In this book, we make space to interrogate obstetric violence; from its historical and legal roots and contemporary realities, to responses of advocacy and resistance. Through the lens of obstetric violence, we are able to see overlap in structural vulnerability across continents as well as recognize the ways in which obstetric violence is symptomatic of larger global problems including systemic injustices related to reproductive health. Combining the perspectives of care providers, birthing people, advocates and researchers, our volume seeks to include both a systematic and structural understanding of obstetric violence. We bring together diverse voices, from practitioners, to activists, to academics, and provide a global perspective on obstetric violence with research from around the world, including indigenous communities from North America (Canada and Hawaii), examples from Latin American and Caribbean countries as well as country-specific cases from Argentina, Australia, Egypt, Mexico, Portugal, and the United States. The range of disciplinary perspectives and global experiences presented in this book demonstrates that obstetric violence is neither bound to one discipline, nor site specific. Together the chapters of this volume work to understand obstetric violence, moving beyond static definitions towards a spectrum of lived experiences that highlight three main areas: Legislation and Policy, Experiencing Obstetric Violence, and Advocacy, Resistance and Reframing. The time for a global recognition of obstetric violence &– of the larger structural forces embedded in systems that cross cultures and violate bodies in acutely vulnerable life moments &– is now. By naming it and saying it out loud we recognize obstetric violence exists and can together begin the process of systemic change necessary to prevent it.

This book is inspired by a statement released by the World Health Organization directed at preventing and eliminating disrespectful and abusive treatment during facility-based childbirth. Exploring the nature of vulnerability during childbirth, and the factors which make childbirth a site for violence and control, the book looks at the role of law in the regulation of professional intervention in childbirth. The WHO statement and other published work on ‘mistreatment’, ‘obstetric violence’, ‘birth trauma’, ‘birth rape’, and ‘dehumanised care’ all point to the presence of vulnerability, violence, and control in childbirth. This collected edition explores these issues in the experience of those giving birth, and for those providing obstetric services. It further offers insights regarding legal avenues of redress in the context of this emerging area of concern. Using violence, vulnerability, and control as a lens through which to consider multiple facets of the law, the book brings together innovative research from an interdisciplinary selection of authors. The book will appeal to scholars of law and legal academics, specifically in relation to tort, criminal law, medical law, and human rights. It will also be of interest to postgraduate scholars of medical ethics and those concerned with gender studies more broadly.

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.

This up-to-date, comprehensive and consolidated guideline on essential intrapartum care brings together new and existing WHO recommendations that, when delivered as a package, will ensure good-quality and evidence-based care irrespective of the setting or level of health care. The recommendations presented in this guideline are neither country nor region specific and acknowledge the variations that exist globally as to the level of available health services within and between countries. The guideline highlights the importance of woman-centered care to optimize the experience of labor and childbirth for women and their babies through a holistic, human rights-based approach. It introduces a global model of intrapartum care, which takes into account the complexity and diverse nature of prevailing models of care and contemporary practice. The recommendations in this guideline are intended to inform the development of relevant national- and local-level health policies and clinical protocols. Therefore, the target audience includes national and local public health policy-makers, implementers and managers of maternal and child health programs, health care facility managers, nongovernmental organizations (NGOs), professional societies involved in the planning and management of maternal and child health services, health care professionals (including nurses, midwives, general medical practitioners and obstetricians) and academic staff involved in training health care professionals.

Bodies that Birth puts birthing bodies at the centre of questions about contemporary birth politics, power, and agency. Arguing that the fleshy and embodied aspects of birth have been largely silenced in social science scholarship, Rachelle Chadwick uses an array of birth stories, from diverse race-class demographics, to explore the narrative entanglements between flesh, power, and sociomateriality in relation to birth. Adopting a unique theoretical framework incorporating new materialism, feminist theory, and a Foucauldian ‘analytics of power’, the book aims to trace and trouble taken-for-granted assumptions about birthing bodies. Through a diffractive and dialogical approach, the analysis highlights the interplay between corporeality, power, and ideologies in the making of birth narratives across a range of intersectional differences. The book shows that there is no singular birthing body apart from sociomaterial relations of power. Instead, birthing bodies are uncertain zones or unpredictable assortments of physiology, flesh, sociomateriality, discourse, and affective flows. At the same time, birthing bodies are located within intra-acting fields of power relations, including biomedicine, racialized patriarchy, socioeconomics, and geopolitics. Bodies that Birth brings the voices of women from different sociomaterial positions into conversation. Ultimately, the book explores how attending to birthing bodies can vitalize global birth politics by listening to what matters to women in relation to birth. This is fascinating reading for researchers, academics, and students from across the social sciences.

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.

Obstetric Medicine, the first title in a new Oxford Specialist Handbooks series covering Obstetrics and Gynaecology, contains relevant, accessible, and focused information to help both general physicians to manage medical conditions during pregnancy, and the specialist obstetrician manage general medicine in the pregnant patient. Pregnant women regularly present with medical problems to many different medical specialties, and as their physiology is changed by the pregnancy, so too is the way in which many chronic illnesses behave. There are also differences in which drugs or investigations may be appropriate during pregnancy. This new specialist handbook provides a comprehensive overview of medical conditions in the pregnant patient, and covers the syllabus for both the RCOG Advanced Training Skills Module (ATSM) and the maternal medicine for obstetric trainees. Filled with links to national and international guidelines, expert advice, and evidence-based management strategies for a range of acute and chronic conditions that can occur in the pregnant woman, this handbook is an essential new addition to the literature for all physicians who work with pregnant patients in their practice.