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Homebirth as Systems-Challenging Praxis

Knowledge, Power, and Intimacy in the Birthplace

Bibliographic Data

ID5454878
AuthorsMelissa Cheyney (0000-0001-5672-3353, Oregon State University, corresponding author), Melissa J Cheyney (Oregon State University, Corvallis, Oregon, USA, .)
Year2008
Volume18
Issue2
Pages254-267
Publication date2008-02-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueQualitative Health Research (JOURNAL)
Journal identifiersISSN: 1049-7323 • E-ISSN: 1552-7557
PublisherSAGE Publications Inc (PUBLISHER)
DOI10.1177/1049732307312393
PMID18216344
OpenAlexW2122420111
LanguageEN
Citations received44
References cited30

In this article, I examine the processes and motivations involved when women in the United States choose to circumvent the dominant obstetric care paradigm by delivering at home with a group of care providers called direct-entry midwives. Using grounded theory, participant observation, and open-ended, semistructured interviewing, I collected and analyzed homebirth narratives from a theoretical sample of women ( n = 50) in two research locales. Findings interpreted from the perspective of critical medical anthropology suggest that women who choose to birth at home negotiate fears associated with the 'just in case something bad happens' argument that forms the foundation for hospital birth rationales through complex individual and social processes. These involve challenging established forms of authoritative knowledge, valuing alternative and more embodied or intuitive ways of knowing, and knowledge sharing through the informed consent process. Adherence to subjugated discourses combined with lived experiences of personal power and the cultivation of intimacy in the birthplace fuel homebirth not only as a minority social movement, but also as a form of systems-challenging praxis

Epistemology · Home birth · Interview · Narrative · Negotiation · Participant observation · Praxis · Social science · Sociology · Anthropology · Grief, Bereavement, and Mental Health · Maternal and Perinatal Health Interventions · Medicine · Nursing · Psychology · Qualitative Research Methods and Ethics · Social Psychology

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Unique citing works44
Citations per year2,44
Citation span2008 - 2024 (17)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 42

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