title: [Integral obstetrics impeded by history? Midwives and gynaecologists through the ages].
abstract: There is a long and complicated history concerning the interprofessional collaboration between midwives and gynaecologists, which is still evident in current practice. Yet, in the analysis of collaborative problems, history and its lessons are often overlooked. Consequently, less effective solutions to problems may be found, because the root cause of a problem is not addressed. In this historical perspective we show how policies of the respective professions have often focused on self-preservation and competition, rather than on effective collaboration. We also highlight how the independent midwives lost and regained authorisation, status and income. Finally, using a theoretical model for interprofessional collaboration, we reflect on where history impedes the development of integral obstetrics. The focus must be averted away from professional self-interest and power struggles, but this proves to be a complex exercise.
authors.affiliation: OLVG West, afd. Gynaecologie, Amsterdam.
authors.forename: N
authors.initials: N
authors.lastname: van der Lee
authors.forename: F
authors.initials: F
authors.lastname: Scheele
mesh_terms: D001291:Attitude of Health Personnel; D003299:Cooperative Behavior; D005260:Female; D006176:Gynecology / Q000266:history*; D049670:History, 17th Century; D049672:History, 19th Century; D049673:History, 20th Century; D006801:Humans; D007400:Interprofessional Relations; D008880:Midwifery / Q000266:history*; D009426:Netherlands; D009774:Obstetrics / Q000266:history*; D011209:Power, Psychological; D011247:Pregnancy