Disciplinary discourses: rates of cesarean section explained by medicine, midwifery, and feminism
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Author
Lee, Amy Su May; KIRKMAN, MAGGIEDate
2008-05Source Title
Health Care for Women InternationalPublisher
Taylor & FrancisAffiliation
Medicine, Dentistry and Health Sciences: Key Centre for Women's Health in SocietyMetadata
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Journal ArticleCitations
Lee, A. S. M. & Kirkman, M. (2008). Disciplinary discourses: rates of cesarean section explained by medicine, midwifery, and feminism. Health Care for Women International, 29(5), 448-467.Access Status
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© 2008 Taylor & Francis. Publisher's version is restricted access in accordance with the Taylor & Francis policy.
Abstract
In the context of international concern about increasing rates of cesarean sections, we used discourse analysis to examine explanations arising from feminism and the disciplines of medicine and midwifery, and found that each was positioned differently in relation to the rising rates. Medical discourses asserted that doctors are authorities on birth and that, although cesareans are sometimes medically necessary, women recklessly choose unnecessary cesareans against medical advice. Midwifery discourses portrayed medicine as paternalistic toward both women and midwifery, and feminist discourses situated birth and women's bodies in the context of a patriarchally structured society. The findings illustrate the complex ways in which this intervention in birth is discursively constructed, and demonstrate its significance as a site of disciplinary conflict.
Keywords
discourse analysis; birth intervention; cesarean ratesExport Reference in RIS Format
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