Pushing in Silence: Modernizing Puerto Rico and the Medicalization of Childbirth
As Puerto Rico rapidly industrialized from the late 1940s until the 1970s, the social, political, and economic landscape changed profoundly. In the realm of heath care, the development of medical education, new medical technologies, and a new faith in science radically redefined childbirth and its p...
Gespeichert in:
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| Format: | Elektronisch E-Book |
| Sprache: | English |
| Veröffentlicht: |
Austin
University of Texas Press
[2021]
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| Schlagworte: | |
| Online-Zugang: | DE-1046 DE-1043 DE-858 DE-859 DE-860 DE-739 DE-473 Volltext |
| Zusammenfassung: | As Puerto Rico rapidly industrialized from the late 1940s until the 1970s, the social, political, and economic landscape changed profoundly. In the realm of heath care, the development of medical education, new medical technologies, and a new faith in science radically redefined childbirth and its practice. What had traditionally been a home-based, family-oriented process, assisted by women and midwives and "accomplished" by mothers, became a medicalized, hospital-based procedure, "accomplished" and directed by biomedical, predominantly male, practitioners, and, ultimately reconfigured, after the 1980s, into a technocratic model of childbirth, driven by doctors' fears of malpractice suits and hospitals' corporate concerns. Pushing in Silence charts the medicalization of childbirth in Puerto Rico and demonstrates how biomedicine is culturally constructed within regional and historical contexts. Prior to 1950, registered midwives on the island outnumbered registered doctors by two to one, and they attended well over half of all deliveries. Isabel M. Córdova traces how, over the next quarter-century, midwifery almost completely disappeared as state programs led by scientifically trained experts and organized by bureaucratic institutions restructured and formalized birthing practices. Only after cesarean rates skyrocketed in the 1980s and 1990s did midwifery make a modest return through the practices of five newly trained midwives. This history, which mirrors similar patterns in the United States and elsewhere, adds an important new chapter to the development of medicine and technology in Latin America |
| Beschreibung: | Description based on online resource; title from PDF title page (publisher's Web site, viewed 27. Okt 2021) |
| Beschreibung: | 1 online resource |
| ISBN: | 9781477314135 |
| DOI: | 10.7560/313633 |
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| 520 | |a As Puerto Rico rapidly industrialized from the late 1940s until the 1970s, the social, political, and economic landscape changed profoundly. In the realm of heath care, the development of medical education, new medical technologies, and a new faith in science radically redefined childbirth and its practice. What had traditionally been a home-based, family-oriented process, assisted by women and midwives and "accomplished" by mothers, became a medicalized, hospital-based procedure, "accomplished" and directed by biomedical, predominantly male, practitioners, and, ultimately reconfigured, after the 1980s, into a technocratic model of childbirth, driven by doctors' fears of malpractice suits and hospitals' corporate concerns. Pushing in Silence charts the medicalization of childbirth in Puerto Rico and demonstrates how biomedicine is culturally constructed within regional and historical contexts. Prior to 1950, registered midwives on the island outnumbered registered doctors by two to one, and they attended well over half of all deliveries. Isabel M. Córdova traces how, over the next quarter-century, midwifery almost completely disappeared as state programs led by scientifically trained experts and organized by bureaucratic institutions restructured and formalized birthing practices. Only after cesarean rates skyrocketed in the 1980s and 1990s did midwifery make a modest return through the practices of five newly trained midwives. This history, which mirrors similar patterns in the United States and elsewhere, adds an important new chapter to the development of medicine and technology in Latin America | ||
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| spelling | Córdova, Isabel M. Verfasser aut Pushing in Silence Modernizing Puerto Rico and the Medicalization of Childbirth Isabel M. Córdova Austin University of Texas Press [2021] © 2017 1 online resource txt rdacontent c rdamedia cr rdacarrier Description based on online resource; title from PDF title page (publisher's Web site, viewed 27. Okt 2021) As Puerto Rico rapidly industrialized from the late 1940s until the 1970s, the social, political, and economic landscape changed profoundly. In the realm of heath care, the development of medical education, new medical technologies, and a new faith in science radically redefined childbirth and its practice. What had traditionally been a home-based, family-oriented process, assisted by women and midwives and "accomplished" by mothers, became a medicalized, hospital-based procedure, "accomplished" and directed by biomedical, predominantly male, practitioners, and, ultimately reconfigured, after the 1980s, into a technocratic model of childbirth, driven by doctors' fears of malpractice suits and hospitals' corporate concerns. Pushing in Silence charts the medicalization of childbirth in Puerto Rico and demonstrates how biomedicine is culturally constructed within regional and historical contexts. Prior to 1950, registered midwives on the island outnumbered registered doctors by two to one, and they attended well over half of all deliveries. Isabel M. Córdova traces how, over the next quarter-century, midwifery almost completely disappeared as state programs led by scientifically trained experts and organized by bureaucratic institutions restructured and formalized birthing practices. Only after cesarean rates skyrocketed in the 1980s and 1990s did midwifery make a modest return through the practices of five newly trained midwives. This history, which mirrors similar patterns in the United States and elsewhere, adds an important new chapter to the development of medicine and technology in Latin America In English HISTORY / Caribbean & West Indies / General bisacsh Childbirth Puerto Rico History Childbirth-Puerto Rico-History Obstetrics Social aspects Puerto Rico History Obstetrics-Social aspects-Puerto Rico-History https://doi.org/10.7560/313633 Verlag URL des Erstveröffentlichers Volltext |
| spellingShingle | Córdova, Isabel M. Pushing in Silence Modernizing Puerto Rico and the Medicalization of Childbirth HISTORY / Caribbean & West Indies / General bisacsh Childbirth Puerto Rico History Childbirth-Puerto Rico-History Obstetrics Social aspects Puerto Rico History Obstetrics-Social aspects-Puerto Rico-History |
| title | Pushing in Silence Modernizing Puerto Rico and the Medicalization of Childbirth |
| title_auth | Pushing in Silence Modernizing Puerto Rico and the Medicalization of Childbirth |
| title_exact_search | Pushing in Silence Modernizing Puerto Rico and the Medicalization of Childbirth |
| title_exact_search_txtP | Pushing in Silence Modernizing Puerto Rico and the Medicalization of Childbirth |
| title_full | Pushing in Silence Modernizing Puerto Rico and the Medicalization of Childbirth Isabel M. Córdova |
| title_fullStr | Pushing in Silence Modernizing Puerto Rico and the Medicalization of Childbirth Isabel M. Córdova |
| title_full_unstemmed | Pushing in Silence Modernizing Puerto Rico and the Medicalization of Childbirth Isabel M. Córdova |
| title_short | Pushing in Silence |
| title_sort | pushing in silence modernizing puerto rico and the medicalization of childbirth |
| title_sub | Modernizing Puerto Rico and the Medicalization of Childbirth |
| topic | HISTORY / Caribbean & West Indies / General bisacsh Childbirth Puerto Rico History Childbirth-Puerto Rico-History Obstetrics Social aspects Puerto Rico History Obstetrics-Social aspects-Puerto Rico-History |
| topic_facet | HISTORY / Caribbean & West Indies / General Childbirth Puerto Rico History Childbirth-Puerto Rico-History Obstetrics Social aspects Puerto Rico History Obstetrics-Social aspects-Puerto Rico-History |
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