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This title includes Foreword by Sheila Kitzinger, Writer, Researcher, Activist and Honorary Professor, Wolfson School of Health Sciences, Thames Valley University. Birth centres are suitable for every woman whose birth is straightforward, which accounts for around 75 per cent of all women. This inspirational guide shows how small scale maternity provision has a profound clinical and organisational advantage over large scale hospital provision, including saving of time and money by reducing intervention rates. It presents the thoughts and feelings of midwives and patients and how both enjoy the humane and compassionate care of the birth centre ethos. The book is invaluable for midwives, obstetricians, doulas, maternity care assistants and maternity service planners and managers. It also provides enlightening information for general practitioners and other health and social care professionals, maternity service users groups and academics with an interest in midwifery and health services. "What birth centres do best is simply providing humane childbirth care. There are no high tech gadgetry, doctors or dramatic stories of childbirth rescues that make it into the media.Yet 'miracles' happen inside their walls every day as women have their babies after normal labours and births. Until now, there have been very few books detailing what happens in birth centres so that women and childbirth professionals can be introduced to an alternative beyond the large hospital model. This book provides a window in on the birth centre model and there are some exciting things to find there about childbirth care in the 21st century." - Denis Walsh, in the Preface. "Denis Walsh has one of the most incisive, analytical and brilliant minds in nursing and midwifery research today. He demonstrates the difference between a quality environment for birth where a woman can create her own 'nest', and a technocratic, bureaucratically controlled, highly medicalised and risk-oriented birth culture dominated by the clock, which is most women's experience today." - Sheila Kitzinger, in the Foreword.
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Most Helpful Customer Reviews
5 of 5 people found the following review helpful:
5.0 out of 5 stars
A sense of wholeness,
By
This review is from: Improving Maternity Services: Small is Beautiful - Lessons from a Birth Centre (Paperback)
Denis Walsh is a Reader in Normal Birth and his work on free-standing birth centres is regularly referenced; as you would expect, this is a terrific book. It draws together issues he has explored in various papers based on his ethnographic research in a small, free-standing birth centre, and adds context, detail and a sense of wholeness.
This book will be invaluable to midwifery leaders and midwives. Those who already practise in a woman-centred way will get affirmation and insight, and those who feel the need to prove their worth by doing things to women will be challenged to do things differently. It is also essential reading for maternity activists who will be taking its messages out to decision-makers and services. The exploration of the difference between `being' and `doing' is particularly interesting, and gave me added insight into why I reacted so positively to some midwives (those who did the hard work of `being') and so negatively to others (who only knew how to `do') during my pregnancy and birth experiences. It is clear that this has an impact on birth outcomes, so I hope this book inspires others to think about how to do `being' well. One of the drawbacks of quantitative research is that it mainly tells you how things are or how they could be - not how we get to that point. As this book shows, through qualitative research methods such as ethnography we recognise the sort of changes we need to make. Just as importantly, it helps us realise we have the power to do it.
3 of 3 people found the following review helpful:
5.0 out of 5 stars
A breath of fresh air,
By
This review is from: Improving Maternity Services: Small is Beautiful - Lessons from a Birth Centre (Paperback)
This is an excellent book in three respects: firstly, because of its fascinating exploration of a maternity unit which truly nurtures women, their families and the staff who care for them; secondly, because of the quality of the ethnographic research that underpins it, and thirdly because Denis Walsh's writing is so readble, notwithstanding its academic authority. Walsh has captured the essence of a unit probably like no other in the country but where caring is the order of the day rather than the technological monitoring which characterises our increasingly centralised maternity facilities.
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