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For the first time ever in a social science work, obstetricians tell their own stories of training, practice, fear, and transformation in this the first of the 3-volume series The Anthropology of Obstetrics and Obstetricians: The Practice, Maintenance, and Reproduction of a Biomedical Profession. These stories range from those of abortion providers to those of maternal-fetal medicine specialists. Several chapters tell the stories of obstetricians who have made paradigm shifts from technocratic to humanistic practices, the benefits and joys of these paradigm shifts, and the ostracism, bullying, and outright persecution these humanistic obstetricians have suffered. This book is a must-read for students, social scientists, and all maternity care practitioners who seek to understand the ideologies and motives of individual obstetricians. An excerpt from Kathleen Hanlon-Lundberg’s chapter: Largely maligned in reproductive anthropological literature as callous—if not brutal—self-serving effectors of the over-medicalization of childbirth, most obstetricians whom I know and have worked with are devoted to providing respectful, individualized care to their patients.
Most people have visited a doctor's office or emergency room in their lifetime to gain clarity about an ailment or check in after a procedure. While doctors strive to ensure their patients understand their diagnoses, rarely do those outside the medical community understand the words and phrases we hear practitioners yell across a hospital hallway or murmur to a colleague behind office doors. Doctors and nurses use a kind of secret language, comprised of words unlikely to be found in a medical textbook or heard on television. In The Secret Language of Doctors, Dr. Brian Goldman decodes those code words for the average patient. What does it mean when a patient has the symptoms of "incarceritis"? What are "blocking" and "turfing"? And why do you never want to be diagnosed with a "horrendoma"? Dr. Goldman reveals the meaning behind the colorful and secret expressions doctors use to describe difficult patients, situations, and medical conditions—including those they don't want you to know. Gain profound insight into what doctors really think about patients in this funny and biting examination of modern medical culture.
What Do I Say? Communicating Intended or Unanticipated Outcomes in Obstetrics will help physicians and other health care professionals improve their communication skills with patients and their family members. Written by James R. Woods, a perinatologist, and Fay A. Rozovsky, an attorney, risk management consultant, and authority on informed consent, What Do I Say? explores how to explain risk to patients, how to obtain patient consent, and how to talk with patients when adverse events occur. What Do I Say? is a comprehensive book that Explains consent as a foundation of the caregiver-patient relationship Explains the legal context for disclosing bad news Outlines the practical issues associated with OB consent In addition to the information, research, and practical advice contained in this helpful volume, What Do I Say? is filled with useful case examples that can prepare physicians and other health care professionals for handling communications in potentially high-risk situations.
Volume 2 in this landmark 3-volume series The Anthropology of Obstetrics and Obstetricians: The Practice, Maintenance, and Reproduction of a Biomedical Profession looks at cognition, risk, and responsibility in obstetrics. This volume contains social science analyses of Swiss, Chilean, Mexican, US, Greek, and Irish obstetrics and obstetricians, particularly around their reasons for the overuse of cesareans; a chapter on "4 Stages of Cognition" and a condition called "Substage," which describes how these concepts apply to obstetricians; and a chapter on why obstetricians fear home birth. This book is a must-read for students, social scientists, and all maternity care practitioners who seek to understand obstetricians' differing ideologies and motives for practicing as they do. An excerpt from Vania Smith-Oka and Lydia Dixon's chapter: For systemic changes to occur, we must understand doctors’ decision-making rationales and take their fear-based perspectives about risk and responsibility into account, while also paying attention to the concerns raised by scholars and activists.
The final volume in this landmark 3-volume series The Anthropology of Obstetrics and Obstetricians: The Practice, Maintenance, and Reproduction of a Biomedical Profession looks at the challenges, and even violence, that obstetricians face across the world. Part I of this volume addresses obstetric violence and systemic racial, ethnic, gendered, and socio-structural disparities in obstetricians’ practices in the Dominican Republic, Mexico, Peru, and the US. Part II addresses decolonizing and humanizing obstetric training and practice in the UK, Russia, Brazil, New Zealand, and the US. Part 3 presents the ethnographic challenges that the chapter authors in Volumes II and III of this series faced in finding, surveying, interviewing, and observing obstetricians in various countries. This book is a must-read for students, social scientists, and all maternity care practitioners who seek to understand the diverse challenges that obstetricians must overcome. An excerpt: In our Series Overview in Volume 1, we asked the question, “Can a book create a field?” and answered that question with a resounding “Yes!” ... For us, the official creation of the field of the Anthropology of Obstetrics and Obstetricians has taken not one, but the 3 volumes that constitute this Book Series.
This contributed volume explores flexible, adaptable, and sustainable solutions to the shockingly high costs of birth across the globe. It presents innovative and collaborative maternity care practices and policies that are intersectional, human rights-based, transdisciplinary, science-driven, and community-based. Each chapter describes participatory and midwifery-oriented care that helps improve maternal and newborn outcomes within minoritized populations. The featured case studies respond to resource constraints and inequities of access by transforming relations between providers and families or by creating more egalitarian relations among diverse providers such as midwives, obstetricians, and nurses that minimize inefficient hierarchies within maternity care. The authors build on a growing awareness that quality and respectful midwifery care has lower costs and improved outcomes for child bearers, newborns, and providers. Topics include: Sustainable collaborations including transfers of care among midwives and obstetricians in India, The Netherlands, Germany, United Kingdom, and Denmark Midwifery-oriented, femifocal, indigenous, and inclusive models of care that counter obstetric violence and gender stereotypes in Mexico, Chile, Guatemala, Argentina, and India Doula care and midwifery care for women of color, previously incarcerated women, indigenous women, and other minoritized groups in the global north and south Practices and metrics for improving quality of newborn and maternal care as well as maternal and newborn outcomes in disruptive times and disaster settings Sustainable Birth in Disruptive Times is an essential and timely resource for providers, policy makers, students, and activists with interests in maternity care, midwifery, medical anthropology, maternal health, newborn health, obstetrics, childbirth, medicine, and global health in disruptive times.