The delivery of high quality and equitable care for both mothers and newborns is complex and requires efforts across many sectors. The United States spends more on childbirth than any other country in the world, yet outcomes are worse than other high-resource countries, and even worse for Black and Native American women. There are a variety of factors that influence childbirth, including social determinants such as income, educational levels, access to care, financing, transportation, structural racism and geographic variability in birth settings. It is important to reevaluate the United States' approach to maternal and newborn care through the lens of these factors across multiple disciplines. Birth Settings in America: Outcomes, Quality, Access, and Choice reviews and evaluates maternal and newborn care in the United States, the epidemiology of social and clinical risks in pregnancy and childbirth, birth settings research, and access to and choice of birth settings.

Prenatal care programs have proven effective in improving birth outcomes and preventing low birthweight. Yet over one-fourth of all pregnant women in the United States do not begin prenatal care in the first 3 months of pregnancy, and for some groupsâ€"such as black teenagersâ€"participation in prenatal care is declining. To find out why, the authors studied 30 prenatal care programs and analyzed surveys of mothers who did not seek prenatal care. This new book reports their findings and offers specific recommendations for improving the nation's maternity system and increasing the use of prenatal care programs.

This book centers on negotiations around cultural, governmental, and individual constructions of COVID-19. It considers how the coronavirus pandemic has been negotiated in different cultures and countries, with the final part of the volume focusing on South Asia and Pakistan in particular. The chapters include auto-ethnographic accounts and ethnographic explorations that reflect upon experiences of living with the pandemic and its implications for all areas of life. The book explicates people’s dealings with COVID-19 at various levels, situates the spread of rumors, conspiracy theories, and new social rituals within micro- and/or macro-contexts, and describes the interplay between the virus and various institutionalized forms of inequalities and structural vulnerabilities. Bringing together a variety of perspectives, the volume relates to the past, describes the Covidian present, and offers futuristic implications. It enlists distinct imaginaries based on current understandings of an extraordinary challenge that holds significant importance for our human future.

The word “mother” traditionally meant a woman who bears and nurtures a child. In recent decades, changes in social norms and public policy as well as advances in reproductive technologies and the development of markets for procreation and care have radically expanded definitions of motherhood. But while maternity has become a matter of choice for more women, the freedom to make reproductive decisions is unevenly distributed. Restrictive policies, socioeconomic disadvantages, cultural mores, and discrimination force some women into motherhood and prevent others from caring for their children. Reassembling Motherhood brings together contributors from across the disciplines to consider the transformation of motherhood as both an identity and a role. It examines how the processes of bearing and rearing a child are being restructured as reproductive labor and care work change around the globe. The authors examine issues such as artificial reproductive technologies, surrogacy, fetal ultrasounds, adoption, nonparental care, and the legal status of kinship, showing how complex chains of procreation and childcare have simultaneously generated greater liberty and new forms of constraint. Emphasizing the tension between the liberalization of procreation and care on the one hand, and the limits to their democratization due to race, class, and global inequality on the other, the book highlights debates that have emerged as these multifaceted changes have led to both the fragmentation and reassembling of motherhood.

This 1999 book presents a variety of exciting perspectives on the perception of risk and the strategies that people adopt to cope with it. Using the framework of recent social and cultural theory, it reflects the fact that risk has become integral to contemporary understandings of selfhood, the body and social relations, and is central to the work of writers such as Douglas, Beck, Giddens and the Foucauldian theorists. The contributors are all leading scholars in the fields of sociology, cultural and media studies and cultural anthropology. Combining empirical analyses with metatheoretical critiques, they tackle an unusually diverse range of topics including drug use, risk in the workplace, fear of crime and the media, risk and pregnant embodiment, the social construction of danger in childhood, anxieties about national identity, the governmental uses of risk and the relationship between risk phenomena and social order.

The evidence surrounding the skills and approaches to support good birth has grown exponentially over the last two decades, but so too have the obstacles facing women and midwives who strive to achieve good birth. This new book critically explores the complex issues surrounding contemporary childbirth practices in a climate which is ever more medicalised amidst greater insecurity at broad social and political levels. The authors offer a rigorous, and thought-provoking, analysis of current clinical, managerial and policy-making environments, and how they have prevented sustaining the kind of progress we need. The Politics of Maternity explores the most hopeful developments such as the abundant evidence for one-to-one care for women, and sets these accounts against the background of changes in health service organisation and provision that block these approaches from becoming an everyday occurrence for women giving birth. The book sets out the case for renewed attention to the politics of childbirth and what this politics must entail if we are to give birth back to women. Designed to help professionals cope with the transition from education to the reality of the system within which they learn and practise, this inspiring book will help to assist them to function and care effectively in a changing health care environment.

Preceded by Culture care diversity and universality: a worldwide nursing theory / [edited by] Madeleine M. Leininger, Marilyn R. McFarland. 2nd ed. c2006.