Birth as an American Rite of Passage

Last updated

Birth as an American Rite of Passage is a book written by Robbie Davis-Floyd and published in 1992. It combines anthropology and first-hand accounts from mothers and doctors into a critical analysis of childbirth in America from a feminist perspective.

Contents

It introduces the theme of technocratic medicine as a form of indoctrination into America's patriarchal culture. Davis-Floyd argues that American birthing practices value science over nature, a doctor's knowledge over that of the mother and that many common actions performed by doctors (or the mother) are technocratic rituals – behaviors with limited practical purpose. She cites practices such as obstructing the mother's line of sight to the baby exiting her body by placing a sheet over her lower body. Davis-Floyd believes that society, intimidated by women's ability to give birth, has designed unnecessary rituals in order to make the symbolism of childbirth available to everyone, not just those who can bear children. "In this way," she writes, "society symbolically demonstrates ownership of its product." [1]

Key concepts

Technology in birth

Major life transitions are often ritualized in a way that is local to a particular society or culture. [2] Pregnancy and childbirth are processes that reflect the traditions, beliefs, and values of the culture in which they take place. [3] Davis-Floyd argues that the emphasis on technological advances that aid pregnancy, create a negative effect surrounding its ideology. The book argues that American society values the knowledge of medical professionals over that of mothers and midwives. [4] Davis-Floyd's model criticizes current tocology and childbirth as overly scientific, technology-motivated methods that can serve to disempower women. Certain medical procedures such as a cesarean section, episiotomy, and the positioning of the woman at the time of birth, are viewed as optimal in American birthing culture. [5] Davis-Floyd argues that these procedures are mainly a result of cultural beliefs, and not for their actual benefits. The same is true of the perception that pregnancy and childbirth require medical oversight and interference. Davis-Floyd claims that the majority of women's favorable views of technological intervention during childbirth are due to doctors' influence. Obstetric procedures act as rituals for pregnant women and medical personnel, with the intention of improving the attitudes of those involved in birthing. For example, when fluids are administered through intravenous therapy, a feeling of security is invoked; a reassuring order is imposed on the event, reinforcing reliance upon others' knowledge. [6] [7] [8]

Rite of passage

The concept of a rite of passage was coined by ethnographer Arnold van Gennep.[ citation needed ] Davis-Floyd states that birth as a rite of passage incorporates three essential stages. Through birth, the treatment of the woman's body, and the doctor's implementation of procedures, the rite is enacted within American culture. [9]

Stages

The three stages are separation, pregnancy and reincorporation. These three stages characterize the rite of passage and are culturally relative to the society within which they function. In some cases four stages apply, and in rare cases, up to ten. However, such cases have never been recorded.[ clarification needed ]

Separation: A phase during which the pregnant woman begins to form a new self-identity as a result of her pregnancy. She separates from her original state of being. In this stage, the woman is now an "other", unlike her old self.

Pregnancy: A phase where the pregnant woman is "in between". She is neither a normal member of society nor a mother. This stage continues until after the birth.

Integration: The woman accepts her new social identity. This phase ends when the woman feels that she is similar to her previous self.

Reception

Reviews of this book praised Davis-Floyd for connecting American childbirth with rituals using an anthropological basis. The book also received criticism for basing its conclusions on interviews with only 100 women who were all well-educated, middle-class and Caucasian. [10]

Related Research Articles

<span class="mw-page-title-main">Midwifery</span> Pregnancy and childbirth-related profession

Midwifery is the health science and health profession that deals with pregnancy, childbirth, and the postpartum period, in addition to the sexual and reproductive health of women throughout their lives. In many countries, midwifery is a medical profession. A professional in midwifery is known as a midwife.

<span class="mw-page-title-main">Childbirth</span> Expulsion of a fetus from the pregnant mothers uterus

Childbirth, also known as labour, parturition and delivery, is the completion of pregnancy where one or more babies exits the internal environment of the mother via vaginal delivery or caesarean section. In 2019, there were about 140.11 million human births globally. In the developed countries, most deliveries occur in hospitals, while in the developing countries most are home births.

<span class="mw-page-title-main">Samskara (rite of passage)</span> Rites of passage described in ancient Sanskrit texts

Samskara are sacraments in Hinduism and other Indian religions, described in ancient Sanskrit texts, as well as a concept in the karma theory of Indian philosophies. The word literally means "putting together, making perfect, getting ready, to prepare", or "a sacred or sanctifying ceremony" in ancient Sanskrit and Pali texts of India.

<span class="mw-page-title-main">Midwifery in Maya society</span>

Midwifery is a women's profession that assists women from pregnancy to newborn care. In some traditional Maya communities, a goddess of midwifery is invoked, and midwives are generally believed to be assigned their profession through signs and visions. In pre-Spanish Yucatan, the aged midwife goddess was called Ixchel.

<span class="mw-page-title-main">Women's medicine in antiquity</span>

Childbirth and obstetrics in classical antiquity were studied by the physicians of ancient Greece and Rome. Their ideas and practices during this time endured in Western medicine for centuries and many themes are seen in modern women's health. Classical gynecology and obstetrics were originally studied and taught mainly by midwives in the ancient world, but eventually scholarly physicians of both sexes became involved as well. Obstetrics is traditionally defined as the surgical specialty dealing with the care of a woman and her offspring during pregnancy, childbirth and the puerperium (recovery). Gynecology involves the medical practices dealing with the health of women's reproductive organs and breasts.

Pumsavana Simantonayana is a combined performance of the two Hindu rites of Pumsavana and Simantonnayana, practised during the contemporary period.

This article deals with childbirth in Japan, and the specific details of childbirth exclusive to Japan in relation to beliefs, attitudes and healthcare.

Prenatal care in the United States is a health care preventive care protocol recommended to women with the goal to provide regular check-ups that allow obstetricians-gynecologists, family medicine physicians, or midwives to detect, treat and prevent potential health problems throughout the course of pregnancy while promoting healthy lifestyles that benefit both mother and child. Patients are encouraged to attend monthly checkups during the first two trimesters and in the third trimester gradually increasing to weekly visits. Women who suspect they are pregnant can schedule pregnancy tests prior to 9 weeks gestation. Once pregnancy is confirmed an initial appointment is scheduled after 8 weeks gestation. Subsequent appointments consist of various tests ranging from blood pressure to glucose levels to check on the health of the mother and fetus. If not, appropriate treatment will then be provided to hinder any further complications.

<span class="mw-page-title-main">Pinard horn</span> Stethoscope used to listen to the heart rate of a fetus

A Pinard horn is a type of stethoscope used to listen to the heart rate of a fetus during pregnancy. It is a hollow horn, often made of wood or metal, about 8 inches (200 mm) long. It functions similarly to an ear trumpet by amplifying sound. The user holds the wide end of the horn against the pregnant woman's abdomen, and listens through the other end.

Carolyn Sargent is an American medical anthropologist who is Professor Emerita of Sociocultural Anthropology and of Women, Gender, and Sexuality Studies at Washington University in St. Louis. Sargent was the director of women's studies at Southern Methodist University from 2000-2008. Sargent served as president of the Society for Medical Anthropology for 2008-2010 and 2011-2012.

<span class="mw-page-title-main">Impurity after childbirth</span>

Impurity after childbirth is the concept in many cultures and religions that a new mother is in a state of uncleanliness for a period of time after childbirth, requiring ritual purification. Practices vary, but typically there are limits around what she can touch, who she can interact with, where she can go, and what tasks she can do. Some practices related to impurity after childbirth, such as seclusion, overlap with the more general practice of postpartum confinement.

<span class="mw-page-title-main">Suzanne Arms</span> American writer

Suzanne Arms is an American writer. She has published seven books on childbirth and child care.

This article provides a background on Nepal as a whole, with a focus on the nation's childbearing and birthing practices. While modern Western medicine has disseminated across the country to varying degrees, different regions in Nepal continue to practice obstetric and newborn care according to traditional beliefs, attitudes, and customs.

Rayna Rapp is a professor and associate chair of anthropology at New York University, specializing in gender and health; the politics of reproduction; science, technology, and genetics; and disability in the United States and Europe. She has contributed over 80 published works to the field of anthropology, independently, as a co-author, editor, and foreword-writing, including Robbie Davis-Floyd and Carolyn Sargent's Childbirth and Authoritative Knowledge. Her 1999 book, Testing Women, Testing the Fetus: the Social Impact of Amniocentesis in America, received multiple awards upon release and has been praised for providing "invaluable insights into the first generation of women who had to decide whether or not to terminate their pregnancies on the basis of amniocentesis result". She co-authored many articles with Faye Ginsburg, including Enabling Disability: Rewriting Kinship, Reimagining Citizenship, a topic the pair has continued to research.

Childbirth and Authoritative Knowledge: Cross-Cultural Perspectives is a collection of anthropological essays that study birth and authoritative knowledge across sixteen different cultures that was first published in 1998 in the Journal of Gender Studies. It "extends and enriches" anthropologist Brigitte Jordan's work in the anthropology of birth. In 2003, it won the Council on Anthropology and Reproduction book award.

<span class="mw-page-title-main">Brigitte Jordan</span> German-American anthropologist

Brigitte Jordan was a German-American professor, scientist, and consultant who was described as the midwife to the "Anthropology of Birth". She attended Sacramento State College where she received her bachelor's and master's degrees, and later attended the University of California, Irvine where she completed her PhD.

<i>Birth in Four Cultures</i> 1978 book by Brigitte Jordan

Birth in Four Cultures: A Crosscultural Investigation of Childbirth in Yucatan, Holland, Sweden, and the United States is an anthropological study of childbirth by Brigitte Jordan published in 1978.

<span class="mw-page-title-main">Robbie Davis-Floyd</span> American anthropologist (born 1951)

Robbie Davis-Floyd is an American cultural, medical, and reproductive anthropologist, researcher, author, and international speaker primarily known for her research on childbirth, midwifery, and obstetrics. She chose to study women's birth experiences due to her own birth experiences and espouses the viewpoint that midwives play an important role in safeguarding positive outcomes for women giving birth. Beginning in 1983, she has given over 1000 presentations at universities and childbirth, midwifery, and obstetric conferences around the world.

Elizabeth Davis is an author, women's health care specialist, educator, consultant, and Certified Professional Midwife (CPM). She is a resident of Sebastopol, California and a mother of three children. Since 1977, Davis has pioneered a professional path for midwives in the United States while educating women around the world. Davis is globally active as an expert on midwifery and reproductive health issues. She has been involved with midwifery education, legalization, and the battle for professional autonomy. She lectures on reproductive rights, sexuality, and healing birth trauma.

<span class="mw-page-title-main">Charlotte Furth</span> American historian (1934–2022)

Charlotte Davis Furth was an American scholar of Chinese history. She was a professor at California State University, Long Beach, and at the University of Southern California. She was awarded a Guggenheim Fellowship and a Fulbright fellowship for her research, and published several books.

References

  1. Davis-Floyd, Robbie (1992). Birth as an American Rite of Passage . University of California Press. ISBN   9780520074392.
  2. Davis-Floyd, Robbie. "The Rituals of American Hospital Birth," ‘’Conformity and Conflict: Readings in Cultural Anthropology’’ (1994) pp 1-20. Archived 2018-08-01 at the Wayback Machine
  3. Julia W. Buckey, George A. Jacinto (2013). "Birth: A Rite of Passage". International Journal of Childbirth Education.
  4. Davis-Floyd, Robbie; Sargent, Carolyn Fishel (1997-01-01). Childbirth and Authoritative Knowledge: Cross-cultural Perspectives. University of California Press. ISBN   9780520207851. Archived from the original on 2023-04-16. Retrieved 2020-10-11.
  5. Davis-Floyd, Robbie (2009). Birth Models That Work. University of California Press. ISBN   9780520248632. JSTOR   10.1525/j.ctt1ppszz.
  6. Davis-Floyd, Robbie (1994). "The Technocratic Body: American Childbirth as Cultural Expression" (PDF). Social Science & Medicine. 38 (8): 1125–40. doi:10.1016/0277-9536(94)90228-3. PMID   8042048. Archived (PDF) from the original on 2017-08-09. Retrieved 2017-09-09.
  7. "Medicalization of Birth". Archived from the original on 2014-02-21.
  8. Davis-Floyd, Robbie (1996). "Intuition as Authoritative Knowledge in Midwifery and Home birth". Medical Anthropology Quarterly. 10 (2): 237–269. doi:10.1525/maq.1996.10.2.02a00080. JSTOR   649330. PMID   8744086.
  9. Browner, C. H.; Press, Nancy (1996). "The Production of Authoritative Knowledge in American Prenatal Care". Medical Anthropology Quarterly. 10 (2): 141–156. doi:10.1525/maq.1996.10.2.02a00030. ISSN   0745-5194. PMID   8744081. Archived from the original on 2023-04-16. Retrieved 2023-04-16.
  10. Phillips, Virginia Thorley (1994). "Birth As An American Rite of Passage". Journal of Human Lactation. 10 (1): 55. doi:10.1177/089033449401000137. ISSN   0890-3344. S2CID   73147663. Archived from the original on 2023-04-16. Retrieved 2023-04-16.