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dc.contributor.authorNewnham, Elizabeth C
dc.contributor.authorMcKellar, Lois V
dc.contributor.authorPincombe, Jan I
dc.date.accessioned2020-10-19T04:46:54Z
dc.date.available2020-10-19T04:46:54Z
dc.date.issued2017
dc.identifier.issn1471-2393en_US
dc.identifier.doi10.1186/s12884-016-1193-4en_US
dc.identifier.urihttp://hdl.handle.net/10072/398457
dc.description.abstractBackground: Interest in the influence of culture on birth practices is on the rise, and with it comes a sense of urgency to implement practices that aid the normalisation and humanisation of birth. This groundswell is occurring despite a broader cultural milieu of escalating technology-use and medicalisation of birth across the globe. Against this background, rates of epidural analgesia use by women in labour are increasing, despite the risk of side effects. Socio-cultural norms and beliefs are likely to influence pain relief choices but there is currently scant research on this topic. Methods: This study was undertaken to gain insight into the personal, social, cultural and institutional influences on women in deciding whether or not to use epidural analgesia in labour. The study had an ethnographic approach within a theoretical framework of Critical Medical Anthropology (CMA), Foucauldian and feminist theory. Given the nature of ethnographic research, it was assumed that using the subject of epidural analgesia to gain insight into Western birth practices could illuminate broader cultural ideals and that the epidural itself may not remain the focus of the research. Results: Findings from the study showed how institutional surveillance, symbolised by the Journey Board led to an institutional momentum that in its attempt to keep women safe actually introduced new areas of risk, a situation which we named the Paradox of the institution. Conclusions: These findings, showing a risk/safety paradox at the centre of institutionalised birth, add a qualitative dimension to the growing number of quantitative studies asserting that acute medical settings can be detrimental to normal birth practices and outcomes.en_US
dc.description.peerreviewedYesen_US
dc.languageEnglishen_US
dc.language.isoeng
dc.publisherBMCen_US
dc.relation.ispartofpagefrom2en_US
dc.relation.ispartofissue1en_US
dc.relation.ispartofjournalBMC Pregnancy and Childbirthen_US
dc.relation.ispartofvolume17en_US
dc.subject.fieldofresearchNursingen_US
dc.subject.fieldofresearchPaediatrics and Reproductive Medicineen_US
dc.subject.fieldofresearchPublic Health and Health Servicesen_US
dc.subject.fieldofresearchcode1110en_US
dc.subject.fieldofresearchcode1114en_US
dc.subject.fieldofresearchcode1117en_US
dc.subject.keywordsScience & Technologyen_US
dc.subject.keywordsLife Sciences & Biomedicineen_US
dc.subject.keywordsObstetrics & Gynecologyen_US
dc.subject.keywordsChildbirthen_US
dc.subject.keywordsEthnographyen_US
dc.titleParadox of the institution: findings from a hospital labour ward ethnographyen_US
dc.typeJournal articleen_US
dc.type.descriptionC1 - Articlesen_US
dcterms.bibliographicCitationNewnham, EC; McKellar, LV; Pincombe, JI, Paradox of the institution: findings from a hospital labour ward ethnography, BMC Pregnancy and Childbirth, 2017, 17 (1), pp. 2en_US
dcterms.dateAccepted2016-12-10
dcterms.licensehttp://creativecommons.org/licenses/by/4.0/en_US
dc.date.updated2020-10-19T02:58:05Z
dc.description.versionVersion of Record (VoR)en_US
gro.rights.copyright© The Author(s). 2017 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.en_US
gro.hasfulltextFull Text
gro.griffith.authorNewnham, Elizabeth C.


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