Commentaries: Expanding the Conversation

Early childhood leadership: A photovoice exploration

Abstract The first five years of a child’s life represent critical windows in physiological, social-emotional, and cognitive development. Administrators of early childhood (EC) programs play a pivotal role in determining the quality of experiences that unfold for young children in center-based care. Using photovoice, semi-structured administrator interviews, and participant-observation, we…

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Too Long to Wait: Obstetric Fistula and the Sociopolitical Dynamics of the Fourth Delay in Soroti, Uganda

Abstract Uganda has one of the highest obstetric fistula rates in the world with approximately 200,000 women currently suffering. Surgical closure successfully treats fistula in the majority of cases, yet there is a severe shortage of facilities and trained surgeons in low-resource countries. The purpose of this study was to…

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Understanding Recent Home-Birth Research

Abstract In the past month, two new studies have been released—one in The New England Journal of Medicine (NEJM; Snowden et al., 2015) and the other in the Canadian Medical Association Journal (Hutton et al., 2015)—comparing out-of-hospital birth outcomes to hospital birth outcomes. These studies join a growing body of…

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Making US Out-of Hospital Birth Safer Requires Systems Change

Abstract Birth is as safe as life gets. – Harriette Hartigan, direct-entry midwife What one deems “safe” is inherently subjective, involving a series of judgments and a relative weighing of multiple (and sometimes conflicting) factors. Find full study Subscription only. To request a copy, contact us here Citation Tilden, E.,…

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Home birth is unsafe: AGAINST: Safe for whom?

ABSTRACT First, we question the underlying premise of this debate: that hospital birth is inherently safe. There has been much discussion regarding the ‘cascade of interventions’ that has become ubiquitous, at least in US hospital settings, and which culminates in caesareans—many of which are medically unnecessary—for over 30% of labouring…

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Of Missing Voices and the Obstetric Imaginary

Abstract In this commentary, I respond to an ethical analysis of a case study, reported by Jankowski and Burcher, in which a woman gives birth to an infant with a known heart anomaly of unknown severity, at home, attended by a midwife. Jankowski and Burcher argue that the midwife who…

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The Creation of a Consensus Statement by the ACNM, MAMA, and the NACPM: A Modified-Delphi Study on Normal Physiologic Birth

Abstract INTRODUCTION This article describes the process of developing consensus on a definition of, and best practices for, normal physiologic birth in the United States. Evidence supports the use of physiologic birth practices, yet a working definition of this term has been elusive. METHODS We began by convening a task…

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In Reply

A letter to the Editor of Journal of Midwifery and Women’s Health Find the full study Subscription only. To request a copy, contact us here Citation Cheyney, M. (2014). In Reply. Journal of Midwifery and Women’s Health. May Jun;59(3):366-7. doi: 10.1111/jmwh.12210.

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Navigating Social and Institutional Obstacles: Women’s Experiences Seeking Abortion Care in Western Oregon

Abstract Nearly half of all women in the United States will have at least one abortion during their lifetime, and many will encounter economic, logistical, and/or social obstacles while attempting to undergo the procedure. The purpose of this project was to examine the abortion-seeking experiences of a volunteer sample of…

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Homebirth Transfers in the United States: Narratives of Risk, Fear and Mutual Accommodation

Abstract The purpose of this study was to explore the contested space of home-to-hospital transfers that occur during labor or in the immediate postpartum period, as a means of identifying the mechanisms that maintain philosophical and practice divides between homebirth midwives and hospital-based clinicians in the United States. Using data…

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