By Anthea Symonds
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Additional resources for The Midwife and Society: Perspectives, Policies and Practice
Example text
Studying and thinking about sociology may help midwives to be curious about the world in which they live, work and offer care to women, and enable them to ask the right questions. It is hoped that this questioning, thinking and challenging will lead them to think before accepting new rituals and routines. For example, the themes of choice, control and continuity of carer explored in Changing Childbirth could so easily become mere rhetoric. But continuity of carer improves the quality of communication between women and midwives.
We are all unequal to others in some respects: some are taller, slimmer, stronger, can run faster or have the ability to learn languages, but these are not patterns of inequality, they are individual differences spread throughout the population (although this spread is not random). When does 'difference' become 'inequality' ? In order to address this question we return to the concept of power which was discussed in the previous chapter. This includes the power to gain money and consumer goods, to obtain access to services such as education, housing and health.
Students are taught to review the published literature and develop the ability to distinguish strong evidence from weak as well as to appreciate the physical, emotional and psychological effects of the care they offer. There are many areas of midwifery practice, its rituals and routines, that are now being questioned and reviewed. Many of the old and established ways of delivering care have been rejected and previous assumptions are being reconsidered. Child bearing women are being helped to return to the place where they belong, which is at the centre of the maternity services.