What are the facilitators,inhibitors, and implications of birth positioning? A review of the literature

BackgroundFrom the historical literature it is apparent that birthing in an upright position was once common practice while today it appears that the majority of women within Western cultures give birth in a semi-recumbent position.AimTo undertake a review of the literature reporting the impact of birth positions on maternal and perinatal wellbeing, and the factors that facilitate or inhibit women adopting various birth positions throughout the first and second stages of labour.MethodsA search strategy was designed to identify the relevant literature, and the following databases were searched: CINAHL, CIAP, the Cochrane Database of Systematic Reviews, Medline, Biomed Central, OVID and Google Scholar. The search was limited to the last 15 years as current literature was sought. Over 40 papers were identified as relevant and included in this literature review.ResultsThe literature reports both the physical and psychological benefits for women when they are able to adopt physiological positions in labour, and birth in an upright position of their choice. Women who utilise upright positions during labour, have a shorter duration of the first and second stage of labour, experience less intervention, and report less severe pain and increased satisfaction with their childbirth experience than women in a semi recumbent or supine/lithotomy position. Increased blood loss during third stage is the only disadvantage identified but this may be due to increased perineal oedema associated with upright positions. There is a lack of research into factors and/or practices within the current health system that facilitate or inhibit women to adopt various positions during labour and birth. Upright birth positioning appears to occur more often within certain models of care, and birth settings, compared to others. The preferences for positions, and the philosophies of health professionals, are also reported to impact upon the position that women adopt during birth.ConclusionUnderstanding the facilitators and inhibitors of physiological birth positioning, the impact of birth settings and how midwives and women perceive physiological birth positions, and how beliefs are translated into practice needs to be researched.     

Real Gender: Identity,Loss, and the Capacity to Feel Real

This article concerns gender and feeling real. Beginning with Judith Butler’s deconstruction of gender as an ontological category, it argues that the subjective experience of gender as real has been underaccounted for. By reviewing Butler’s work on gender melancholy and then elaborating psychoanalytic theories of identification and reality, this article links feeling real to the dual capacities to both separate from and connect with the object. To illustrate the implications for thinking gender identity and transformation, it concludes with a reading of Miles Walser’s poem about the name discarded in a gender transition.     

Zora Neale Hurston’s visual and textual portrait of middle passage survivor Oluale Kossola/Cudjo Lewis

This article examines African American folklorist Zora Neale Hurston’s book-length biography and film of the last known Middle Passage survivor, Oluale Kossola/Cudjo Lewis, to explore her cinematic and literary engagement with slavery and to recover Lewis as a co-author of both documents. Hurston’s literary project, ‘Barracoon’, in which she situated herself merely as Kossola’s amanuensis and foregrounded the ‘inexpressible violence’ and ‘horror’ of his experience, represented an unusually frank twentieth-century record of enslavement and post-slavery life. Such work pre-dated and lacked the patronising tone of much of the WPA Slave Narrative Collection (1936–1938), whose investigators were mainly white and whose subjects’ accounts were often reconstructed loosely from field notes. Moreover, Hurston’s footage of Lewis circumvented literary mediation altogether to provide an Atlantic slavery survivor with an unprecedented visual outlet for self-expression.     

Social Media Policy in Social Work Education: A Review and Recommendations

Although social media use has grown dramatically, program policies have not kept pace. Some programs now state that student social media activities have led to professional conduct reviews and may violate ethical standards. This article reviews current social media policies and conceptualizes their key elements. A review of current social media policies is reported, pointing to the need for further policy development. Six domains of a social media policy are identified: understanding social media, ethical and legal obligations, implications of one’s personal and professional online presence, institutional obligations to the program and agency, productivity implications, and possible consequences for violations of the policy. A model social media policy is detailed, and unresolved issues are identified.     

The (in)security of gender in Afghanistan’s peacebuilding project: hybridity and affect

In this article I draw on a feminist approach to hybridity to explore interview data and observations from my field research in Afghanistan. I argue that there is a logic of masculinist protection influencing the affective environment of the peacebuilding project there. The combination of a perceived patriarchal context in Afghanistan and security routines protecting civilian internationals (and Afghan elites), which rely on hypermasculine signifiers, help to create and perpetuate the conditions in which the female (for both internationals and Afghans) is marked with insecurity. I point to hybridity between the foreign and female experience, as well as resistance and reflexivity within my research. Throughout I explore fragments of power hierarchies that cut through the meaning of gender, rendering the female state a disempowering one, always referenced in some uncertain, hybrid way as protected or in need of protection.     

Counting Young Carers in Switzerland – A Study of Prevalence

An online survey of children in school grades 4–9 (mostly aged 10–15) was conducted in order to determine the prevalence of young carers in Switzerland using a 2‐stage stratified sampling approach. 4082 respondents were drawn from 230 schools. A total of 3991 respondents were included in the analysis and of these 307 (7.7%) were identified as young carers. The population estimate of prevalence was 7.9 per cent. This suggests that there are around 38 400 young carers in school grades 4–9 in Switzerland. Extrapolating to the 9–16 age group gives a figure of almost 51 500.     

Staff experience of a new approach to family safeguarding in Oxfordshire Children's Social Care Services

This paper presents the findings from a qualitative study that sought to understand the experiences of frontline staff working in Oxfordshire County Council (OCC) Children's Social Care Services and their views on a new family safeguarding model (Family Solutions Plus). Focus group interviews were conducted with 20 frontline staff and managers in different teams across OCC Children's Social Care Services using video conferencing software. Thematic analysis identified three overarching themes: Preparation for the implementation of Family Solutions Plus, staff views on the implemented model, and challenges to its implementation. Staff voiced strong support for the new model, which places a much greater emphasis than previous practice on supporting the whole family, developing parenting skills and keeping children safe with their families. The challenges associated with the transition to a new model were considerable in the short term, partly due to the COVID-19 pandemic, but there was optimism that the new model could be sustained and stabilized over time.     

Late,But Not Too Late? Postponement of First Birth Among Highly Educated US Women

We examine the link between the postponement of parenthood and fertility outcomes among highly educated women in the USA born in 1920–1986, using data from the CPS June Supplement 1979–2016. We argue that the postponement–low fertility nexus noted in demographic and biomedical research is especially relevant for women who pursue postgraduate education because of the potential overlap of education completion, early career stages, and family formation. The results show that women with postgraduate education differ from women with college education in terms of the timing of the first birth, childlessness, and completed fertility. While the postponement trend, which began with the cohorts born in the 1940s, has continued among highly educated women in the USA, its associations with childlessness and completed parity have changed considerably over subsequent cohorts. We delineate five distinct postponement phases over the 80-year observation window, consistent with variation over time in the prevalence of strategies for combining tertiary education and employment with family formation.     

L'économie des plateformes sous l'angle de la géographie ouvrière: comprendre les stratégies d'organisation collective dans le contexte du travail intermédié par les plateformes numériques

L'auteure analyse sous un angle géographique la lutte collective des travailleurs de plateforme. Distinguant deux formes de travail de plateforme (l'offre de services locaux et le microtravail), elle examine leurs caractéristiques spatiales respectives et les stratégies d'organisation collective spécifiques à chacune. À partir de trois démarches de dialogue social (comités d'entreprise, négociation collective et accords multientreprises), elle cherche à comprendre pourquoi chaque catégorie de travailleurs de plateforme choisit telle stratégie plutôt que telle autre. Elle analyse les cadres réglementaires dans lesquels s'inscrivent les luttes collectives de ces travailleurs et les chances de voir cette mobilisation améliorer leurs conditions de travail.     

Labour geographies of the platform economy: Understanding collective organizing strategies in the context of digitally mediated work

The article examines the geographies of collective labour struggle in the platform economy. It distinguishes between the unique spatial features associated with place-based work and crowdwork to examine the divergent collective organizing strategies developed therein. Taking works councils, collective bargaining and multi-enterprise agreements as three examples of social dialogue, the article considers why different types of platform workers gravitate towards particular strategies, analyses the regulatory frameworks within which these workers' collective struggles are bound, and assesses the propensity for these expressions of solidarity to improve the terms and conditions of platform work.