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Caesarean birth: Consumption, safety, order, and good mothering

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  • Bryant, Joanne
  • Porter, Maree
  • Tracy, Sally K.
  • Sullivan, Elizabeth A.

Abstract

This article draws on qualitative data to explore the beliefs through which decisions about caesarean birth are made and to consider how these might contribute to the increasing rate of caesarean birth. A total of 36 interviews were conducted in Australia, including 12 hospital-based midwives, 6 obstetricians, and 18 women who had experienced caesarean birth within the 2 years prior to the research interview. Data reveal a belief derived from the pervasive discourse of neo-liberalism that women are self-governing autonomous subjects in their birth experience, with entitlement to the consumption of birthing information and services, as guided by obstetricians. Feeding into this belief are coexisting discourses that serve to organise 'free choice' in terms of safe/unsafe, order/disorder, life/death; and with ontological meanings, by structuring women's mothering identities as good/bad. The neo-liberal obligation to manage risk and pursue success for both mothers and babies means that women (and others) are obliged to choose what is set up as the most obvious and sensible option: safe, ordered caesareans. The structuring of discourses in this way shows how caesareans can be positioned as a preferential means of birth.

Suggested Citation

  • Bryant, Joanne & Porter, Maree & Tracy, Sally K. & Sullivan, Elizabeth A., 2007. "Caesarean birth: Consumption, safety, order, and good mothering," Social Science & Medicine, Elsevier, vol. 65(6), pages 1192-1201, September.
    • Handle: RePEc:eee:socmed:v:65:y:2007:i:6:p:1192-1201
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    References listed on IDEAS

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    1. LoCicero, Alice Katherine, 1993. "Explaining excessive rates of cesareans and other childbirth interventions: Contributions from contemporary theories of gender and psychosocial development," Social Science & Medicine, Elsevier, vol. 37(10), pages 1261-1269, November.
    2. Hopkins, Kristine, 2000. "Are Brazilian women really choosing to deliver by cesarean?," Social Science & Medicine, Elsevier, vol. 51(5), pages 725-740, September.
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    1. Tully, Kristin P. & Ball, Helen L., 2013. "Misrecognition of need: Women's experiences of and explanations for undergoing cesarean delivery," Social Science & Medicine, Elsevier, vol. 85(C), pages 103-111.
    2. Miller, Amy Chasteen & Shriver, Thomas E., 2012. "Women's childbirth preferences and practices in the United States," Social Science & Medicine, Elsevier, vol. 75(4), pages 709-716.
    3. Sunita Panda & Cecily Begley & Deirdre Daly, 2018. "Clinicians’ views of factors influencing decision-making for caesarean section: A systematic review and metasynthesis of qualitative, quantitative and mixed methods studies," PLOS ONE, Public Library of Science, vol. 13(7), pages 1-27, July.

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