gms | German Medical Science

4th International Conference of the German Society of Midwifery Science (DGHWi)

Deutsche Gesellschaft für Hebammenwissenschaft e. V.

16.02.2018, Mainz

Learning to (be) attend(ed). Doing homebirth bodies in German midwifery care

Meeting Abstract

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  • corresponding author Annekatrin Skeide - University of Amsterdam, Amsterdam Institute for Social Science Research (AISSR), Amsterdam, Netherland

German Association of Midwifery Science. 4th International Meeting of the German Association of Midwifery Science (DGHWi). Mainz, 16.-16.02.2018. Düsseldorf: German Medical Science GMS Publishing House; 2018. Doc18dghwiV06

doi: 10.3205/18dghwi06, urn:nbn:de:0183-18dghwi062

This is the English version of the article.
The German version can be found at: http://www.egms.de/de/meetings/dghwi2018/18dghwi06.shtml

Published: February 13, 2018

© 2018 Skeide.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.


Outline

Text

Background: In midwifery and anthropological research bodies in homebirth settings are defined as ‘natural’ [1]. Social support from midwives during homebirth facilitates the ‘natural’ body to function [2]. Simultaneously, midwifery care is characterized in opposition to medical-technical obstetrics [3]. On the one hand, however, midwives’ attendances is neither a-medical nor a-technological even in homebirth settings [4], on the other hand suggests the idea of an socially supported, biological determined body homebirth care would primarily consist of keeping the body from being disturbed [5].

Aim: Referring to my ethnographical material, I would like to show that homebirths are complex socio-material practices. I thereby find answers to the question: Which bodies emerge in which kind of socio-material practices?

Methods: Between February 2015 and March 2016 I accompanied midwives in a clinic, two birthplaces and private homes in Germany. I conducted participant observation, ethnographic conversations and structured interviews. I followed grounded theory methodology and situational analysis for data collection and analysis [6].

Results: I describe how midwives, women and children are disposed and dispose to attend and to being attended. Becoming attend-able takes place in specific, intimate, homebirth surroundings, and includes particular techniques (feeling the woman’s and the child’s bodies, reading bodies, heartbeat listening), technologies (Doppler fetal monitor) and things (chairs, mats, balls). The practices I show bring about the sensing, the counteractive and the ambiguous body-in-becoming.

Conclusion: Investigating midwifery practices, in which bodies are situated and embedded in a material surrounding, allows for less normative, but instead descriptive approaches to midwifery practices and therefore, doing practice-oriented research [7].

Ethical criteria and conflict of interests: This study was submitted to an ethics committee. It is funded by a doctoral scholarship Studienstiftung des deutschen Volkes. There is no conflict of interest.


References

1.
Johnson C. The Political “Nature” of Pregnancy and Childbirth. Can J Polit Sci. 2008;41(4):889–913. DOI: 10.1017/S0008423908081079 External link
2.
Mansfield B. The social nature of natural childbirth. Soc Sci Med. 2008;66(5):1084-94. DOI: 10.1016/j.socscimed.2007.11.025 External link
3.
Rooks JP. The midwifery model of care. J Nurse Midwifery. 1999;44(4):370–4. DOI: 10.1016/S0091-2182(99)00060-9 External link
4.
Westfall RE, Benoit C. The rhetoric of “natural” in natural childbirth: Childbearing women’s perspectives on prolonged pregnancy and induction of labour. Soc Sci Med. 2004;59(7):1397–408. DOI. 10.1016/j.socscimed.2004.01.017 External link
5.
Aune I, Hoston MA, Kolshus NJ, Larsen CEG. Nature works best when allowed to run its course. The experience of midwives promoting normal births in a home birth setting. Midwifery. 2017;50:21-6. DOI: 10.1016/j.midw.2017.03.020 External link
6.
Clarke AE, Friese C. Grounded Theorizing Using Situational Analysis. In: Bryant A, Charmaz K, editors. The SAGE handbook of grounded theory. Los Angeles: SAGE Publication; 2008. p. 363–97.
7.
Ceci C, Pols J, Purkis ME. Privileging Practices: Manifesto for “New Nursing Studies". In: Foth T, Holmes D, Hülsken-Giesler M, Kreutzer S, Remmers H, editors. Critical Approaches in Nursing Theory and Practice and Nursing Research: Implications for Nursing Practice. Osnabrück: V&R Unipress; 2017. p. 51–68.