Adolescent parenthood,economic issues,and social policies

Adolescent parenthood has highly publicized adverse social and economic consequences, but these same social and economic disadvantages can be viewed as root causes of adolescent pregnancy. Recent research and revisionist debates about these issues are reviewed and summarized. Diverse implications for social policy are considered. Prevention approaches are emphasized that build on both postponing adolescent sexual intercourse and helping sexually active teens avoid pregnancy.Appreciation is expressed to Christine Bachrach and Kristin Moore for their comments on a previous version of this paper.Dr. Miller's current research interests are the family antecedents of adolescent sexual behavior and the design and evaluation of prevention programs for adolescent problem behaviors. He received his Ph.D. in family sociology from the University of Minnesota in 1975.     

A small sociology of maternal memory

Memory is an enormously important resource for the social sciences. This paper takes the subject of maternal memory to examine a corpus of work in the sociology of childbirth concerned with how women remember the experience of childbirth. It suggests that the sociology of memory has been more concerned with collective than individual experiences, and that women's memories of childbirth have generally been treated as a special case, rather than as a route to enhanced understandings of how memory works in relation to the all‐important topics of time, identity and social change. Drawing on data from a 37‐year follow‐up to a study of childbirth conducted in the 1970s, it argues that maternal memory shares key characteristics with other kinds of memory, but can be significant in allowing women to reposition themselves as active social selves in a process that is remembered as not allowing much agency or autonomy.     

Women’s attitudes towards the medicalization of childbirth and their associations with planned and actual modes of birth

Problem

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

Is money the main reason mothers return to work after childbearing?

Women’s reasons for returning to work after childbearing are complex, often including a mix of financial and other reasons related to their preferences, choices and constraints regarding employment; various qualitative studies have explored this decision-making process. This paper also considers how these decisions about returning to work are made, but uses quantitative techniques to analyse how reasons for return to work vary with factors such as women’s timing of return to work, what types of jobs they had previously worked in, or returned to, and what type of leave they used. This enables an examination of which women feel more constrained in their labour market options by returning to work sooner than preferred, and also their reasons for returning. Analysis is based on the 2005 Parental Leave in Australia Survey, a survey nested in the Wave 1.5 collection of the Longitudinal Study of Australian Children (LSAC). Mothers had children aged between 15 and 29 months at this time, and 56 per cent of these mothers had returned to work.     

Women's experiences of interventions for fear of childbirth in the perinatal period: A meta-synthesis of qualitative research evidence

IssueFear of childbirth (FOC) can be debilitating, impacting women's lives in pregnancy, the puerperium and beyond. Research investigated various interventions for FOC in the perinatal period, but there been no synthesis of the experiences of women who engaged with these interventions, which would inform clinical practice guidance and the development of future interventions.AimTo conduct a review and synthesis of qualitative studies of interventions for fear of childbirth in the perinatal period and women's experiences of them.MethodsA meta-synthesis was performed to examine all relevant qualitative studies describing women's experiences of interventions for FOC, in all languages. A comprehensive search of relevant databases from 1978 to 2019 was conducted. In total, following appraisal, seven qualitative studies were eligible for inclusion. The findings were integrated using thematic synthesis for the final stages in the thematic analysis.FindingsOne overarching theme “Ownership of Childbirth” and three analytical themes “Facing the fear”, “Feeling empowered”, “Managing the fear with a sense of security” were generated through the synthesis. There were no studies outside of Scandinavia located.DiscussionThis meta-synthesis provides a new way to describe the process of moving from fear to “Ownership of childbirth”. The first step in the process appears to be acknowledging and identifying the individual's fears. Women can be empowered to self-manage FOC but may be influenced by external factors such as the support of partners and staff.ConclusionThese findings provide evidence to inform the development of future interventions for FOC and highlight the need for further qualitative research globally.     

Feminist And Postfeminist Readings Of Romantic Narratives

This paper examines the reception and interpretation of romantic narratives among fifteen Israeli heterosexual women viewers of the TV series Sex and the City. Based upon the dialogue carried out by the participants in two discussion groups and individual interviews, I map the different strategies employed by the viewers in interpreting the show, as situated within their worldviews concerning issues such as romance and romantic relationships, power relations, and social gender roles.     

Negotiating who gives birth and the influence of fear of childbirth: Lesbians,bisexual women and transgender people in parenting relationships

BackgroundFear of childbirth (FOC) may affect family planning in lesbian, bisexual and transgender (LBT) couples with two potential carriers of a pregnancy. FOC has previously been researched in heterosexual women, while experiences of LBT people have remained unattended. The choice of birth-giving partner in same-sex couples has gained some attention in previous research, but the potential complexities of the decision have not been studied.AimThe aim is to explore how LBT people negotiate the question of who gives birth, in couples with two potential birth parents, and where one or both partners have a pronounced FOC.MethodsSeventeen self-identified LBT people were interviewed about their expectancies and experiences of pregnancy and childbirth. Data were analysed following a six-step thematic analysis.ResultsFOC was negotiated as one of many aspects that contributed to the decision of who would be the birth-giving partner. Several participants decided to become pregnant despite their fears, due to a desire to be the genetic parent. Others negotiated with their partner about who was least vulnerable, which led some of them to become pregnant despite FOC. Still other participants decided to refrain from pregnancy, due to FOC, and were delighted that their partner would give birth. Several participants described their partner's birth-giving as a traumatic experience for them, sometimes also when the birth did not require any obstetric interventions. The partner's experience was in some cases not addressed in postnatal care.ConclusionsIt is important that healthcare staff address both partners’ prenatal expectancies and postnatal experiences.     

福州地区部分产妇“坐月子”传统习俗的调查

采用定性研究方法对福州市城区和福清农村两地12户正在“坐月子”的家庭进行调查,并召开专题小组讨论会,组织19名卫生工作者参加讨论与分析。结果表明,“坐月子”是一个很重要的惯例,其强调摄入大量的高蛋白食物、提供家庭照顾、多休息并专注于体能的恢复、注意会阴部卫生和悉心照顾孩子等有利于产妇恢复健康;而对产妇采取限制洗澡、谢绝会客、限制活动、不适宜的辅助母乳喂养、给新生儿喂中药汤和不重视牙齿卫生等可能无益,甚至有害。建议提倡有利于产妇恢复健康的习俗与措施,努力克服和避免不利于产妇健康的因素。     

Women with fear of childbirth might benefit from having a known midwife during labour

Aim

Having a known midwife at birth is valued by women across the world, however it is unusual for women with fear of childbirth to have access to this model of care. The aim of this study was to describe the prevalence and factors related to having access to a known midwife for women referred to counseling due to childbirth fear. We also wanted to explore if women’s levels of childbirth fear changed over time.