A generation has passed since a physician first noticed that women who drank heavily while pregnant gave birth to underweight infants with disturbing tell-tale characteristics. Women whose own mothers enjoyed martinis while pregnant now lost sleep over a bowl of rum raisin ice cream. In Message in a Bottle, Janet Golden charts the course of Fetal Alcohol Syndrome (FAS) through the courts, media, medical establishment, and public imagination.
Long considered harmless during pregnancy (doctors even administered it intravenously during labor), alcohol, when consumed by pregnant women, increasingly appeared to be a potent teratogen and a pressing public health concern. Some clinicians recommended that women simply moderate alcohol consumption; others, however, claimed that there was no demonstrably safe level for a developing fetus, and called for complete abstinence. Even as the diagnosis gained acceptance and labels appeared on alcoholic beverages warning pregnant women of the danger, FAS began to be de-medicalized in some settings. More and more, FAS emerged in court cases as a viable defense for people charged with serious, even capital, crimes and their claims were rejected.
Golden argues that the reaction to FAS was shaped by the struggle over women's relatively new abortion rights and the escalating media frenzy over "crack" babies. It was increasingly used as evidence of the moral decay found within marginalized communities--from inner-city neighborhoods to Indian reservations. With each reframing, FAS became a currency traded by politicians and political commentators, lawyers, public health professionals, and advocates for underrepresented minorities, each pursuing separate aims.
Childbirth is a quintessential family event that simultaneously holds great promise and runs the risk of danger. By the late nineteenth century, the birthing room had become a place where the goals of the new scientific professional could be demonstrated, but where traditional female knowledge was in conflict with the new ways. Here the choice of attendants and their practices defined gender, ethnicity, class, and the role of the professional.
Using the methodology of social science theory, particularly quantitative statistical analysis and historical demography, Charlotte Borst examines the effect of gender, culture, and class on the transition to physician-attended childbirth. Earlier studies have focused on physician opposition to midwifery, devoting little attention to the training for and actual practice of midwifery. As a result, until now we knew little about the actual conditions of the midwife's education and practice.
Catching Babies is the first study to examine the move to physician-attended birth within the context of a particular community. It focuses on four representative counties in Wisconsin to study both midwives and physicians within the context of their community. Borst finds that midwives were not pushed out of practice by elitist or misogynist obstetricians. Instead, their traditional, artisanal skills ceased to be valued by a society that had come to embrace the model of disinterested, professional science. The community that had previously hired midwives turned to physicians who shared ethnic and cultural values with the very midwives they replaced.
Women seeking to express concerns about childbirth or to challenge institutionalized medicine by writing online birth plans or birth stories exercise rhetorical agency in undeniably feminist ways. In Writing Childbirth: Women’s Rhetorical Agency in Labor and Online, author Kim Hensley Owens explores how women create and use everyday rhetorics in planning for, experiencing, and writing about childbirth.
Drawing on medical texts, popular advice books, and online birth plans and birth stories, as well as the results of a childbirth writing survey, Owens considers how women’s agency in childbirth is sanctioned, and how it is not. She examines how women’s rhetorical choices in writing interact with institutionalized medicine and societal norms. Writing Childbirth reveals the contradictory messages women receive about childbirth, their conflicting expectations about it, and how writing and technology contribute to and reconcile these messages and expectations.
Demonstrating the value of extending rhetorical investigations of health and medicine beyond patient-physician interactions and the discourse of physicians, Writing Childbirth offers fresh insight into feminist rhetorical agency and technology and expands our understanding of the rhetorics of health and medicine.
In 1859 a Hungarian obstetrician named Ignaz Semmelweis, reflecting on his years as resident in the Vienna maternity clinic, wrote a graphic account of his attempt to diagnose and eliminate the then epidemic scourge of childbed fever. The resulting Etiology triggered an immediate and international squall of protest from Semmelweis’s colleagues; today it is recognized as a pioneering classic of medical history. Now, for the first time in many years, Codell Carter makes that classic available to the English-speaking reader in this vivid translation of the 1861 original, augmented by footnotes and an explanatory introduction. For students and scholars of medical history and philosophy, obstetrics and women’s studies, the accessibility of this moving and revolutionary work, important both as an historical document and as a groundbreaking precursor of modern medical theory, is long overdue.
Semmelweis’s exposure to the childbed fever was concurrent with his appointment to the Vienna maternity hospital in 1846. Like many similar hospitals and clinics in the major cities of nineteenth-century Europe and America, where death rates from the illness sometimes climbed as high as 40 percent of admitted patients, the Viennese wards were ravaged by the fever. Intensely troubled by the tragic and baffling loss of so many young mothers, Semmelweis sought answers. The Etiology was testimony to his success. Based on overwhelming personal evidence, it constituted a classic description of a disease, its causes, and its prevention. It also allowed a necessary response to the obstetrician’s already vocal, rabid, and perhaps predictable critics. For Semmelweis’s central thesis was a startling one - the fever, he correctly surmised, was caused not by epidemic or endemic influences but by unsterilized and thus often contaminated hands of the attending physicians themselves.
Carter’s translation of this radical work, judiciously abridged and extensively footnoted, captures all the drama and impassioned conviction of the original. Complementing this translation is a lucid introduction that places Semmelweis’s Etiology in historical perspective and clarifies its contemporary value. That value, Carter argues, is considerable. Important as a model of clinical analysis and as a chronicle of early nineteenth-century obstetrical practices, the Etiology is also a revolutionary polemic in its innovative doctrine of antisepsis and in its unique etiological explanation of disease. As such its recognition and reclamation allows a crucial understanding, one that clarifies the roots and theory of modern medicine and ultimately redeems and important, resolute, pathfinder.
Having a baby is surely one of the pinnacle events of a woman's life, full of joy, serenity, and contentment--or so society tells a new mother, who thus finds herself ill-prepared for the exhaustion, boredom, and isolation that can follow childbirth. The resulting depression--how it is experienced, and how it might be relieved--is the subject of Natasha Mauthner's insightful and compassionate book, which recounts the stories of new mothers caught between a cultural ideal and a far more complex reality.
In Mauthner's interviews with thirty-five new mothers in Britain and America, we see how women contend with images of motherhood as a state of bliss for everyone but themselves. The British women tend to view their depression as a personal failure of strength; American women, as a result of hormonal fluctuation. But all vividly describe a similar state of paralysis and loneliness, with alternating love, resentment, and guilt toward their babies.
Most usefully, these women reveal the positive impact that other new mothers had on their depression. Far more important than their own family's support or understanding, the sense of not being alone in their trials emerges as a key source of strength and healing for women struggling with postpartum depression.
With the increasing demand for midwives, activists are lobbying to loosen restrictions that deny legal access to homebirth options. In Pushing for Midwives, Christa Craven presents a nuanced history of women’s reproductive rights activism in the U.S. She also provides an examination of contemporary organizing strategies for reproductive rights in an era increasingly driven by “consumer rights.”
An historical and ethnographic case study of grassroots organizing, Pushing for Midwives is an in-depth look at the strategies, successes, and challenges facing midwifery activists in Virginia. Craven examines how decades-old race and class prejudices against midwives continue to impact opposition to—as well as divisions within—women’s contemporary legislative efforts for midwives. By placing the midwifery struggle within a broader reproductive rights context, Pushing for Midwives encourages activists to reconsider how certain political strategies have the potential to divide women. This reflection is crucial in the wake of neoliberal political-economic shifts that have prioritized the rights of consumers over those of citizens—particularly if activists hope to maintain their commitment to expanding reproductive rights for all women.
In the late nineteenth century, Japan's modernizing quest for empire transformed midwifery into a new woman's profession. With the rise of Japanese immigration to the United States, Japanese midwives (sanba) served as cultural brokers as well as birth attendants for Issei women. They actively participated in the creation of Japanese American community and culture as preservers of Japanese birthing customs and agents of cultural change.
Japanese American Midwives reveals the dynamic relationship between this welfare state and the history of women and health. Susan L. Smith blends midwives' individual stories with astute analysis to demonstrate the impossibility of clearly separating domestic policy from foreign policy, public health from racial politics, medical care from women's caregiving, and the history of women and health from national and international politics. By setting the history of Japanese American midwives in this larger context, Smith reveals little-known ethnic, racial, and regional aspects of women's history and the history of medicine.
Arguing that the state must meet strict conditions to justify interfering in at-risk pregnancies, Deborah Mathieu examines the legal and ethical concerns that arise when governments mandate the behavior of pregnant women. She explores both the pregnant woman's right to decide what happens to her body and the future child's right to be protected from avoidable damage. Mathieu addresses such topics as reproductive hazards in the workplace, mandated fetal therapy, forced lifestyle changes for pregnant women, and the future child's right to sue for lack of prenatal care. The controversy raises key issues of rights, duties, and the scope of legitimate state action, thus posing fundamental challenges to the fields of medicine, biomedical ethics, law, and public policy.
This edition has been completely updated and expanded. Mathieu presents new arguments for acceptable types of state intervention and provides specific examples. This edition also incorporates recent court decisions, especially cases involving substance abuse. The book includes both an updated bibliography and an updated reference list of relevant court cases.
Margaret Charles Smith, a ninety-one-year-old Alabama midwife, has thousands of birthing stories to tell. Sifting through nearly five decades of providing care for women in rural Greene County, she relates the tales that capture the life-and-death struggle of the birthing experience and the traditions, pharmacopeia, and spiritual attitudes that influenced her practice. She debunks images of the complacent southern “granny” midwife and honors the determination, talent, and complexity of midwifery.
Fascinating to read, this book is part of the new genre of writing that recognizes the credibility of midwives who have emerged from their own communities and were educated through apprenticeship and personal experience. Past descriptions of southern black midwives have tended to denigrate their work in comparison with professional established medicine. Believed to be the oldest living (though retired) traditional African American midwife in Alabama, Smith is one of the few who can recount old-time birthing ways. Despite claims that midwives contributed to high infant mortality rates, Smith’s story emphasizes midwives' successes in facing medical challenges and emergencies.
The World Health Organization is currently promoting a policy of replacing traditional or lay midwives in countries around the world. As part of an effort to record the knowledge of local midwives before it is lost, Midwives and Mothers explores birth, illness, death, and survival on a Guatemalan sugar and coffee plantation, or finca, through the lives of two local midwives, Doña Maria and her daughter Doña Siriaca, and the women they have served over a forty-year period.
By comparing the practices and beliefs of the mother and daughter, Sheila Cosminsky shows the dynamics of the medicalization process and the contestation between the midwives and biomedical personnel, as the latter try to impose their system as the authoritative one. She discusses how the midwives syncretize, integrate, or reject elements from Mayan, Spanish, and biomedical systems. The midwives’ story becomes a lens for understanding the impact of medicalization on people’s lives and the ways in which women’s bodies have become contested terrain between traditional and contemporary medical practices. Cosminsky also makes recommendations for how ethno-obstetric and biomedical systems may be accommodated, articulated, or integrated. Finally, she places the changes in the birthing system in the larger context of changes in the plantation system, including the elimination of coffee growing, which has made women, traditionally the primary harvesters of coffee beans, more economically dependent on men.
This biography of one of the most prominent pediatricians of the twentieth century describes his illustrious medical family and his remarkable tenure of nearly three decades as Thomas Morgan Rotch Professor of Pediatrics at Harvard Medical School and head of the department of medicine at Children's Hospital, Boston. During this period Janeway built the first department of pediatrics in the nation with subspecialties based upon the new developments in basic sciences. Janeway and his colleagues defined the gamma globulin disorders that resulted in children's increased susceptibility to infections and associated arthritic disorders.
Janeway was the most visible U.S. pediatrician on the world scene in the last half of the 20th century. He traveled widely, taught modern pediatrics to thousands of physicians throughout the developing world, and brought many of them to the U.S. for further training. He was instrumental in starting teaching hospitals in Shiraz, Iran, and Cameroon.
Janeway believed that through teaching by example he might further the cause of peace in the world. His life is an inspiration to everyone in medicine, and serves as a model that all can seek to improve the health of the world's millions and promote a more peaceful future.
Classrooms and Clinics is the first book-length assessment of the development of public school health policies from the late nineteenth century through the early years of the Great Depression. Richard A. Meckel examines the efforts of early twentieth-century child health care advocates and reformers to utilize urban schools to deliver health care services to socioeconomically disadvantaged and medically underserved children in the primary grades. Their goal, Meckel shows, was to improve the children’s health and thereby improve their academic performance.
Meckel situates these efforts within a larger late nineteenth- and early twentieth-century public discourse relating schools and schooling, especially in cities and towns, to child health. He describes and explains how that discourse and the school hygiene movement it inspired served as critical sites for the constructive negotiation of the nature and extent of the public school’s—and by extension the state’s—responsibility for protecting and promoting the physical and mental health of the children for whom it was providing a compulsory education.
Tracing the evolution of that negotiation through four overlapping stages, Meckel shows how, why, and by whom the health of schoolchildren was discursively constructed as a sociomedical problem and charts and explains the changes that construction underwent over time. He also connects the changes in problem construction to the design and implementation of various interventions and services and evaluates how that design and implementation were affected by the response of the civic, parental, professional, educational, public health, and social welfare groups that considered themselves stakeholders and took part in the discourse. And, most significantly, he examines the responses called forth by the question at the heart of the negotiations: what services are necessitated by the state’s and school’s taking responsibility for protecting and promoting the health and physical and mental development of schoolchildren. He concludes that the negotiations resulted both in the partial medicalization of American primary education and in the articulation and adoption of a school health policy that accepted the school’s responsibility for protecting and promoting the health of its students while largely limiting the services called for to the preventive and educational.
Throughout Africa, Asia, and Latin America public health professionals and paraprofessionals work to control serious, frequent and preventable causes of death and sickness among women and children. Despite international agreement about which health programs to implement and huge investments to support them, avoidable deaths remain high. One reason is the inadequate quality with which programs are implemented.
Assessing Child Survival Programs in Developing Countries provides local health system managers with basic principles for rapid precise program monitoring and evaluation in difficult tropical conditions. Joseph Valadez explains how to adapt Lot Quality Assurance Sampling (LQAS) as used in industrial quality control more than half a century ago, to assess health program coverage and technical quality of service providers. He shows that by examining no more than 19 children from a health facility catchment area a manager can judge whether coverage with child survival interventions has reached a minimal level, and how to observe health workers perform a task 6 times to judge their technical competency.
Joseph Valadez demonstrates that quick assessment is not necessarily dirty, and can provide the information needed to enhance child survival throughout the developing world. In that spirit Assessing Child Survival Programs in Developing Countries is a path breaking text book of modern health services research that both practitioners and students will find indispensable and understandable.
Here is a brief and authoritative account of human physical growth, beautifully written by one of the world's foremost experts. In Fetus into Man Professor Tanner tells the story of growth in language that is both accessible to the nonbiologist and acceptable to the biologist.
The book begins with the basics of growth: cell division, hormonal control and differential growth of body tissues. It then builds on these basics to provide a picture of individual growth--from the fetus in utero to the development of sex differences at puberty. Tanner pays special attention along the way to the psychological and social problems faced by children who mature either too soon or too late, and he concludes with a full description of the major growth disorders and current methods of treatment.
Fetus into Man will be an important reference for parents, educators, students of development, and indeed anyone who must deal with the growing child.
Developmental Programming for Infants and Young Children: Volume 1 provides detailed instructions for the use of Volume 2: Early Intervention Developmental Profile, including administration and evaluation techniques, scoring and interpretation of results, validity and reliability of findings, and complete item descriptions. To be used with children functioning in the 0-to-36-month developmental age range. Volume 1 includes the scoring sheet (Volume 2).
Developmental Programming for Infants and Young ChildrenIn Five Volumes
Developmental Programming for Infants and Young Children has proven to be an invaluable tool for teachers, therapists, and other professionals who assess and facilitate the development of children functioning primarily in the 0-to-60 month range. The authors address six areas of development: perceptual/fine motor, cognition, language, social/emotional, self-care, and gross motor. Volumes 1, 2, and 3 are designed for use with children functioning in the 0-to-36-month developmental age range, while Volumes 4 and 5 extend assessment and programming guidelines to 5-year (preschool) levels.
Carefully designed and tested by the University of Michigan's Institute for the Study of Mental Retardation and Related Disabilities, all volumes bridge the gap between assessment and program implementation.
In the nineteenth century, infants were commonly breast-fed; by the middle of the twentieth century, women typically bottle-fed their babies on the advice of their doctors. In this book, Rima D. Apple discloses and analyzes the complex interactions of science, medicine, economics, and culture that underlie this dramatic shift in infant-care practices and women’s lives.
As infant feeding became the keystone of the emerging specialty of pediatrics in the twentieth century, the manufacture of infant food became a lucrative industry. More and more mothers reported difficulty in nursing their babies. While physicians were establishing themselves and the scientific experts and the infant-food industry was hawking the scientific bases of their products, women embraced “scientific motherhood,” believing that science could shape child care practices. The commercialization and medicalization of infant care established an environment that made bottle feeding not only less feared by many mothers, but indeed “natural” and “necessary.” Focusing on the history of infant feeding, this book clarifies the major elements involved in the complex and sometimes contradictory interaction between women and the medical profession, revealing much about the changing roles of mothers and physicians in American society.
“The strength of Apple’s book is her ability to indicate how the mutual interests of mothers, doctors, and manufacturers led to the transformation of infant feeding. . . . Historians of science will be impressed with the way she probes the connections between the medical profession and the manufacturers and with her ability to demonstrate how medical theories were translated into medical practice.”—Janet Golden, Isis
Current public health promotion of breastfeeding relies heavily on health messaging and individual behavior change. Women are told that “breast is best” but too little serious attention is given to addressing the many social, economic, and political factors that combine to limit women’s real choice to breastfeed beyond a few days or weeks. The result: women’s, infants’, and public health interests are undermined. Beyond Health, Beyond Choice examines how feminist perspectives can inform public health support for breastfeeding.
Written by authors from diverse disciplines, perspectives, and countries, this collection of essays is arranged thematically and considers breastfeeding in relation to public health and health care; work and family; embodiment (specifically breastfeeding in public); economic and ethnic factors; guilt; violence; and commercialization. By examining women’s experiences and bringing feminist insights to bear on a public issue, the editors attempt to reframe the discussion to better inform public health approaches and political action. Doing so can help us recognize the value of breastfeeding for the public’s health and the important productive and reproductive contributions women make to the world.
"Long overdue . . . Hausman's focus on cultural representation rather than real mothers and practices is savvy and strategic in removing the debates from personal stories and investments to the ways in which this volatile topic becomes embedded in cultural values, language, and imagery."
---Alison Bartlett, University of Western Australia
Viral Mothers: Breastfeeding in the Age of HIV/AIDS addresses modern fears of dangerous motherhood, focusing on preoccupations with mothers' bodies as vectors for infection and contamination. The book examines how the maternal body is perceived as a conduit for disease, drugs, or contaminants that end up in the body of an innocent---and pure---infant. Paying special attention to HIV transmission through breastfeeding, Viral Mothers examines ideologies of maternal embodiment that influence public health protocols and mothers' behaviors worldwide.
The medical community has known since the late 1980s that HIV is passed through breast milk from infected mothers to their babies. In highly industrialized countries, HIV-positive mothers are advised not to breastfeed their babies, but in poor countries breastfeeding has continued to be a predominant and medically recommended practice as a partial solution to problems of infant health and welfare in resource-poor contexts. Now, in areas of high rates of HIV infection and high infant mortality, decisions concerning infant feeding are, literally, about life and death. Public health debates concerning breastfeeding and HIV transmission must consider both the mortality associated with not breastfeeding and the possibility of HIV infection from mother to child.
The transmission of HIV through breastfeeding is a medical and public health issue that touches on and augments contemporary concerns about bodies, germs, and the environment. These concerns affect all people around the globe as we struggle with the meanings of health, risk, and embodiment in modernity. Viral Mothers addresses and explores the dense cultural meanings evoked by mothers' postnatal transmission of HIV. In so doing, the book pays special attention to fears of contamination and contagion that emerge as consequences of a medicalizing modernity. The main themes of the book---risk, purity, denial, and choice---define the terms through which the viral mother is constituted in discourse and enacted publicly as a set of identifiable, culturally legible, concerns.
Bernice L. Hausman is Professor of English at Virginia Tech. She is also the author of Mother's Milk: Breastfeeding Controversies in American Culture.
Illustration: ©iStockphoto.com/timeless
READERS
Browse our collection.
PUBLISHERS
See BiblioVault's publisher services.
STUDENT SERVICES
Files for college accessibility offices.
UChicago Accessibility Resources
home | accessibility | search | about | contact us
BiblioVault ® 2001 - 2024
The University of Chicago Press