title: The more things change, the more they stay the same: whither midwifery?
abstract: The pace of change is said to increase over the next few years. One of the most significant recent changes has been the "McDonaldization of Society". The notion of "fastness" is permeating all society, including health and education. The concentration of rationalization through the principles of efficiency, calculability predictability and control, when extended to its logical conclusion, results in irrationality or dehumanization. Childbirth has been "McDonaldized" by the medical profession, but modern midwifery, is leading the way in an anti McDonald's movement to rehumanize it. Returning to past values contained in aesthetics, use of the partnership model, different forms of research and political action, midwifery is taking control of childbirth away from the rationalists and returning it to women. It is reclaiming childbirth by placing value on women and empowering them to take control of their own childbirth.
authors.forename: M J
authors.initials: MJ
authors.lastname: Bennett
mesh_terms: D001315:Australia; D019317:Evidence-Based Medicine; D005260:Female; D005544:Forecasting; D018166:Health Care Reform; D006801:Humans; D016389:Maternal-Child Nursing / Q000458:organization & administration*; D016294:Models, Nursing; D009721:Nurse Midwives / Q000458:organization & administration*; D009936:Organizational Innovation; D018802:Patient-Centered Care / Q000458:organization & administration*; D012922:Social Change