Fateful moments and the categorisation of risk: Midwifery practice and the ever-narrowing window of normality during childbirth

Scamell, Mandie; Alaszewski, Andy

doi:10.1080/13698575.2012.661041

Cited by 88 publications

(55 citation statements)

References 17 publications

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“…Despite the controversy over attribution of effect, change did happen during the AR study. This was, in itself valuable, and was in opposition to a trend for a continued increase in the routine use of unnecessary medico-technical and pharmacological interventions for healthy women and babies in other maternity settings over the time of the study [6,8,9].…”

Section: Study Limitationsmentioning

confidence: 99%

“…Use of oxytocin treatment to speed up labour in women with slow progress does not increase the rate of spontaneous vaginal birth [5]. Despite international clinical awareness of this issue, several reports show a continued increase in the routine use of medico-technical and pharmacological interventions for healthy women and babies [6][7][8][9].…”

Section: Introductionmentioning

confidence: 99%

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Routine interventions in childbirth before and after initiation of an Action Research project

Nyman

Roshani

Berg

et al. 2017

Sexual & Reproductive Healthcare

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Acknowledgements 2We acknowledge the contribution of the midwives who co-created the data through their action learning sets, and the Fyrbodal Research and Development Council Region Västra Götaland, Sweden for financial support of this research. AbstractBackground: Unnecessary routine interventions in uncomplicated labour and birth, like cardiotocography (CTG), amniotomy, use of scalp electrode and oxytocin treatment, are associated with further interventions that could harm the woman and the infant. A four year Action Research (AR) project was done on a labour ward to enhance the capacity of local midwives in the promotion of physiological labour and birth.

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Section: Study Limitationsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Routine interventions in childbirth before and after initiation of an Action Research project

Nyman

Roshani

Berg

et al. 2017

Sexual & Reproductive Healthcare

View full text Add to dashboard Cite

show abstract

“…Finally, Scammell and Alaszewski (2012) investigated the categorisation of risk itself, by midwives in relation to high and low risk pregnancies. The issue in question for this research was not the presence of a particular risk to mother and/or baby, but generic riskiness from any possible source.…”

Section: Insert Table 2 Herementioning

confidence: 99%

Health care through the `lens of risk' and the categorisation of health risks – An editorial

Heyman

Alaszewski

Brown

2012

Health, Risk & Society

Self Cite

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“…However, there is no unique categorisation of risks that will suit all contingencies and that different categorisations will best serve different objectives (Granger Morgan, 2000). Categories can change as a certain set of criteria, which make up the categories, are redefined in order to accommodate uncertainty and ambiguity (Sarangi and Candlin 2003) and/or social contexts (Scamell andAlaszewski, 2012, Pryor, 2001). Thus, risk categories take on meaning only because of an underlying set of knowledge and beliefs and a category is only meaningful in a particular decision context that clearly defines the actor's goals for categorisation (Desmond et al, 2012).…”

Section: Risk Categorisationmentioning

confidence: 99%

Gypsies/Travellers and health: risk categorisation versus being ‘at risk’

Ruston

Smith

2013

Health, Risk & Society

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Risk categorisation provides a routine and necessary contribution to the way people make sense of and impute predictability in a complex human world of which their knowledge is limited. It is a precursor to the development of risk management strategies. Risk categorisation schemes can vary depending on the underlying perspective and knowledge used in their construction. There are estimated to be between 120,000 and 300,000 Gypsies and Travellers in the UK. They have been categorised on the one hand as a group that is 'at risk' suffering wide ranging inequalities and on the other they can be seen as the archetypical 'other' posing risks to normative stability. Public policies to manage their health risks have been limited in contrast to policies to address their 'otherness' status which have aimed to exclude, relocate and forcibly remove them from public space. Little is understood about the way in which Gypsies and Travellers categorise and manage the risks to their health within the context of adverse public policies. In-depth qualitative interviews were undertaken during 2010 and 2011 with 39 Gypsies and Travellers aged between 18 and 66 comprising 20 females and 19 males living in an area of South-East England. Respondents framed risk in terms of threats to their health, culture and traditional way of life and issues of trust were central to this. They sought to devise risk management strategies that would maintain boundaries between their community and outsiders who were perceived to be the source of risks to their health. A consequence of their risk management strategies was the potential perpetuation of threats to their health and wellbeing.

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Fateful moments and the categorisation of risk: Midwifery practice and the ever-narrowing window of normality during childbirth

Cited by 88 publications

References 17 publications

Routine interventions in childbirth before and after initiation of an Action Research project

Routine interventions in childbirth before and after initiation of an Action Research project

Health care through the `lens of risk' and the categorisation of health risks – An editorial

Gypsies/Travellers and health: risk categorisation versus being ‘at risk’

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