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OverviewAs Puerto Rico rapidly industrialized from the late 1940s until the 1970s, the social, political, and economic landscape changed profoundly. In the realm of heath care, the development of medical education, new medical technologies, and a new faith in science radically redefined childbirth and its practice. What had traditionally been a home-based, family-oriented process, assisted by women and midwives and ""accomplished"" by mothers, became a medicalized, hospital-based procedure, ""accomplished"" and directed by biomedical, predominantly male, practitioners, and, ultimately reconfigured, after the 1980s, into a technocratic model of childbirth, driven by doctors' fears of malpractice suits and hospitals' corporate concerns. Pushing in Silence charts the medicalization of childbirth in Puerto Rico and demonstrates how biomedicine is culturally constructed within regional and historical contexts. Prior to 1950, registered midwives on the island outnumbered registered doctors by two to one, and they attended well over half of all deliveries. Isabel M. Cordova traces how, over the next quarter-century, midwifery almost completely disappeared as state programs led by scientifically trained experts and organized by bureaucratic institutions restructured and formalized birthing practices. Only after cesarean rates skyrocketed in the 1980s and 1990s did midwifery make a modest return through the practices of five newly trained midwives. This history, which mirrors similar patterns in the United States and elsewhere, adds an important new chapter to the development of medicine and technology in Latin America. Full Product DetailsAuthor: Isabel M. CórdovaPublisher: University of Texas Press Imprint: University of Texas Press Dimensions: Width: 15.20cm , Height: 1.80cm , Length: 22.90cm Weight: 0.399kg ISBN: 9781477314128ISBN 10: 1477314121 Pages: 248 Publication Date: 06 January 2018 Audience: Professional and scholarly , Professional & Vocational Format: Paperback Publisher's Status: Active Availability: In Print  This item will be ordered in for you from one of our suppliers. Upon receipt, we will promptly dispatch it out to you. For in store availability, please contact us. Table of ContentsMap and Tables Acknowledgments Introduction Chapter 1. Phase One: Midwife-Assisted Home Births, 1948–1953 Chapter 2. Phase Two: Transitioning toward Hospital Births, 1954–1958 Chapter 3. Phase Three: Physician-Assisted Hospital Births, 1959–1965 Chapter 4. Phase Four: Medicalized Births, 1966–1979 Chapter 5. Phase Five: Novoparteras and a Technocratic, Litigation-Based Model of Birth, 1980–2000 Conclusion and Epilogue Notes Bibliography IndexReviewsPushing in Silence eloquently narrates the complex experience of birth in Puerto Rico over the course of the second-half of the twentieth century to illustrate how medicalized birth arose due to a cultural value change rather than a vis-a-vis state imposition. * Journal of the History of Medicine and Allied Sciences * It's more important than ever to restore a sense of [Puerto Rico] as a complex place with a rich history-as much more than a disaster. This book certainly gives us that. * Bulletin of the History of Medicine * A thoughtful analysis of birthing practices in Puerto Rico, written from a historical, multifaceted perspective. * Choice * It's more important than ever to restore a sense of [Puerto Rico] as a complex place with a rich history-as much more than a disaster. This book certainly gives us that. * Bulletin of the History of Medicine * A thoughtful analysis of birthing practices in Puerto Rico, written from a historical, multifaceted perspective. * Choice * Author InformationIsabel M. Córdova is an associate professor in the Department of History and Political Science at Nazareth College. Tab Content 6Author Website:Countries AvailableAll regions |
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