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Scholars turn to reproduction for its ability to illuminate the practices involved with negotiating personhood for the unborn, the newborn, and the already-existing family members, community members, and the nation. The scholarship in this volume draws attention to doula work as intimate and relational while highlighting the way boundaries are created, maintained, challenged, and transformed. Intimate labour as a theoretical construct provides a way to think about the kind of care doulas offer women across the reproductive spectrum. Doulas negotiate boundaries and often blur the divisions between communities and across public and private spheres in their practice of intimate labour. This book weaves together three main threads: doulas and mothers, doulas and their community, and finally, doulas and institutions. The lived experience of doulas illustrates the interlacing relationships among all three of these threads. The essays in this collection offer a unique perspective on doulas by bringing together voices that represent the full spectrum of doula work, including the viewpoints of birth, postpartum, abortion, community based, adoption, prison, and radical doulas. We privilege this broad representation of doula experiences to emphasize the importance of a multi-vocal framing of the doula experience. As doulas move between worlds and learn to live in liminal spaces, they occupy space that allows them to generate new cultural narratives about birthing bodies.
There is a global crisis in maternal health care for black women. In the United States, black women are over three times more likely to perish from pregnancy-related complications than white women; their babies are half as likely to survive the first year. Many black women experience policing, coercion, and disempowerment during pregnancy and childbirth and are disconnected from alternative birthing traditions. This book places black women's voices at the center of the debate on what should be done to fix the broken maternity system and foregrounds black women's agency in the emerging birth justice movement. Mixing scholarly, activist, and personal perspectives, the book shows readers how they too can change lives, one birth at a time.
More and more parents-to-be all over the world are choosing the comfort and reassuring support of birth with a trained labor companion called a "doula." This warm, authoritative, and irreplaceable guide completely updates the authors' earlier book, Mothering the Mother, and adds much new and important research. In addition to basic advice on finding and working with a doula, the authors show how a doula reduces the need for cesarean section, shortens the length of labor, decreases the pain medication required, and enhances bonding and breast feeding. The authors, world-renowned authorities on childbirth with combined experience of over 100 years working with laboring women, have made their book indispensable to every woman who wants the healthiest, safest, and most joyful possible birth experience.
Weaving together how-to manual, activist memoir, and manifesto, The Doulas is an “honest, raw, and charged” treatise on full-spectrum doula care. (Rewire) As more feminist conversation migrates online, the activist providers of the Doula Project remain focused on life’s physically intimate relationships: between caregivers and patients, parents and pregnancy, individuals and their own bodies. They are committed to supporting a pregnancy no matter the outcome—whether it results in birth, abortion, miscarriage, or adoption—and to facing the question of choice head-on. In this eye-opening book, Doula Project founders Mary Mahoney and Lauren Mitchell present the history, philosophy, and practices of these caregivers, contextualizing the doula movement within the larger scope of pregnancy care and reproductive rights. They illustrate how, through their unique hands-on activism, full-spectrum doulas provide tangible support for those confronting life, death, and the sticky in-between.
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.
Birth Ambassadors documents the social history of the emergence of doula care in the United States. What are doulas and where did they come from? Why do women become doulas? What does it mean to be a doula? Birth Ambassadors is the only book to fully answer these questions by connecting narrative accounts with critical sociological analysis of the dilemmas and issues embodied in doula history and practice. Based on historical research and interviews with currently practicing doulas and leaders in the field, Birth Ambassadors argues that the doula role is underpinned by ideological commitments to several overlapping and, at times, conflicting ideas around childbirth. These include an understanding of pregnancy and birth from the midwifery model, a belief in women's right to make informed choices regarding their health care, the need for patient/consumer advocacy and unconditional emotional support for women's choices about their births. Birth Ambassadors explores how this constellation of beliefs within doula practice represents an innovative yet problematic response within the maternity reform movement to empower women during and after childbirth. Doulas are ambassadors to the world of birth, highlighting women's emotional experience of birth in settings where beliefs and practices of the participants (the woman, her family, the nurses, midwives and obstetricians) are sometimes in conflict. For doulas to fulfill their goal of entering mainstream maternity care, they and their organizations face critical challenges.
This is an open access title available under the terms of a CC BY-NC-ND 4.0 International license. It is free to read at Oxford Academic and offered as a free PDF download from OUP and selected open access locations. Since publishing The Practical Playbook II, there has been growing recognition of increased maternal deaths and poor maternal health outcomes disproportionately impacting Black, Indigenous, People of Color in the United States. Practitioners are often unaware or unequipped to understand the inequities faced by historically marginalized populations in maternal health care. The Practical Playbook III is a guide for researchers, community activists, and advocates of maternal health offering practical tools and strategies to improve inequities in maternal health. This third edition aims to describe the need and opportunities for improving maternal health through multi-sector collaborations. It highlights examples of effective cross-sector partnerships that are making real improvements in health outcomes for maternal health populations and offers practical tools and strategies for practitioners working in this space. Other features include: · Examples of multidisciplinary partnerships that leverage new ideas and resources, including innovative approaches to gathering and using data · Policies and practices that are improving the health and well-being of birthing people and children across the country · Strategies for scaling up and sustaining successful coalitions and programs · Existing or promising tools and strategies to improve maternal health in the future The Practical Playbook III brings together voices of experience and authority to answer the most challenging questions in maternal health and provide concrete steps for maternal stakeholders to improve maternal health outcomes.
Here is your guide to the fastest-growing trend in childbirth—a tradition as old as motherhood itself. Doulas, or professional labor assistants, have led thousands of expectant women through the birthing process in a way that’s safe and meaningful, and that creates the birth and postbirth experience all mothers long for. What exactly do doulas do? How to find one that suits you. What are the “trade secrets” only doulas know but every woman should be aware of (even if you don’t have a doula)? In The Doula Guide to Birth, senior-level doula Ananda Lowe and award-winning health reporter Rachel Zimmerman have written a most comprehensive book that draws on the wisdom of these skilled experts, whose experience with doctors, midwives, nurses, and hospitals makes them invaluable advocates before, during, and after birth. * Labor techniques anyone can use * Pain medication: do you, don’t you—and when? * What dads and loved ones need and can do best * When should you really go to the hospital in labor? * How to prepare for unexpected medical procedures, including cesareans and epidural * Postpartum—what it’s really like * A clip-out chart of labor techniques, birth plan worksheets, and much more Combining science, wit, warmth, and support, as well as the inspirational stories of dozens of mothers and their partners, you’ll find the “doula viewpoint” on every major pregnancy and delivery issue, making this one of the most important childbirth books you’ll ever read and recommend.