Commentaries: Expanding the Conversation

The Crusade Against Home Birth

Abstract A recent study by Grunebaum et al examined the relationship between place of birth and adverse neonatal outcomes (Apgar of 0 at 5 minutes, and neonatal seizures or serious neurologic dysfunction—hereafter referred to as neonatal seizures) as reported in birth certificate data from 2007 to 2010 for term newborns (n  = 13,891,274)…

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Breastfeeding and Childhood Obesity: Where Do We Go From Here?

Abstract Breast is best. Both the World Health Organization and the American Academy of Pediatrics agree that Baby needs no other foods or drinks, even water, for 6 months.1,2 Mother should then continue to nurse him (throughout this article, we refer to the child as “he” to distinguish him from his…

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Supporting Healthy and Normal Physiologic Childbirth: A Consensus Statement by the American College of Nurse-Midwives, Midwives Alliance of North America, and the National Association of Certified Professional Midwives

Introduction In 1996, the World Health Organization called for the elimination of unnecessary intervention in childbirth, yet currently there are few resources to assist maternity care providers in achieving this goal. The purpose of this consensus statement is to explicitly identify key benchmarks of safe, healthy, and normal physiologic childbirth.…

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Reinscribing the Birthing Body: Homebirth as Ritual Performance

Abstract In this article, I examine the clinical practices engaged in by U.S. homebirth midwives and their clients from the beginning of pregnancy through to the immediate postpartum period, deconstructing them for their symbolic and ritual content. Using data collected from open‐ended, semistructured interviews and intensive participant‐observation, I describe the…

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Rethinking Dr. Spock

Abstract I read with interest the “Voices From the Past” article that reprinted part of Dr. Spock’s book, Decent and Indecent: Our Personal and Political Behavior.1 The accompanying brief biography of Dr. Spock was intriguing as well—we should all aspire to speak so vocally and publicly about issues pertaining to health and…

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Current Resources for Evidence-Based Practice, May 2019

Abstract The randomized controlled trial (RCT) is considered the gold standard study design in clinical and public health research. The Food and Drug Administration (FDA) requires numerous RCTs before approval of new drugs and devices. Systematic reviews or meta-analyses based on RCTs are considered the highest level of evidence by…

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Born at home: The biological, cultural and political dimensions of maternity care in the United States (Book)

Synopsis This is a book about women who choose to give birth at home against the wishes and indeed the interests of established medicine. It focuses on conditions in the US. It places the issue within the context of the continuing health care crisis in this country and poses surprisingly…

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Cultural Competency in Health Care: Evaluating the Outcomes of a Cultural Competency Training among Health Care Professionals

Abstract PURPOSE The purpose of this research was to examine the effectiveness of a cultural competency training program designed to improve the knowledge and skills of health care providers and administrators engaging in cross-cultural, clinical encounters. METHODS We conducted an evaluation study among 43 health care professionals (health care providers…

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Narratives of Risk: Speaking Across the Hospital/ Homebirth Divide

Find the full study Open source. To access the full article, click here Citation Cheyney, M. and C. Everson. (2009). Narratives of Risk: Speaking Across the Hospital/ Homebirth Divide. Anthropology Newsletter 50(3): 7-8.

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Homebirth as Systems-Challenging Praxis: Knowledge, Power and Intimacy in the Birthplace

Abstract In this article, I examine the processes and motivations involved when women in the United States choose to circumvent the dominant obstetric care paradigm by delivering at home with a group of care providers called direct-entry midwives. Using grounded theory, participant observation, and open-ended, semistructured interviewing, I collected and…

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