ANTHRCUL 325 Study Guide - Fall 2018, Comprehensive Midterm Notes - Midwife, Childbirth, Medicine
ANTHRCUL 325
MIDTERM EXAM
STUDY GUIDE
Fall 2018
Lecture 1: Notes
Questions to look out for (Film: Woman to Woman):
• Who is present at birth?
o Doula
o Nurse
o Doctors often switch shifts
• Sometimes not present at the birth
o Spouse
• What are the comments made by participants?
o Medicalized nightmare from hell
• All medical interventions except fora C-section
• Doula provides support and no "medical care"
▪ Alternative medical care: massage
o Becoming informed about pregnancy
• Tried not to use drugs during childbirth
• Found out about the doulas and decided to take a doula training
• Surprised about what she learned about the birth process
• Always ask the men to not be afraid and have their own emotional journey
▪ Some men cannot watch their wife in pain
• Did’t hae a doula at her irth
▪ Looking back she wished she had a doula
▪ Doulas make her feel safe
• Was incredibly afraid during her birth
o Wanted to become a midwife
• Found out about labor support and doulas
• Even doulas have a doula
▪ Extra hands for massage, taking care of the husband, support during labor
o Wanted to become a doctor
• Decided that not what she really wanted to do
• Became interested in midwifery
• Doulas can support the woman to go on
• Getting drugs in the hospital usually leads to the administration of more drugs
• Doulas offer continuity of care
▪ Dotor ofte does’t oe util the ed of the laor
▪ One person that the mother can always count on to be there
o Decided that she could have a natural birth
• She was originally going to go to the hospital but changed her mind
• Did’t hae a lue aout what labor was going to be like
• She needed someone with experience to know what she was going through
• Her birth was going on for too long
▪ But she did’t at to take ay ediatio/drugs
• Feel more secure with the presence of the doula
• What is the position of the birthing woman?
o Hospital setting:
• Laying down on her back
o Doula setting:
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• Upright
• Crouching
• Walking
• Walking up and down the stairs
• What are the types of intervention?
o Doula support
o Epidural anesthesia
• Anesthetizes the women from the way down
• Woman can no longer use movement
o Drugs of induction
• Pitocin
o Electronic fetal monitor
o IV bag
• Glucose and water
• Who makes decisions?
o Mother is making decisions
• Doula assists the mother in making decisions
o Doctors are making decisions
• Whose knowledge is being acknowledged?
o Doctor not acknowledging the thoughts of the mothers and the doulas
• Describe the "birth territory" - what is the equipment used, dress, lighting?
o Hospital setting:
• Hospital gown - pregnant woman
• Hospital lighting
• Drug of induction
▪ Usually introduced with a pain relief drug (epidural)
• Electronic fetal monitor
▪ Monitor the babies heart rate
o Home setting:
• No drugs for birth are available
• Naked women
• Birth ball - great to labor with
• Tub
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Document Summary
Questions to look out for (film: woman to woman): who is present at birth, doula, nurse, doctors often switch shifts. Found out about the doulas and decided to take a doula training. Surprised about what she learned about the birth process. Some men cannot watch their wife in pain: did(cid:374)"t ha(cid:448)e a doula at her (cid:271)irth. Looking back she wished she had a doula: doulas make her feel safe, was incredibly afraid during her birth, wanted to become a midwife. She was originally going to go to the hospital but changed her mind: did(cid:374)"t ha(cid:448)e a (cid:272)lue a(cid:271)out what labor was going to be like, her birth was going on for too long. She needed someone with experience to know what she was going through: but she did(cid:374)"t (cid:449)a(cid:374)t to take a(cid:374)y (cid:373)edi(cid:272)atio(cid:374)/drugs. Feel more secure with the presence of the doula: what is the position of the birthing woman, hospital setting: Not true: ak remains constant over time.