Birth Alternatives: How Women Select Childbirth Care

By Sandra Howell-White | Go to book overview

"low-risk" pregnant women. Although this combination is relatively unusual in the United States, many European countries such as England, Holland, and Germany foster these arrangements. These systems are designed not only to better serve their clientele, but also to control the costs of high-technological resources being inefficiently used. Moreover, using a less technologically oriented provider frees up both the vital resources and the more technologically oriented care provider for those women who need the interventions. While high-tech resources remain the pride of many hospitals, they are also offering women more private and personalized "nonmedical" services such as homelike birthing rooms, rooming-in, and overnight accommodations for spouses. As demonstrated by these women, the combination of midwife and hospital is much supported and welcomed.


NOTES
1.
This includes normal gynecological services as well as prenatal and delivery care.
2.
These 17 women were comparable to the other women who selected the CNM-hospital approach.
3.
Recall that the experiences of those women who developed complications and thus required interventions such as a C-section were discussed in chapter 4.
4.
Since these women were members of an HMO, the length of stay for an uncomplicated vaginal birth is often influenced by the managed care organization's relationship with the hospital. Additionally, the HMO offered all women who discharged at 24 hours a home nurse visit.
5.
Due to the moderate sample size, the number of variables that could be included was limited. The decision as to which measures to include in the regressions was based on the importance within the literature, significance to the selection of this provider and setting, and significance at the bivariate level.

-137-

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Birth Alternatives: How Women Select Childbirth Care
Table of contents

Table of contents

  • Recent Titles in Contributions in Sociology ii
  • Title Page iii
  • Contents vii
  • Tables ix
  • Preface xi
  • Introduction xiii
  • Notes xvi
  • 1 - The Importance of Choice 1
  • 2 - Conception 19
  • Notes 30
  • 3 - In the Beginning: Prenatal Care 33
  • Notes 59
  • 4 - The Traditional Birth Experience 61
  • Notes 92
  • 5 - The Natural" Birth" 95
  • Notes 111
  • 6 113
  • Notes 137
  • 7 - After the Birth 139
  • Notes 150
  • Bibliography 151
  • Index 161
  • About the Author 165
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