Childbirthmentioning

confidence: 90%

“…Before then, you only had to consider and cover up your own fanny and that person that you were helping at that time.' During the last four years, 29 per cent of midwives' clients have been transferred to medical care (Sullivan and Beeman, 1983). One of these incidents led to the suspension of a midwife's license.…”

Section: The Move Toward Hierarchical Relationshipsmentioning

confidence: 99%

“…During the last four years, 29 per cent of midwives' clients have been transferred to medical care (Sullivan and Beeman, 1983). One of these incidents led to the suspension of a midwife's license.…”

Section: The Move Toward Hierarchical Relationshipsmentioning

confidence: 99%

“…Other than a few statistical studies evaluating outcomes of home births assisted by midwives (e.g., Burnett et. al., 1980;Dingby, 1979;Mehl et al, 1980;Sullivan and Beeman, 1983;White, 1977), few studies have appeared on the actual practice of lay midwifery. De Vries (1981) focused in his dissertation on the use of licensure to establish or maintain medical dominance over midwives.…”

Section: Introductionmentioning

confidence: 99%

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Licensed lay midwifery and the medical model of childbirth

Weitz

Sullivan

1985

Sociology Health & Illness

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Previous research has tended to equate lay midwifery with demedicalized care. This paper analyzes how licensed lay midwives in Arizona have been pressured towards a more medical model of childbirth. Licensing has affected midwives' beliefs and practices through increasing their exposure to medical definitions of childbirth and making them legally accountable to the medically dominated State Department of Health Services. The midwives' cumulative experience with handling obstetrical problems has also affected their definitions of childbirth. The midwives have maintained a commitment to holistic care, but have moved towards a more hierarchical style of practice due to changes in their clientele, the need for efficient bureaucratic arrangements, and the desire to earn a living at midwifery.

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Section: Changing Definitions Of Childbirthmentioning

confidence: 90%

Section: The Move Toward Hierarchical Relationshipsmentioning

confidence: 99%

Section: The Move Toward Hierarchical Relationshipsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Licensed lay midwifery and the medical model of childbirth

Weitz

Sullivan

1985

Sociology Health & Illness

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“…Newborns of parous women are less likely to have low arterial cord pH, 5-minute Apgar score Ͻ4, intubation, seizures, or intensive care admission (26). Moreover, among women planning home births, intrapartum maternal transfers to hospital occur significantly more frequently among nulliparous (25%-37%) (9,14,23,27) than parous (3.5%-8.7%) individuals (14,19,23,27). The most common reasons for transfer include abnormal labor progress, nonreassuring fetal status, need for pain relief, hypertension, bleeding, and fetal malpresentation (9,13,27).…”

Section: Factors Influencing Outcome Reportingmentioning

confidence: 99%

Home Versus Hospital Birth—Process and Outcome

Wax¹,

Pinette²,

Cartin³

2010

Obstetrical &Amp; Gynecological Survey

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Neonatal Outcome in Planned v Unplanned Out-of-Hospital Births in Kentucky

Mw¹,

Gh²,

Dt³

1985

JAMA

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We conducted a survey of 1,064 out-of-hospital Kentucky births during 1981 to 1983 in order to classify each by planning status (planned or unplanned to occur out of hospital) and attendant. Among the 809 births for which we obtained information, 575 (71.1%) were planned. We examined birth outcome by low birth weight (LBW) and neonatal mortality (NM). Compared with planned births, unplanned births were associated with increased risk of LBW (odds ratio = 6.6; 95% confidence limits [CL], 3.9 to 11.2, adjusted for maternal age). Furthermore, after adjusting for maternal age and parity, LBW births occurred at less than expected frequency among planned births (observed to expected [O:E] ratio = 0.48; 95% CL, 0.29 to 0.73), but at greater than expected frequency among unplanned births (O:E ratio = 2.9; 95% CL, 2.2 to 3.8). A similar, but nonsignificant, trend was seen for NM and NM was much greater in the unplanned group (72.7 per 1,000 live births) than in the planned group (3.5 per 1,000).

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Four years' experience with home birth by licensed midwives in Arizona.

Cited by 32 publications

References 1 publication

Licensed lay midwifery and the medical model of childbirth

Licensed lay midwifery and the medical model of childbirth

Home Versus Hospital Birth—Process and Outcome

Neonatal Outcome in Planned v Unplanned Out-of-Hospital Births in Kentucky

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