The Global Epidemic of Cesarean Surgery and the Feminist Movement
Dr. Gro Harlem Brundtland writes in a 2002 paper she presented to the XVIII European Congress of Perinatal Medicine, “There is an ongoing “epidemic” of cesarean sections in Asia and Latin America. This worldwide fad of obstetrical interventions may have a serious negative health impact on women. In contrast, the low rates observed in Africa reflect a lack of resources more than a consensus of providers. The commercial and litigation pressures that drive this ‘epidemic’ need to be countered.” Her medical metaphor notwithstanding, this is a serious wake-up call for women to be asking the question, “What is going on that this phenomenon of major surgery on women is happening on such a wide scale?”
We are here faced with the polar opposite extremes in birthing. Seemingly, if a woman has too little prenatal care and education regarding birthing (as in Africa) she may not have the access to a Cesarean when she truly needs it; and at the other end of the spectrum if a woman has enveloped herself in a system that relies too heavily on birthing technologies she may end up with an unnecessary Cesarean surgery. Other paradigms exist for birthing such as in Holland where every woman is provided with a midwife for her birth, and Brazil where the C-section rate tops 80 percent. Yet another microcosmic pocket of birth in the U.S. shows us that C-section rates can be achieved at below 2%.
Such are the ranges of Cesarean birthing experiences and corresponding women’s movements that will be explored alongside the politics of birth in this Birthquake research project.
Literary Review
In doing this project the literature drawn from is largely non-scholarly for the reason that I am prevailing upon the reader to think outside the box about birth. Most of the “scholarly” research that is available was written by doctors or nurses/nurse midwives who were trained in the medical model of birth. Since part of my premise is that the high rate of Cesarean sections is caused in part by viewing birth as a medical and therefore pathological event, and in part for its emergence as a capitalistic industry, it was then necessary to find literature written by people who have expertise in birthing though not from the traditional obstetrical/medical school approach.
During this stage, Erikson believes that the individual’s successful identity formation relies on social, cognitive and physical maturation (Pittman, Keiley, Kerpelman, & Vaughn, 2011). The individual tries out different roles for who they see in themselves and who they portray to others, eventually committing to their own personal role and occupational choice. Pittman et al. (2011) describe the identity formation as “consisting of decisions, investments, and commitments tied to current and future roles, goals, and relationships.” Additional considerations for identity formation include the context of the culture which is available to the adolescent during this time. After successful resolution of this stage during adolescence, individuals will typically progress into Erikson’s Intimacy versus Isolation stage during young
Reflection Paper 1 Timothy Jenkins CEP 215 New Mexico State University Upon viewing “More Business of Being Born” (Epstein, 2011), I learned a lot about the different pros and cons of Vaginal Birth After Cesarean (VBAC). Women are often deprived of the choice of the method of delivery of their children after they’ve previously had a cesarean birth. The cause of this is that there exists medical fright about a rupture of the uterus which often leads to the death of mother and baby (Epstein, 2011). In the mid twentieth century, it became common saying that “once a cesarean, always a cesarean” came about. This saying perpetrated the fear and understanding that women have to go about having another cesarean, depriving them of choice (Epstein, 2011).
The focus of this paper is to discuss the different characteristics of the two most effective methods of child births: Natural births and Cesarean section (C-section). Child birth includes labor and delivery; the entire process of passage from the womb, to the birth canal, to the outside world. Natural birth is a method of child birth in which medical interventions are minimal and the mother usually practices relaxation and breathing techniques to minimize pain during delivery. Cesarean section (c-section) is a method of birth which involves delivery through incisions in the abdominal walls and uterus. Natural births and C-sections both pose documented medical risks to the mother’s health including infections and other medical mishaps (Rowe- Murray 2002).
The term "reproductive rights" has become synonymous with abortion rights, birth control access, and issues surrounding reproductive technologies, yet the struggle for a woman's right to choose when and how to become pregnant often overshadows a woman's right to choose where and how to give birth. The lack of feminist discourse and activism surrounding issues of childbirth may attest to the hegemony in the modern American birth ritual of increasing medical intervention from obstetricians in hospital settings. There are currently several movements to challenge this dominant birth model--prepared childbirth advocates offer education classes and natural childbirth advocates lobby for the rights of midwives and home births--but I refrain from giving either of these movements a feminist label because neither are invested in challenging prevailing gender ideology or the equation of woman with motherhood. This paper will argue that a feminist discourse of childbirth is necessary by using a Foucauldian analysis to chart the current web of power and knowledge in the American hospital delivery room and how it works to deny agency to women in labor, alienating them from their experience. Recognizing that power and knowledge operate on a myriad of levels and tactics, including counter-tactics, I will not limit my focus to the dominant discourse of medical experts, but also explore what I call counter discourses of childbirth, particularly from the prepared childbirth and natural childbirth advocates. Within this discussion, I hope to offer suggestions on a feminist ethic of childbirth that reaffirms women's autonomy during labor, but does not limit them to prevailing codes o...
Biological influences combined with societal and social expectations contribute to how well people learn to adapt to their environments (2013). According to Erikson, there are eight stages of development. Within these states, there are different psychological, emotional and cognitive tasks. In order to adjust, individuals must learn to develop these tasks. During adolescence, Erikson states that each person needs to navigate through the development task of ‘‘Identity vs. Identity confusion ’’ (2013). He defined this task by stating that adolescent children must learn to develop a sense of self and establish independence. Prior to this stage of development, a person’s parents largely influence their identity. In this stage the adolescent children begin to explore and develop their identity outside of their parents’ influence (Hill, Bromell, Tyson, & Flint, 2007). Adolescents are generally more egocentric at this stage and have an increased sense of self-consciousness. They also have a strong desire to conform to peer influence and develop concerns regarding their appearance. They develop concern about their level of competence in relation to their peer group as well. As peer influence increases, during this stage, parental influence decreases (Ashford & LeCroy, 2013; Hill et. al, 2007). Conflict generally increases between parent and child at this stage of development (2007).
Birth is a normal, physiological process, in which a woman’s body naturally prepares to expel the fetus within. It has occurred since the beginning of time. Unfortunately, childbirth has gradually evolved into what it is today - a highly managed whirlwind of unwarranted interventions. Jennifer Block, a journalist with over twelve years experience, has devoted herself to raising awareness regarding the authenticity of the Americanized standard of care in obstetrics, while guiding others to discover the truth behind the medical approach to birth in this country. In her book, Pushed: The Painful Truth About Childbirth and Modern Maternity Care, Jennifer Block brings forth startling truths concerning this country’s management of birth.
After reading the book which mentions the maternal and neonatal situation in Mali, one of the poorest countries in the world, is pitiable. (1) Child birth takes place under lantern light, in Mud bricks with profuse sweating without electricity, no running water, no emergency backup. With only the grace of God and the skill of a midwife that child birth takes place in remote villages in the country of Mali, West Africa, having the third highest total fertility
Many women today are doing more C-sections, also known as cesarean, than they are natural. Whether the reasons being because it’s more convenient or that some moms did not really have a choice, the percentage is still growing. “The cesarean delivery rate increased from 26% to 36.5% between 2003 and 2009; 50.0% of the increase was attributable to an increase in primary cesarean delivery (National Partnership for Women & Families, 201.)” There are many things to consider when deciding which is the right or safer choice. With both choices comes risks for the baby like, possible respiratory problems with a C-section. The mom has many risks to worry about for herself as well, like possibly hemorrhaging. There is also the recovery and the long-term effects that a woman has to put into consideration. They both have their pros and cons that should not be taken lightly.
This is because only a small part of the population, particularly in developing countries, have access to water of acceptable quality. It is estimated that in some countries only 20% of the rural population has water of satisfactory quality. Based on these statistics, it is clear the urgent need for awareness about caring for water use. Almost without realizing it, we are seriously jeopardizing this essential resource, not for us but for our children's children and their generations, aware that in other parts o...
The first topic I would like discuss is when adolescents start to form their identities. Although this ma...
In 1945, the United States released a nuclear bomb that destroyed the city of Hiroshima. Nagasaki was also bombed. Thousands of people died and a quarter of a million more perished of radiation poisoning (“There Will Come Soft Rains (short story)”). With the development of nuclear weapons in the world the possibility of a nuclear war was a daily fear within people (“There Will Come Soft Rains (short story)”).
Cesarean birthing method can be voluntary as well as involuntary. When a cesarean is chosen in advance it is usually because the mother has a history of infection, which could be transmitted to the baby when it is delivered through the birth canal; the mother has severe to...
But currently the capability to use water to survive and live doesn’t apply to 20 percent of the 6.6 billion people on this planet. In addition there is another 40 percent of these people who aren’t able to keep their water clean due to the lack of sanitation facilities. Without good sanitation, germs and bacteria are bound to spread faster and deadlier. The water people drink in the third world countries are contaminated and they don’t even know about it sometimes. There are many people who live in the first and second world countries that don’t know how precious water is to the third world countries. Many people don’t understand the suffering someone has to go through when they are dehydrated or in need of water for p...
The Millennium Development Goal Report 2013 states that the progress towards achieving the target of reducing maternal mortality by two thirds between 1990 and 2015 significantly falls short of the set goal and the indices are still poor in the developing countries especially sub-Saharan Africa (United Nations, 2013). The People’s Health Movement (PHM), through its WHO Watch clearly identifies the huge omission of Traditional Birth Attendants (TBAs) in the WHO’s revised strategy on traditional medicine (PHM WHO Watch, 2013). The magnitude of this omission appears to be puzzling owing to the fact that in just about three decades ago the WHO aimed to reduce death of women associated with child bearing through the training of TBAs and promoted their integration into the orthodox health care system. The WHO calls for a collaborative effort in achieving the goal of reducing maternal deaths. Yet, one can insinuate that the TBAs are no longer seen as a resource to be harnessed by public health professionals in addressing the issues associated with childbearing (Langwick, 2011). The ‘friend or foe’ mentality can clearly be observed in a statement made by one of Nigeria’s chief leaders in the fight towards reducing maternal mortality published in Nigeria’s foremost editorial daily newspaper magazine, the Punch. He said that ‘it was no longer acceptable for women to give birth in TBA centres, TBAs were no longer required in labour and delivery because of the availability of enough trained or skilled personnel, and he promised to jail any TBA involved in a maternal death’ (Punch, 2013). As such, it is important for us to critically analyse and evaluate the relevance of TBAs in promoting health from a contemporary global health perspective. I...
Many people around the world need water. Around 780 million people are unable to get clean water (One Billion Affected). People who do have access to clean water in their homes, have to pay a fee. The people who struggle to live obviously do not have enough money to buy water. People who are unable to have clean water have a good chance of dying either from disease or from dehydration. At least 3.4 million people die a year from water problems such as sanitation (One Billion Affected).