The Making of Informed Choice in Midwifery: A Feminist Experiment in Care.

This paper is about the clinical principle of informed choice-the hallmark feature of the midwifery model of care in Ontario, Canada. Drawing on ethnographic history interviews with midwives, I trace the origins of the idea of informed choice to its roots in the social movement of midwifery in North...

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Publicado en:Culture, Medicine & Psychiatry Vol. 42; no. 2; pp. 278 - 295
Autor principal: MacDonald, Margaret E.
Formato: Journal Article
Publicado: Springer Nature Jun2018
Acceso en línea:Ver este registro en EBSCOhost
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        atl: The Making of Informed Choice in Midwifery: A Feminist Experiment in Care.
      aug:
        au: MacDonald, Margaret E.
        affil: Department of Anthropology, York University, M3J 1P3, Toronto, Canada
      sug:
        subj:
          Midwifery History
          Feminism History
          Maternal Health Services History
          Prepared Childbirth History
          Decision Making
          Ontario
          History
          Anthropology, Cultural
          Female
          Pregnancy
          Female
      ab: This paper is about the clinical principle of informed choice-the hallmark feature of the midwifery model of care in Ontario, Canada. Drawing on ethnographic history interviews with midwives, I trace the origins of the idea of informed choice to its roots in the social movement of midwifery in North America in the late 1960s and 1970s. At that time informed choice was not the distinctive feature of midwifery but was deeply embedded what I call midwifery's feminist experiment in care. But as midwifery in Ontario transitioned from a social movement to a full profession within the formal health care system, informed choice was strategically foregrounded in order to make the midwifery model of care legible and acceptable to a skeptical medical profession, conservative law makers, and a mainstream clientele. As mainstream biomedicine now takes up the rhetoric of patient empowerment and informed choice, this paper is at once a nuanced history of the making of the concept and also a critique of the ascendant 'regime of choice' in contemporary health care, inspired by the reflections of the midwives in my study for whom choice is impossible without care.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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