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1.

Problem

Rates of medical interventions in childbirth have greatly increased in the Western world.

Background

Women’s attitudes affect their birth choices.

Aim

To assess women’s attitudes towards the medicalization of childbirth and their associations with women’s background as well as their fear of birth and planned and unplanned modes of birth.

Methods

This longitudinal observational study included 836 parous woman recruited at women’s health centres and natural birth communities in Israel. All women filled in questionnaires about attitudes towards the medicalization of childbirth, fear of birth, and planned birth choices. Women at <28 weeks gestation when filling in the questionnaire were asked to fill in a second one at ~34 weeks. Phone follow-up was conducted ~6 weeks postpartum to assess actual mode of birth.

Findings

Attitudes towards medicalization were more positive among younger and less educated women, those who emigrated from the former Soviet Union, and those with a more complicated obstetric background. Baseline attitudes did not differ by parity yet became less positive throughout pregnancy only for primiparae. More positive attitudes were related to greater fear of birth. The attitudes were significantly associated with planned birth choices and predicted emergency caesareans and instrumental births.

Discussion

Women form attitudes towards the medicalization of childbirth which may still be open to change during the first pregnancy. More favourable attitudes are related to more medical modes of birth, planned and unplanned.

Conclusion

Understanding women’s views of childbirth medicalization may be key to understanding their choices and how they affect labour and birth.  相似文献   
2.
A heuristic model is presented for the diagnosis and treatment of families in stress. A systems approach and psychoanalytic concepts are integrated to understand and modify dysfunctional behavior transmitted across generations .  相似文献   
3.
The Los Angeles Gay & Lesbian Center began providing services to LGBT seniors in 2008. Since then, the Center’s seniors program has grown to over 3,300 clients. It provides a variety of enrichment and support services with the overarching goal of empowering seniors to successfully age in place. This article outlines the service delivery program of the Center’s Seniors Services Department and describes its successes and challenges in meeting the needs of diverse LGBT seniors. It offers future directions for social work practice, policy, and research with LGBT older adults.  相似文献   
4.
The shifting boundaries of Europe as lines of enclosure and mobility restriction in the ‘longue duree’are analysed here at the European/supranational level through the deconstruction of three regional narratives on “Europe” and its reborderings in different millennia. These narratives have had a lasting significance in identity construction and spatialities around the Mediterranean and are evidence of the historically specific and constructed nature of the boundaries of Europe, as well as the power relations involved in changing spatialities. Europe is a cultural construct that emerged around the Mediterranean in a captivating Greek myth, much earlier than the period of written history. The notion of Europe then ‘shifted’ to the northwest as a colonial cultural–religious construct of ‘Christendom’ during the Middle Ages, before nation-states emerged. Much later, European integration—in the context of globalization after the end of bipolarity—not only did not melt borders, but in fact created some new and often bizarre hierarchies supported by a bureaucratic narrative and an institutional discourse for unification after two devastating world wars. Unpacking these narratives is important in understanding sociopolitical constructions of ‘Europe’ and its boundaries, their hardening or relaxation, and criticizing essentialism, as well as commenting upon the ambivalent placing in the European Union of certain candidate and neighboring nations.  相似文献   
5.
Conditional cash transfers (CCTs) have spread rapidly in developing countries in the past decade. While there is extensive literature assessing their impacts health, education and other outcomes, little attention has been paid to beneficiaries' subjective experiences of CCT design. This article addresses this issue by exploring how beneficiaries of Argentina's flagship CCT, the Universal Child Allowance, perceive the programme's unique design features. We find male and female beneficiaries tend to support targeted transfers to female carers, and that confusion about payment schedules has important implications for beneficiary engagement. Analysis of these findings offers useful insights into how CCT programme design may affect outcomes.  相似文献   
6.
Promoting justice in therapeutic work with families demands an analysis of contextual factors such as race, ethnicity, gender, and social class in relationship to societal systems of power, privilege, and oppression. A broad understanding of these dynamics, however, is inadequate to inform our work with families whose social capital severely limits available life choices, social influence, and material resources. In this article, we describe working from a critical contextual perspective to consider how families gain and/or lose social capital through participation in multiple contexts. We introduce a technique for mapping social capitol within and across multiple systems as well as suggestions for interventions aimed at increasing the social well-being of low-status families. These include considering the dynamics of boundary crossing, recognizing and optimizing resistance to oppressive dynamics, finding ways to limit constraints and optimize opportunities, and developing webs of allies to support family functioning and access to resources. We offer the example of 13-year-old Pepe as a case in point.  相似文献   
7.
Previous scholarship on tokenism in professional occupations analyzes the ways white men exclude white women in male-dominated jobs. This study provides a glimpse of one organization, elementary schools, where white women exclude Latina women in a feminized occupation. Drawing on multiple methodologies, this paper analyzes Latina teachers’ workplace experiences in Santa Ana, a Southern California Mexican immigrant city. The article compares the experiences of Latina teachers working at one school where over 70% of teachers are of Latina origin and three schools where 20% of teachers are Latinas. The author coins the term ‘racialized tokens’ to illustrate how the inextricable link of race, gender and class combine to shape the workplace experiences of Latina teachers who work as numerical minorities among a majority of white colleagues. Since Latina teachers are ‘racialized tokens’ in these spaces, the author argues that in the presumably post-racial era of diversity and multiculturalism in the U.S., Latina teachers do not long for racial integration with white women in their workplaces, rather, they choose to self-segregate because of the comfort and safety self-segregation provides.  相似文献   
8.
In-depth interviews and focus groups with lesbian, gay, and transgender older adults addressed the question “What does it mean for long-term care providers to be responsive to lesbian, gay, bisexual, and transgender (LGBT) older adults?” Sixteen domains of long-term care provider responsiveness to LGBT older adults were identified, including awareness of centrality of partners, knowledge of importance of preferred gender expression, openness to welcoming LGBT older adults, and ability to create LGBT-safe environments. Future research should include LGBT elders who belong to ethnic minority groups, bisexual elders, and LGBT older adults who do not identify with LGBT labels.  相似文献   
9.
This article describes a participatory research project, which explored four case studies of children and young people's successful political advocacy in Nicaragua. The analysis combined a human rights‐based approach and a human development approach, and included concepts of multiple settings and levels, interrelated participation spaces, children and young people's citizenship, inclusion and exclusion, democracy, advocacy and empowerment. The main problems faced by children and young people seeking to influence policy‐makers were identified as adultism, dependency and lack of accountability. The research identified pre‐conditions, participation spaces and ways of organising for effective advocacy, and facilitation methods that had proved effective. It concludes that children and young people who achieve effective advocacy are generally self‐empowered, but can count on effective adult support and facilitation. They work through coordination with the authorities and not by clashing with them, but need to ensure effective follow up if they want politicians to keep their promises.  相似文献   
10.
We examine the degree to which ethnic diversity in social networks relates to the frequency of interethnic romantic relationships for 318 college students. In a multinomial logit, we find that the odds of having an interethnic relationship once or twice, versus never, increase significantly if the respondent has a relatively ethnically diverse friendship network, is male, and supports interethnic dating. The odds of having an interethnic relationship often, versus once or twice, are significantly higher for persons of color and when the friends of the respondent's parents are relatively diverse ethnically. Findings from open‐ended data also provide support for a social network perspective, and point to the processes by which networks, gender, and ethnicity shape interethnic courtship.  相似文献   
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