Quotation Corner

ISSN 0256-5004 (Print)

Marsden Wagner and Murrey Enkin et al

AIMS Journal, 2011, Vol 23 No 1

On 'Normality'
'Logically, the abnormal cannot be identified without a clear scientific definition of the variations of normal. Obstetrics lacks this because the risk concept implies that all pregnancy and birth is risky and therefore no pregnancy or birth can be considered normal until it is over. In other words one cannot claim both the ability to separate normal and abnormal during pregnancy and the inability to determine normality until after birth. The wide variation which occurs in the healthy experience of childbirth is too large for a single, uniform definition of "normality", which can be used to define "abnormality"'

Marsden Wagner (1994)
Pursuing the Birth Machine:
The search for appropriate birth technology,
Ace Graphics

On Achieving Normality
'...many hospitals have allocated scarce resources towards renovating their labor wards, to provide more attractive, home-like settings for birth. Such settings are undoubtedly attractive, and also provide more pleasant work environments for caregivers. It is quite possible that happier caregivers may provide better care. Nevertheless, hospitals that are considering renovations of their labor wards should be aware that there is much stronger evidence to support the need for changes in caregivers' behavior than there is to support the need for cosmetic or structural changes to labor wards. If renovations are desired, they should be geared towards factors that would encourage changes in behavior, such as removing lithotomy poles and replacing uncomfortable delivery beds with comfortable furniture and cushions.

'Efforts to change caregivers' behavior to help them to provide appropriate support to laboring women should also be introduced. Such changes do not come easily. A multicentered trial of a marketing strategy using opinion leaders to encourage nurses to provide labor support did not have the hoped for outcome. A follow-up study in those hospitals where the hypothesized improvements did occur showed that a highly involved nurse manager was critical to its success.'

Murray Enkin et al (2000)
A guide to effective care in pregnancy and childbirth,
Oxford University Press
ISBN 019263173X

Latest Content

Journal

« »

Editorial: Mission Better Births. B…

AIMS Journal, 2018, Vol 30, No1 By Jo Dagustun, Editor I’m going to start with an assumption: that everyone reading this Journal is already convinced that we can do far b…

Read more

The Consequences of Discontinuing C…

AIMS Journal, 2018, Vol 30, No1 A birth story by Emma Ashworth It was my booking-in appointment for my second baby, and I didn’t want to be there. I didn’t want to birth…

Read more

Campaign update: Is the NMC fit for…

AIMS Journal, 2018, Vol 30, No1 By the AIMS Campaign Team Change at the NMC: why is this important to AIMS? AIMS recognises that a large number of taxpayer funded nationa…

Read more

Events

« »

Improving Patient Safety & Care

http://ipc2019.govconnect.org.uk/index.php?option=com_content&alias=our-mission-early-years-profiles-2018&view=article&id=73&Itemid=181

Read more

4th Annual Birth Trauma Event

Details on Eventbrite Organised by Dr Rebecca Moore who has recently founded to the Make Birth Better Network

Read more

MBRRACE-UK ‘Saving Lives, Improving…

To register your interest please email conference@npeu.ox.ac.uk or keep an eye on our website https://www.npeu.ox.ac.uk/mbrrace-uk/bookings . Earlybird bookings will open…

Read more

Latest Campaigns

« »

Ágnes Geréb is granted clemency by…

28 th June 2018 "This act of clemency is about more than me. It is an acknowledgement of liberty in giving birth. It is a recognition by the state that the rights of wome…

Read more

Press Release: Jeremy Hunt announce…

AIMS is delighted that the Government has recognised the importance to the safety of women and babies of the continuity of carer model of midwifery. Having a midwife that…

Read more

Dr. Ágnes Geréb, Hungarian Midwife…

Dr. Ágnes Geréb is a Hungarian obstetrician and midwife who has been fighting for her freedom following her house arrest and thret of imprisonment due to her support for…

Read more