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E-grāmata: Birthing Outside the System: The Canary in the Coal Mine [Taylor & Francis e-book]

Edited by (Western Sydney University, Australia), Edited by (Western Sydney University, Australia), Edited by
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This book investigates why women choose ‘birth outside the system’ and makes connections between women’s right to choose where they birth and violations of human rights within maternity care systems.

Choosing to birth at home can force women out of mainstream maternity care, despite research supporting the safety of this option for low-risk women attended by midwives. When homebirth is not supported as a birthplace option, women will defy mainstream medical advice, and if a midwife is not available, choose either an unregulated careprovider or birth without assistance. This book examines the circumstances and drivers behind why women nevertheless choose homebirth by bringing legal and ethical perspectives together with the latest research on high-risk homebirth (breech and twin births), freebirth, birth with unregulated careproviders and the oppression of midwives who support unorthodox choices. Stories from women who have pursued alternatives in Australia, Europe, Russia, the UK, the US, Canada, the Middle East and India are woven through the research.

Insight and practical strategies are shared by doctors, midwives, lawyers, anthropologists, sociologists and psychologists on how to manage the tension between professional obligations and women’s right to bodily autonomy. This book, the first of its kind, is an important contribution to considerations of place of birth and human rights in childbirth.

Acknowledgements x
List of figures
xii
List of tables
xiii
Notes on contributors xiv
Foreword xix
Nicky Leap
PART 1 Understanding the problem
1(270)
Introduction 3(24)
Hannah Dahlen
Bashi Kumar-Hazard
Virginia Schmied
1 Freebirth in the United States
27(32)
Rixa Freeze
Laura Tanner
2 Giving birth outside the system in Australia: freebirth and high-risk homebirth
59(21)
Melanie Jackson
3 Understanding women's motivations to, and experiences of, freebirthing in the UK
80(19)
Claire Feeley
Gill Thomson
4 Birthing `outside the system' in the Netherlands
99(16)
Martine Hollander
5 The rise of the unregulated birth worker in Australia: the canary flees the coal mine
115(21)
Elizabeth Rigg
6 Identifying the poisonous gases seeping into the coal mine: what women seek to avoid in choosing to give birth at home
136(17)
Heather Sassine
Hannah Dahlen
7 The journey of homebirth after caesarean (HBAC): fighting the system or birthing in peace
153(18)
Hazel Keedle
Sarah O'Connor
8 Seeking control over birth in the Middle East
171(18)
Suha Hussein
Virginia Schmied
9 Why South Asian women make extreme choices in childbirth
189(22)
Kaveri Mayra
Bashi Kumar-Hazard
10 Birth choices in Eastern Europe and Russia
211(25)
Daniela Drandic
Nicholas Rubashkin
Tamara Sadovaya
Svetlana Illarionova
11 The modern-day witch hunt
236(20)
Hannah Dahlen
Jo Hunter
12 Birth trauma: the noxious by-product of a failing system
256(15)
Maddy Simpson
Agy Cater
PART 2 Working towards a solution
271(182)
13 What are women's legal rights when it comes to choice in pregnancy and childbirth?
273(21)
Farah Diaz-Tello
Bashi Kumar-Hazard
14 The role of the coroner in Australia: Listen to the canary or ignore it?
294(26)
Bash I. Kumar-Hazard
15 Keeping the canary singing: maternity care plans and respectful homebirth transfer
320(24)
Bec Jenkinson
Deborah Fox
16 Why Aboriginal women want to avoid the biomedical system: Aboriginal and Torres Strait Islander women's stories
344(16)
Donna Hartz
Melanie Briggs
Sue-Anne Cutmore
Dea Delaney-Thiele
Cherisse Buzzacott
17 Midwifing women who make `off-menu' choices
360(28)
Kathryn Gutteridge
Hannah Dahlen
18 Anthropologist, midwife, researcher: a perspective on birth outside the system
388(13)
Melissa Cheyney
19 A conversation with the `breech whisperer'
401(10)
Andrew Bisits
Hannah Dahlen
20 Obstetricians discuss the coal mine and the canary
411(19)
Alison Barrett
Andrew Kotaska
21 Conclusion: keeping the canary singing into the future
430(23)
Hannah Dahlen
Bashi Kumar-Hazard
Virginia Schmied
Glossary of terms 453(4)
Index 457
Hannah Dahlen is the Professor of Midwifery and Higher Degree Research Director in the School of Nursing and Midwifery at Western Sydney University in Australia. Hannah is also a privately practising midwife with a group practice called Midwives@Sydney and Beyond. Hannah has been the Doctoral/Masters/Honours supervisor for seven of the contributors to this book. In 2012 Hannah was named in the Sydney Morning Heralds list of top 100 leading science and knowledge thinkers. In 2019 she was made a Member in the General Division of the Order of Australia for her services to Midwifery, Nursing and Medical Education and Research.

Bashi Kumar-Hazard is an Australian trained competition and consumer rights lawyer, and the upcoming Chair of Human Rights in Childbirth. Bashi has represented families in coronial inquests and hospital midwives pursued by the healthcare regulator. Internationally, she has prepared Amicus briefs and UN human rights submissions on mistreatment in childbirth and womens reproductive rights. Bashi is currently working on a doctorate in Competition Law and Human Rights at the University of Sydney, examining anti-competitive practices in the provision of maternity healthcare in Australia.

Virginia Schmied is Professor of Midwifery and Deputy Dean Research and Engagement in the School of Nursing and Midwifery, Western Sydney University. Her research focuses on transition to motherhood and perinatal mental health with a strong focus on the organisation of healthcare, workplace culture and the facilitators and barriers to the delivery of high-quality and compassionate maternity and child healthcare. Most recently, Virginia and her colleagues have been studying the experiences of women and men from diverse cultural backgrounds living in western Sydney.