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...
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Format: | Elektronisch E-Book |
Sprache: | English |
Veröffentlicht: |
Austin :
University of Texas Press,
2018.
|
Ausgabe: | First edition. |
Schlagworte: | |
Online-Zugang: | 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: | 1 online resource (234 pages) |
Bibliographie: | Includes bibliographical references (pages 181-222) and index. |
ISBN: | 9781477314135 147731413X 9781477314142 1477314148 |
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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. | ||
504 | |a Includes bibliographical references (pages 181-222) and index. | ||
505 | 0 | |a Stage one : midwife-assisted homebirths, 1948/1953 -- Stage two : transitioning toward hospital births, 1954/1958 -- Stage three : physician-assisted hospital births, 1959/1965 -- Stage four : medicalized births, 1966/1979 -- Stage five : a technocratic, litigation-based model of birth and novoparteras, 1980/2000 -- Conclusion and epilogue. | |
588 | 0 | |a Print version record. | |
650 | 0 | |a Childbirth |z Puerto Rico |x History. | |
650 | 0 | |a Obstetrics |x Social aspects |z Puerto Rico |x History. | |
650 | 2 | |a Parturition | |
650 | 2 | |a Obstetrics |x history | |
651 | 2 | |a Puerto Rico | |
650 | 6 | |a Obstétrique |x Aspect social |z Porto Rico |x Histoire. | |
650 | 7 | |a MEDICAL |x Gynecology & Obstetrics. |2 bisacsh | |
650 | 7 | |a HISTORY / Caribbean & West Indies / General |2 bisacsh | |
650 | 7 | |a Childbirth |2 fast | |
650 | 7 | |a Obstetrics |x Social aspects |2 fast | |
651 | 7 | |a Puerto Rico |2 fast |1 https://id.oclc.org/worldcat/entity/E39PBJrGtRfw3bmbDhYJJ3yKh3 | |
655 | 7 | |a History |2 fast | |
758 | |i has work: |a Pushing in silence (Text) |1 https://id.oclc.org/worldcat/entity/E39PCFBXhgwjfGJ8gDQXycXY4C |4 https://id.oclc.org/worldcat/ontology/hasWork | ||
776 | 0 | 8 | |i Print version: |a Córdova, Isabel M. |t Pushing in silence. |b First edition. |d Austin : University of Texas Press, 2017 |z 9781477313633 |w (DLC) 2017003511 |w (OCoLC)971462749 |
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Datensatz im Suchindex
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adam_text | |
any_adam_object | |
author | Córdova, Isabel M. |
author_GND | http://id.loc.gov/authorities/names/no2017010523 |
author_facet | Córdova, Isabel M. |
author_role | aut |
author_sort | Córdova, Isabel M. |
author_variant | i m c im imc |
building | Verbundindex |
bvnumber | localFWS |
callnumber-first | R - Medicine |
callnumber-label | RG518 |
callnumber-raw | RG518.P9 C67 2017eb |
callnumber-search | RG518.P9 C67 2017eb |
callnumber-sort | RG 3518 P9 C67 42017EB |
callnumber-subject | RG - Gynecology and Obstetrics |
collection | ZDB-4-EBA |
contents | Stage one : midwife-assisted homebirths, 1948/1953 -- Stage two : transitioning toward hospital births, 1954/1958 -- Stage three : physician-assisted hospital births, 1959/1965 -- Stage four : medicalized births, 1966/1979 -- Stage five : a technocratic, litigation-based model of birth and novoparteras, 1980/2000 -- Conclusion and epilogue. |
ctrlnum | (OCoLC)1011587649 |
dewey-full | 618.20097295 |
dewey-hundreds | 600 - Technology (Applied sciences) |
dewey-ones | 618 - Gynecology, obstetrics, pediatrics, geriatrics |
dewey-raw | 618.20097295 |
dewey-search | 618.20097295 |
dewey-sort | 3618.20097295 |
dewey-tens | 610 - Medicine and health |
discipline | Medizin |
edition | First edition. |
format | Electronic eBook |
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spelling | Córdova, Isabel M., author. http://id.loc.gov/authorities/names/no2017010523 Pushing in silence : modernizing Puerto Rico and the medicalization of childbirth / Isabel M. Córdova. First edition. Austin : University of Texas Press, 2018. ©2018 1 online resource (234 pages) text txt rdacontent computer c rdamedia online resource cr rdacarrier 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. Includes bibliographical references (pages 181-222) and index. Stage one : midwife-assisted homebirths, 1948/1953 -- Stage two : transitioning toward hospital births, 1954/1958 -- Stage three : physician-assisted hospital births, 1959/1965 -- Stage four : medicalized births, 1966/1979 -- Stage five : a technocratic, litigation-based model of birth and novoparteras, 1980/2000 -- Conclusion and epilogue. Print version record. Childbirth Puerto Rico History. Obstetrics Social aspects Puerto Rico History. Parturition Obstetrics history Puerto Rico Obstétrique Aspect social Porto Rico Histoire. MEDICAL Gynecology & Obstetrics. bisacsh HISTORY / Caribbean & West Indies / General bisacsh Childbirth fast Obstetrics Social aspects fast Puerto Rico fast https://id.oclc.org/worldcat/entity/E39PBJrGtRfw3bmbDhYJJ3yKh3 History fast has work: Pushing in silence (Text) https://id.oclc.org/worldcat/entity/E39PCFBXhgwjfGJ8gDQXycXY4C https://id.oclc.org/worldcat/ontology/hasWork Print version: Córdova, Isabel M. Pushing in silence. First edition. Austin : University of Texas Press, 2017 9781477313633 (DLC) 2017003511 (OCoLC)971462749 FWS01 ZDB-4-EBA FWS_PDA_EBA https://search.ebscohost.com/login.aspx?direct=true&scope=site&db=nlebk&AN=1631303 Volltext CBO01 ZDB-4-EBA FWS_PDA_EBA https://search.ebscohost.com/login.aspx?direct=true&scope=site&db=nlebk&AN=1631303 Volltext |
spellingShingle | Córdova, Isabel M. Pushing in silence : modernizing Puerto Rico and the medicalization of childbirth / Stage one : midwife-assisted homebirths, 1948/1953 -- Stage two : transitioning toward hospital births, 1954/1958 -- Stage three : physician-assisted hospital births, 1959/1965 -- Stage four : medicalized births, 1966/1979 -- Stage five : a technocratic, litigation-based model of birth and novoparteras, 1980/2000 -- Conclusion and epilogue. Childbirth Puerto Rico History. Obstetrics Social aspects Puerto Rico History. Parturition Obstetrics history Obstétrique Aspect social Porto Rico Histoire. MEDICAL Gynecology & Obstetrics. bisacsh HISTORY / Caribbean & West Indies / General bisacsh Childbirth fast Obstetrics Social aspects fast |
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_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 | Childbirth Puerto Rico History. Obstetrics Social aspects Puerto Rico History. Parturition Obstetrics history Obstétrique Aspect social Porto Rico Histoire. MEDICAL Gynecology & Obstetrics. bisacsh HISTORY / Caribbean & West Indies / General bisacsh Childbirth fast Obstetrics Social aspects fast |
topic_facet | Childbirth Puerto Rico History. Obstetrics Social aspects Puerto Rico History. Parturition Obstetrics history Puerto Rico Obstétrique Aspect social Porto Rico Histoire. MEDICAL Gynecology & Obstetrics. HISTORY / Caribbean & West Indies / General Childbirth Obstetrics Social aspects History |
url | https://search.ebscohost.com/login.aspx?direct=true&scope=site&db=nlebk&AN=1631303 |
work_keys_str_mv | AT cordovaisabelm pushinginsilencemodernizingpuertoricoandthemedicalizationofchildbirth |