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Attending birth: Inter-professional ...

Jackson, Courtney Bangert.

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Attending birth: Inter-professional competition between midwives and physicians.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Attending birth: Inter-professional competition between midwives and physicians./
Author:	Jackson, Courtney Bangert.
Description:	209 p.
Notes:	Source: Dissertation Abstracts International, Volume: 66-11, Section: A, page: 4202.
Contained By:	Dissertation Abstracts International66-11A.
Subject:	Sociology, Social Structure and Development. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3195694
ISBN:	9780542411588

Attending birth: Inter-professional competition between midwives and physicians.
Jackson, Courtney Bangert.

Attending birth: Inter-professional competition between midwives and physicians. - 209 p.

Source: Dissertation Abstracts International, Volume: 66-11, Section: A, page: 4202.

Thesis (Ph.D.)--Rutgers The State University of New Jersey - New Brunswick, 2005.

At the beginning of the 20th century, midwives attended more than half of all births, but by 1975 they attended fewer than 1%. Since that time, the percentage of births attended by midwives has increased every year, up to more than 8% in 2002. However, states differ in the use of midwives, from 1% in Arkansas, to 30% in New Mexico. I use sociological theories of the professions, deprofessionalization, and occupational sex segregation to explain jurisdictional disputes between midwives and physicians. My research includes both quantitative and qualitative methods. The quantitative analysis predicts state variability in three key indicators of midwifery: supply, policy, and use. The qualitative component includes a summary of the history of midwifery within three case study states, analysis of demographic characteristics associated with midwives' use, and findings from interviews with nurse midwives and physicians.

ISBN: 9780542411588Subjects--Topical Terms:

1017425
Sociology, Social Structure and Development.

Attending birth: Inter-professional competition between midwives and physicians.
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245 1 0 $a Attending birth: Inter-professional competition between midwives and physicians.
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500 $a Source: Dissertation Abstracts International, Volume: 66-11, Section: A, page: 4202.
500 $a Director: Patricia Ross.
502 $a Thesis (Ph.D.)--Rutgers The State University of New Jersey - New Brunswick, 2005.
520 $a At the beginning of the 20th century, midwives attended more than half of all births, but by 1975 they attended fewer than 1%. Since that time, the percentage of births attended by midwives has increased every year, up to more than 8% in 2002. However, states differ in the use of midwives, from 1% in Arkansas, to 30% in New Mexico. I use sociological theories of the professions, deprofessionalization, and occupational sex segregation to explain jurisdictional disputes between midwives and physicians. My research includes both quantitative and qualitative methods. The quantitative analysis predicts state variability in three key indicators of midwifery: supply, policy, and use. The qualitative component includes a summary of the history of midwifery within three case study states, analysis of demographic characteristics associated with midwives' use, and findings from interviews with nurse midwives and physicians.
520 $a Findings from my research indicate that a variety of contextual factors shape outcomes of jurisdictional disputes between physicians and midwives. Workplace jurisdictional disputes, nurse midwives striving to increase their numbers and establish practices, are influenced by the feminization of Ob/Gyn, the degree of reproductive freedom, and HMO enrollment. Disputes that occur at the legislative/regulatory level are influenced by supplies of Ob/Gyn, the status of the reproductive rights movement, and the education level of the population. The jurisdictional disputes occurring in the public arena as nurse midwives attempt to persuade women to use nurse midwives are influenced by the supply of nurse midwives, HMO enrollment, and practice environment.
520 $a Key facilitators of nurse midwifery practice are: (1) acceptance of nurse midwifery among the public, the state, health insurance companies, and other health professionals; (2) a shortage of Ob/Gyns; (3) routine reliance on nurse midwives to provide care in Ob/Gyn practices; and (4) a successful education program that facilitates positive relationships between midwives and medical students. Key barriers to the practice of nurse midwifery include: (1) physicians' and hospitals' power and resistance to nurse midwifery; (2) regulation by the Board of Nursing; and (3) lack of understanding about what nurse midwives do and the kind of training they have.
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650 4 $a Women's Studies. $3 1017481
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710 2 0 $a Rutgers The State University of New Jersey - New Brunswick. $3 1017590
773 0 $t Dissertation Abstracts International $g 66-11A.
790 1 0 $a Ross, Patricia, $e advisor
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791 $a Ph.D.
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