'Inductions of labour': on becoming an experienced midwifery practitioner in Aotearoa/New Zealand.
This paper analyzes and explores varying discourses within the talk of new practitioner direct entry (DE) midwives in Aotearoa/New Zealand. In Aotearoa/New Zealand, midwifery is theorized as a feminist profession undertaken in partnership with women. Direct entry midwifery education is similarly based on partnerships between educators and students in the form of liberatory pedagogies. The context for the analysis is a large ethnographic study undertaken with a variety of differently positioned midwives based mainly in one city in New Zealand. I interviewed and observed over 40 midwives in their different practice settings in 2003. Complex and contesting forms of knowledge production are analyzed in this paper drawing on methodological insights from Foucauldian discourse analysis. New practitioners engage in techniques of self-monitoring and surveillance as they move towards becoming established practitioners. New midwifery subjectivities and forms of knowledge production which contest authoritative forms of knowledge are produced. Midwives in New Zealand are seen to inhabit a complex and liminal space of midwifery praxis. Paradoxically, they are exhorted to remain the 'guardians of normal birth' in a time of increasing interventions into birth both locally and internationally. Paradoxes encountered by new midwifery practitioners in New Zealand as they struggle to maintain ideals of 'normal' birth may be paralleled by the constraints inadvertently produced through governing discourses of emancipatory or liberatory pedagogies. The relevance of this is also highly critical for midwifery and birth practices internationally.
Surtees
Ruth
R
Princess Margaret Hospital, Christchurch, New Zealand. ruth.surtees@cdhb.govt.nz
D000884:Anthropology, Cultural; D001291:Attitude of Health Personnel; D002983:Clinical Competence / Q000592:standards; D019513:Feminism; D006801:Humans; D007400:Interprofessional Relations; D008611:Mentors / Q000193:education / Q000523:psychology; D017008:Negotiating / Q000523:psychology; D009520:New Zealand; D009721:Nurse Midwives / Q000193:education / Q000458:organization & administration / Q000523:psychology; D024802:Nurse's Role / Q000523:psychology; D015404:Nursing Methodology Research; D009742:Nursing Theory; D009937:Organizational Objectives; D010687:Philosophy, Nursing; D011209:Power, Psychological; D011231:Preceptorship / Q000458:organization & administration; D017009:Professional Autonomy; D012647:Self-Assessment; D011795:Surveys and Questionnaires