ABSTRACT

Arguing that contemporary maternity services provide a toxic environment both in which to practise and to give birth, this book looks at how we can change this. Its aim is promoting the best possible experiences of childbearing, and confident, strengthening and loving contexts for new parenthood.

Designed to create awareness about the professional and political realities which enmesh maternity care, this inspiring volume features an in-depth and research-oriented analysis of the challenges faced by contemporary maternity services. Recognising the frequently hostile environment in which midwives practise, the contributors go on to explore its impact on women and families, as well as on midwives themselves. They then look at woman-centred and community-based ways of contributing to a much better birthing experience for all.

Important and relevant for all those with an interest in improving maternity care, this book is particularly suited to midwives – practising and student, doulas, birth educators and activists, policymakers and health service managers.

chapter 1|8 pages

Introduction

A toxic culture

part I|40 pages

The Birth Project Group (BPG) survey

chapter 2|10 pages

The BPG survey

The results

chapter 3|10 pages

The BPG survey

Working with the data

chapter 4|9 pages

The BPG survey

Fear

chapter 5|9 pages

Floors, ceilings and cellars

Midwives, the NMC and ‘The Code’

part II|36 pages

Understanding traumatic experiences for women, midwives, families and the wider community

chapter 8|9 pages

When midwives become other

chapter 9|10 pages

Fundamental contradictions

The business model versus midwifery values

part III|58 pages

Responding practically and politically to change our troubled maternity structures

chapter 10|11 pages

Healing ourselves as midwives

chapter 13|9 pages

Documenting empowerment

chapter 14|9 pages

Hidden in plain sight

Mapping the erasure of the maternal body from visual culture

chapter 15|10 pages

Responding to the tragedy of maternal death

A collective challenges the state

part IV|8 pages

Looking ahead and back

chapter |4 pages

Afterword

‘Mrs Brown is fully’