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The Politics and Science of Being Born: Location, Location, Location Melissa Cheyney, PhD, CPM, LDM Oregon State University
Background: Homebirth in the United States ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
“ Numbers and Narratives”Community Based Participatory Research Project ,[object Object],[object Object],[object Object],[object Object],[object Object]
#1Intrapartum home-to- hospital transports tend to fuel the home/hospital divide ,[object Object]
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Six themes help to explain the perpetuation of the home/hospital divide ,[object Object],[object Object],[object Object],[object Object]
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#2 Providers are well positioned to identify strategies for bridging the divide ,[object Object],[object Object],[object Object]
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#3 Change will not be made without institutional policies that facilitate cross-cultural communication ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Summary and Conclusion ,[object Object],[object Object],[object Object]

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June 14 - Corvallis Science Pub

  • 1. The Politics and Science of Being Born: Location, Location, Location Melissa Cheyney, PhD, CPM, LDM Oregon State University
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Hinweis der Redaktion

  1. In the United States, institutionalized racism and biomedical hegemony heavily structure a woman’s right to choose where and with whom to give birth. Political-economic factors position obstetricians and hospitals as the only “appropriate ” options, even though a large body of literature supports midwifery care both in and out-of-hospital as a safe and viable option. In this paper, we describe an experimental program designed to remove one of the main barriers to homebirth care -- access to supportive and respectful medical back-up. We discuss the difficulties and triumphs involved in creating a policy that facilitates mutual accommodation across the home/hospital divide.
  2. In 2006, the American College of Obstetrics and Gynecology (ACOG) published an official policy statement on OOH births, asserting: “The hospital, including a birthing center within the hospital complex is the safest setting for labor, delivery and the immediate postpartum, ” and that, “ACOG strongly opposes out-of-hospital birth” (American College of Obstetricians and Gynecologists [ACOG], 2006, p. 1). The executive board’s statement is based on the belief that, although “labor and delivery is a physiological process that most women experience without complications, s erious intrapartum complications may arise with little or no warning, even in low risk pregnancies ” (ACOG, 2006, p. 1). ACOG’s perspective clashes overtly with the APHA recommendation that efforts should be made to increase access to out-of-hospital maternity care services and the range of quality maternity care choices available to consumers, through recognition that legally regulated and nationally certified direct-entry midwives can serve clients desiring safe, planned, out-of-hospital maternity care services ” (APHA, 2001, p. 2).