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E-raamat: Caesarean: Just Another Way of Birth?

(University of Edinburgh, UK)
  • Formaat: EPUB+DRM
  • Ilmumisaeg: 21-May-2007
  • Kirjastus: Routledge
  • Keel: eng
  • ISBN-13: 9781134144792
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Caesarean: Just Another Way of Birth?Suurem pilt
  • Formaat: EPUB+DRM
  • Ilmumisaeg: 21-May-2007
  • Kirjastus: Routledge
  • Keel: eng
  • ISBN-13: 9781134144792
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This book critically analyzes the place of caesarean in childbearing at the beginning of the twenty first century. It questions the changes that are taking place in childbirth and, in particular, the effects and implications of an increase in caesarean births.

This controversial work by a practising midwife and researcher, includes discussion of:

  • the context of the operation and description of it
  • health systems around the world and their caesarean incidence rates
  • decision-making and cultural/medical constraints
  • the short and long term implications of caesarean for baby and mother.

Using up-to-date research, Rosemary Mander bases her argument on a firm evidence-base and argues that the rapidly rising caesarean section rate may not be for the benefit of either the woman giving birth or her baby. Rather, the beneficiaries may actually be those professionals whose investment is in extending the range of their influence and thus increasing the medicalization of normal life.

Arvustused

"A meticulous and exhaustively referenced studyRosemary Mander tackles evidence from randomised controlled trials as well as legend, myth and fiction, and throughout her book places the discussion surrounding Caesareans in a social context. This makes for a fascinating read." -- Sheila Kitzinger, birth activist and midwife

"A short review cannot do justice to the book's richness, precision, and compassion. Rosemary Mander combines attention to language, meticulous organization of each topic, knowledge of medical issues, and critiques of available research and research methodology with a positive view of the benefits of midwifery and an accurate perception of women's rights and needs, among them comfort, appropriate care, attention to the whole picture, and truly informed consent. Implicit in the text is a plea for practitioners to reorient their studies, attitudes, and practice so as to meet those crucial needs." -- Jane Pincus, Co-Author of Our Bodies Ourselves, Birth, Vol. 35, No. 1, March 2008

Acknowledgements ix
Introduction 1
1 'The game of the name' 4
1 Beginnings
4
1.1 Terminology
4
1.2 History
6
1.3 Changes in caesarean rates
11
1.4 The significance of caesarean
13
1.5 Conclusion
17
2 What are the questions and who's using the answers? Research into caesarean 18
2.1 A 'health warning'
18
2.2 Randomised Controlled Trials and Evidence-Based Practice
19
2.3 Research ethics and caesarean
21
2.4 The origins of caesarean research
23
2.5 Research topics
26
2.6 Areas yet to be researched
35
2.7 Conclusion
36
3 The caesarean operation — issues and debates 38
3.1 Time factors
38
3.2 Indications for performing a caesarean
42
3.3 Surgery-related issues
46
3.4 Conclusion
56
4 International matters 57
4.1 International background
57
4.2 Comparisons between countries
63
4.3 Discussion – a UK perspective of the international issues
75
4.4 Conclusion
80
5 Caesarean decision making – who's choosing the choices? 81
5.1 Dynamics of decision making
81
5.2 Clinical, interpersonal and individual decision making
82
5.3 Maternal choice/request/demand for caesarean
99
5.4 Other factors influencing the caesarean decision
104
5.5 Non-consensual caesarean
109
5.6 Higher order decisions
111
5.7 Conclusion
113
6 The immediate implications of caesarean 114
6.1 The implications for the woman
114
6.2 The implications for the baby
126
6.3 Mother and baby
129
6.4 Maternal mortality
130
6.5 Iatrogenesis
131
6.6 Conclusion
134
7 The long-term implications of caesarean 135
7.1 Implications for the woman
136
7.2 Implications for the baby
147
7.3 Implications for others
149
7.4 Consumer groups
153
7.5 Conclusion
154
8 The significance of trial of labour and VBAC (vaginal birth after caesarean) 156
8.1 Words and the woman
156
8.2 Research matters
159
8.3 Health issues
164
8.4 The significance of safety
167
8.5 Conclusion
171
9 Conclusion 173
9.1 The status of caesarean
173
9.2 Long-term developmental views of caesarean
174
9.3 Medicalisation and women
176
9.4 Risk
179
References 180
Index 205


Rosemary Mander is Professor of Midwifery at the University of Edinburgh, Scotland. She is both a practising midwife and an active midwifery researcher.
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