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Title: Interaction Of Biomedicine In Pregnancy and Childbirth
Authors: Ghosh, Priyanka
Keywords: Biomedicine - Pregnancy - Childbirth
Mathew George
School of Health Systems Studies
Issue Date: 2016
Abstract: Biomedicine is the most dominant form of medicine today. The advances in biomedicine are growing high with the developments in medical technologies and surgical instruments, as well. But, irrespective of medical advancements, what has not changed in medical practice is the heterogeneity in practice for similar disease, at different settings. This is true, even with respect to the branch of obstetrics. Existing evidences show that the resources, where available get over used, irrespective of need. Thus, the availability of resources gets exploited in the name of better diagnosis, often. Whereas at places where there are needy people, resources are found to be scarce. The latter scenario is mostly seen in public settings where the patient load is high and resources are short. Resources in terms of human labour, if at all, exist in plenty i. e. if the doctors, nurses and other staffs are present round the clock; then also the problem doesn‟t bound to get solved. This is because of the lack of availability of technological and surgical interventions, which are needful during emergency situations. With reduction in perinatal deaths, medical science has become more sophisticated; thereby has changed the expectations of people. New medical technologies have remained successful in diagnosing and treating diseases in a better way than before. But the uncertainty in medical practice still persists, which is not acknowledged, most of the times. Several natural life events are brought inside the territory of biomedicine. As a result of which, the entire event of birthing has become too „medicalized‟ with higher rates of obstetrical interventions that raise concern for over-medicalization of mother‟s health (Johanson et al. 2002). The phenomenon of birthing, traditionally, belonged to domestic arena and that too was a female domain; which got transferred to the domain of medical control, mostly held by men (Nettleton 1995; H. A. Cahill 2001). The process of delivery through C-section was amongst the first obstetrical procedures that moved out from the hands of the mid-wives and got placed under the shield of male practitioners. This happened because it was surgical procedure (Lupton 2003). With time, even the normal childbirth has also been overtaken by C-section deliveries, along with the complex cases throughout the world. With the increase in number of C-section it has gained an image of emerging pandemic issue (Mehta et al. and Bruekens 2001). Various notions have started getting attached to Csection, one of which is “delivery without pain” (Goldstein 1998). In India the rate of C-section delivery has increased from 3% to 10% between 1992-93 and 2005-06 (IIPS and Macro International 2007). One of the known things is that, there is an increase in the rates of C-section worldwide, but the reasons leading the surgical procedure to increase is not known. Since, there is lack of qualitative understanding regarding the contexts based on which the obstetricians practice C-section and the factors influencing their practice, there is a need to explore upon the views and explanations of medical fraternity regarding the issue. Also exploring the perceptions and experiences of recent mothers would add more knowledge about the understanding of the context, in which obstetricians practice C-section SCOPE OF THE STUDY – The scope of the following study is to find out the contexts in which the obstetricians practice C-section and the explanations they give for their practice. Also the study tries to find out the experiences of recent mothers after getting consultation from their obstetricians throughout their pregnancy, till the delivery of their child. In addition to that, the study also tries to look into the practices followed by nurses in their respective settings. In short, the study tries to build an understanding regarding the factors that contribute to rise in C-section rate. Moreover, it also tries to understand that the final power of deciding the mode of delivery lies with whom
Appears in Collections:M.Phil.

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01_title page.pdf94.5 kBAdobe PDFView/Open
02_declaration.pdf276.07 kBAdobe PDFView/Open
03_certificate.pdf173.19 kBAdobe PDFView/Open
04_contents.pdf193.85 kBAdobe PDFView/Open
05_abbreviations.pdf187.83 kBAdobe PDFView/Open
06_acknowledgement.pdf185.79 kBAdobe PDFView/Open
07_chapter 1.pdf318.22 kBAdobe PDFView/Open
08_chapter 2.pdf581.51 kBAdobe PDFView/Open
09_chapter 3.pdf587.14 kBAdobe PDFView/Open
10_chapter 4.pdf654.03 kBAdobe PDFView/Open
11_chapter 5.pdf231.08 kBAdobe PDFView/Open
12_appendix.pdf323.42 kBAdobe PDFView/Open
13_references.pdf456.96 kBAdobe PDFView/Open

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