‘I really needed help’: What mothers say about their post-birth care in Queensland,Australia

BackgroundAustralian mothers consistently rate postnatal care as the poorest aspect of their maternity care, and researchers and policymakers have widely acknowledged the need for improvement in how postnatal care is provided.AimTo identify and analyse mothers’ comments about postnatal care in their free text responses to an open ended question in the Having a Baby in Queensland Survey, 2010, and reflect on their implications for midwifery practice and maternity service policies.MethodsThe survey assessed mothers’ experiences of maternity care four months after birth. We analysed free-text data from an open-ended question inviting respondents to write ‘anything else you would like to tell us’. Of the final survey sample (N = 7193), 60% (N = 4310) provided comments, 26% (N = 1100) of which pertained to postnatal care. Analysis included the coding and enumeration of issues to identify the most common problems commented on by mothers. Comments were categorised according to whether they related to in-hospital or post-discharge care, and whether they were reported by women birthing in public or private birthing facilities.ResultsThe analysis revealed important differences in maternal experiences according to birthing sector: mothers birthing in public facilities were more likely to raise concerns about the quality and/or duration of their in-hospital stay than those in private facilities. Conversely, mothers who gave birth in private facilities were more likely to raise concerns about inadequate post-discharge care. Regardless of birthing sector, however, a substantial proportion of all mothers spontaneously raised concerns about their experiences of inadequate and/or inconsistent breastfeeding support.ConclusionWomen who birth in private facilities were more likely to spontaneously report concerns about their level of post-discharge care than women from public facilities in Queensland, and publically provided community based care is not sufficient to meet women's needs. Inadequate or inconsistent professional breastfeeding support remains a major issue for early parenting women regardless of birthing sector.     

I want my Snooki: MTV’s failed subjects and post-feminist ambivalence in and around the Jersey Shore

As a sexually promiscuous and outrageously flamboyant young woman, Nicole “Snooki” Polizzi of MTV’s Jersey Shore (2009–2012) Jersey Shore. 2009–2012. Television Series. Seasons 1–6. USA: MTV. [Google Scholar] could be said to be the ultimate example of Angela McRobbie’s post-feminist subject. However, as pervasive as post-feminist narratives have become in popular culture, the figure of Snooki problematizes its ideal forms of femininity and meritocratic success. In this paper I argue that Snooki’s potential challenges to post-feminist ideology were contained by news reporting on her at the height of her fame. This analysis posits a noteworthy divide in that those most inclined to watch/consume Snooki-as-text (the MTV audience) likely remained beyond the reach of the news media’s attempt to re-inscribe hegemonic ideologies onto her star image/text. I examine the relation between Snooki-as-text (the Snooki presented on Jersey Shore) and the extra-textual attempts to undermine her popularity and legitimacy. I frame this discussion along three axes of transgression and containment: the sexual empowerment/threat paradigm; the physical markings of class and ethnic subjectivity; and the textual boundaries of meritocratic success. Despite efforts to contain her, Snooki’s short-lived success hints at an ambivalence toward post-feminism today that could help chart a revitalized form of feminist politics within youth-driven popular culture.     

The experience of rural midwives in dual roles as nurse and midwife: “I’d prefer midwifery but I chose to live here”

ObjectiveTo explore and describe the experiences of working in the dual role as nurse and midwife in rural areas of far north Queensland, Australia.MethodThe methodology was informed by Heidegger's interpretive phenomenological philosophy and data analysis was guided by van Manen's analytical approach. Data was generated by conversational interviews. Eight midwives working in a dual role as midwife and nurse were interviewed individually.FindingsThree themes were identified: Making choices between professional role and lifestyle: “Because I choose to live here”; Integration of maternity and general nursing: “All in together this fine weather” and: “That's part of working in a small place”.ConclusionParticipants recognized that in rural areas it is important to be a multi-skilled generalist; however they were concerned that midwifery skills could be eroded or even lost with the diminishing amounts of midwifery work available. Appropriate re-structuring of maternity services could provide better use of the midwifery workforce in rural centres, and reduce the current problems associated with transferring birthing mothers to larger facilities. Further research is needed to examine the extent to which the requirement to work in a dual, or multifaceted role is an impediment to the recruitment and retention of midwives to rural areas.     

“I knew there has to be a better way”: Women’s pathways to freebirth in Poland

BackgroundEach year a small number of women decide to birth at home without midwifery and medical assistance despite the availability of maternity services in the country. This phenomenon is called freebirth and can be used as a lens to look into shortcomings of maternity care services.AimBy exploring women’s pathways to freebirth, this article aims to examine the larger context of maternity services in Poland and identify elements of care contributing to women’s decision to birth without midwifery and medical assistance.MethodsA qualitative methodology was used employing elements of ethnographic fieldwork, including digital ethnography. Semi-structured interviews with twelve women who freebirth, analysis of online support groups, secondary sources of information and elements of participant observation were used.FindingsWomen’s decisions to freebirth were born out of their previous negative experiences with maternity care. Persistent use of medical technology and lack of respect from maternity care providers played a major role in pushing women away from available Polish maternity services. While searching for a better environment for themselves and their babies for the subsequent births, women experienced a rigidity of both mainstream and homebirth services and patchy availability of the latter that contributed to their decisions to freebirth.ConclusionsFreebirth appears to be a consequence of inadequate maternity services both mainstream and homebirth rather than a preference. Women’s freebirth experiences can be used to improve maternity care in Poland and inform similar contexts globally.     

Pet Dogs Benefit Owners’ Health: A ‘Natural Experiment’ in China

This paper reports results from a ‘natural experiment’ taking place in China on the impact of dogs on owners’ health. Previous Western research has reported modest health benefits, but results have remained controversial. In China pets were banned in urban areas until 1992. Since then dog ownership has grown quite rapidly in the major cities, especially among younger women. In these quasi-experimental conditions, we hypothesise that dog ownership will show greater health benefits than in the West. Results are given from a survey of women aged 25–40 in Beijing, Shanghai and Guangzhou (N = 3031). Half the respondents owned dogs and half did not. Owners reported better health-related outcomes. They exercised more frequently, slept better, had higher self-reported fitness and health, took fewer days off sick from work and were seen less by doctors. The concluding section indicates how these results may be integrated and suggests further research on the potential economic benefits of pets.

Mutant Mobilities: Backpacker Tourism in ‘Global’ Sydney

This essay explores the complex mobilities of contemporary backpackers. Backpackers are not just tourists; they are also frequently students, working holidaymakers, highly skilled professional workers, and even, at times, long‐term semi‐permanent residents. How to define this group of physically and conceptually mobile travellers is often problematic, especially for local authorities. It is difficult to discern what cultural space and identity this type of mobility and this category of traveller occupy. Focusing on the tensions in residential communities which have developed as a result of backpackers not only travelling through but frequently dwelling in place, the essay analyses the ‘backpacker phenomenon’ as a complex and mutating mix of working, holiday and residential experiences that needs to be understood within a framework of increasing(ly) uneven, diverse and contested mobilities.     

Accountability in a state of liminality: Iranian students’ experiences in American airports

This paper studies the lived experience of Iranian students upon arrival at American airports. By using two concepts of liminality and accountability, I examine how Iranian students walk the gauntlet of US airports, and study the influences of the treatment they receive at airports on their perceptions of the US. Empirically, I draw on 15 in-depth qualitative interviews with eight Iranian students at a Southern university in the US. The paper posits that multiple layers of liminality surface and intensify in airports as a threshold where international travelers can see both ways, behind and before them, while belonging to neither one. The requirement to be an ‘accountable other’ adds up to the contingencies of the situation. Theoretically, this paper puts the politics of mobility in the colonial context and claims that legal recognition will not result in integration when negative discourses around the civilizational other regards their mobility as a threat and challenges their social recognition.     

Changes in children’s time with parents: A correction

This article provides corrected estimates of the weekly time that 3- to 12-year-old children spent either directly engaged with their parents or with their parents accessible to them in 1997, replicating the figures presented in the original 2001 Demography article. The data come from the 1997 Child Development Supplement to the Panel Study of Income Dynamics. The results show a considerably greater increase in children's total time in 1997 with mothers, fathers, or either parent than was shown in the original article. Some alternative estimates, likely reasons for the larger change, and the implications are discussed.     

Men’s condom use in higher-risk sex: Trends in five sub-Saharan African countries

This paper analyses trends in men’s condom use at last higher-risk sex (i.e., with a non-marital, non-cohabiting partner) using the two most recent Demographic and Health Surveys (DHS) in five sub-Saharan African countries: Cameroon, Kenya, Tanzania, Zambia and Burkina Faso. Condom use is an important method of preventing HIV transmission. Encouragingly, higher-risk sex has declined in four of the five countries, while condom use rose substantially in Cameroon, Tanzania and Burkina Faso but only had a minor increase in Kenya and Zambia, where use at last higher-risk sex remains below 50 per cent. There are no clear patterns of change across countries in the predictive strength of the explanatory variables between the two most recent surveys, although evidence of a widening gap in use by education in Cameroon is identified. In each country, lack of education remains a strong barrier to condom use in higher-risk sex.     

International Airports: Passengers in an Environment of ‘Authorities’

This article looks at airports from the passengers' perspectives. It shows that international airports are, above all, spaces of highly explicit expressions of several authorities. The article first distinguishes between airline and airport geographies, followed by a conceptual analysis of authority, power and airports. Then, the article describes the several airport authorities and their responsibilities, spelling out their control of the physical elements of airport terminals, with special attention to signage. This is followed by discussions of airport terminal operations and resulting passenger flows, once again focusing on the role of multiple authorities. These discussions lead, finally, to expositions of travelers' socialities while at international airport terminals and under an authoritarian regime, focusing on passengers' disembodying and dialectics.     

Investing in children’s education: are Muslim immigrants different?

Using a unique data set on immigrants living in France in 2003, we investigate whether Muslims invest differently in their children’s education compared to non-Muslims. In particular, we want to assess whether educational inequalities between the children of Muslim and non-Muslim immigrants stem from differences between or within families. After controlling for a broad set of individual and household characteristics, we find no difference in education between children of different religions. However, we do find more within-family inequality in children’s educational achievements among Muslims relative to non-Muslims. The within-family variance is 15 % higher among Muslims relative to Catholics and 45 % higher relative to immigrants with other religions, but the intra-family inequality remains difficult to explain. Overall, our results suggest that Muslim parents tend to redistribute their resources more unequally among their children.     

Determinants of adults’ solo living in Canada: a longitudinal perspective

We examine the demographic, socio-economic and socio-cultural factors that underlie solo-living at mid-adult ages. Both individual and community level factors are analysed. The analysis is based on the longitudinal panel data of the Canadian Survey of Labour and Income Dynamics in 1996–2001, 1999–2004, 2002–2008 and 2005–2010, and census data at the Census District level for 1996, 2001 and 2006. A two-level discrete-time survival model is used within a 6 year observational window for each panel. The analysis starts with persons aged 35–59 who were living alone at the outset of a given panel and follows their departure from this status over the following 6 years. For both men and women, the older respondents, those who have been living solo for a longer time, those who are not in the labour force, and those living in apartments, are more likely to continue living alone. Women are more likely to keep their initial one person household status compared to men in general. In particular, women with medium education (non-university post-secondary certification) are more likely to continue living alone, while for men it is those unemployed who are more likely to remain in the solo-living status. Moreover, persons with lower health status are more likely to continue living by themselves, in comparison to those with excellent health status.

     

Negotiating the ground: ‘mobilizing’ a divided field site in the ‘post-conflict’ city

ABSTRACT

While an exploration of mobility patterns in ‘post-conflict’ societies has much to tell us about how division is produced through ordinary activities, less work has considered the practical application of a mobilities ‘lens’ during fieldwork in such contexts. Negotiating the ground in highly polarized contexts presents a unique array of challenges, but also offers opportunities to make use of mobile methodologies. This paper discusses the advantages of GPS-based technologies and walking interviews to a recent activity-space segregation study in Belfast, Northern Ireland, and reflects on methodological issues posed by the ‘post-conflict’ field site.     

Demographers’ Involvement in Twentieth-Century Population Policy: Continuity or Discontinuity?

The second half of the twentieth century witnessed the development of a crusading spirit and massive technical aid aimed at reducing fertility levels and rates of population growth in developing countries, and also the involvement of demographers in these events. The demographers at Princeton University’s Office of Population Research, Frank Notestein and his colleagues, have been singled out by recent authors as playing a unique role in bringing about these changes, and they have been criticized for encouraging demographers to become involved, so eroding their scientific objectivity. This paper examines the development of relevant population thought and theory in the English-language literature over the first half of the twentieth century. It concludes that in the circumstances of the second half of the twentieth century, it was inevitable that developed countries and their demographers would become involved in controlling fertility levels in developing countries. The OPR story should be seen largely in terms of how the world’s leading demographic center and its demographic transition theory were swept along by global changes. As those developments started, attitudes to population change in densely settled Asia became Malthusian, even as population growth accompanied by mortality decline in Asia demonstrated that, at least in the short term, the positive checks were disappearing.     

Immigrant mothers’ preferences for children’s sexes: A register-based study of fertility behaviour in Norway

Parental sex preferences have been documented in many native populations, but much less evidence is available on immigrants’ preferences for the sexes of their children. Using high-quality longitudinal register data from Norway, a country with a recent immigration history, we estimate hazards regression models of third birth risks by the sex composition of the first two children. A central question in the extant literature is whether the sex preferences of immigrant mothers match those observed in their country of origin, or if cultural adaption to local conditions is more important. Our analyses indicate that the sex preferences of immigrants generally match those previously documented for their native population, especially in the case of son preferences. The pattern of sex preferences is unmodified by the mother’s exposure to the host society. In sum, our evidence generally supports theories emphasizing cultural persistence in preferences, rather than theories of adaption or immigrant selectivity.