title: Politics in the birthing room.
abstract: Women have always braved their way through childbirth one way or another. The hands surrounding them as they make their journey have offered many things. For some it has been herbs or a totem to hold. For others, it has been a tether to a beeping machine or a drug to transform the experience. No one has yet found the method(s) that addresses every pregnant woman's fear or pain during labor and birth. And no one can truly guarantee that all will be okay. The contemporary medical profession offers to shoulder the burden for women by "taking care of it for them," The managed care industry assures the public that they will provide pregnant women with the highest quality of care and the greatest decision-making power. Elected officials promise that they will save women and newborns from unscrupulous legal practices and from the abuses of managed care. But these goals, for better or worse, have yet to be fully realized. No matter the circumstances, women will continue to have babies. Their labors will be short or long, will occur surrounded by flowered décor or in sterile wards, and will be attended by physicians who are overburdened by the demands of maintaining a practice or by a midwife who must battle with institutional protocols to care for her clients. The battle for the political victories in women's health care will undoubtedly continue for some time to come. The strength and resolve of women and their families will determine the outcome and give voice to the consumer and the midwife in the board-room, in the hearing room, and in the birthing room.
authors.affiliation: School of Nursing, Nurse-Midwifery Graduate Program, Women's Health Care Studies, University of Pennsylvania, 420 Guardian Drive, Philadelphia, PA 19104, USA. duraind@nursing.upenn.edu
authors.forename: Dawn
authors.initials: D
authors.lastname: Durain
mesh_terms: D036861:Delivery, Obstetric / Q000266:history; D005260:Female; D049673:History, 20th Century; D006801:Humans; D008318:Malpractice; D008329:Managed Care Programs; D008880:Midwifery / Q000266:history / Q000458:organization & administration; D011057:Politics; D011247:Pregnancy; D014481:United States