Notes
Slide Show
Outline
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The Challenges of Working with the Y-Generation
and Preparing for iBirthing
  • Professor Marlene Sinclair
  • President of Doctoral Midwifery Research Society
  • University of Ulster
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Feminist Perspectives
  • Doyal (1995) & Tew (1995) technologisation of childbirth demonstrated patriarchy, male domination of women and the medicalisation of childbirth by male obstetricians
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Philosophical Perspectives
  •     Barnard (1997) technology  in healthcare: a never ending cycle of administrative bureaucracy with ‘increasing reliance on policies, procedures and protocols’
  •     Habermas (1987) argued that purposive rationality was the dominant belief system due to society valuing and demanding technical efficiency
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Midwives and Birth Technology: Major Theoretical Positions






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Midwives and Birth Technology: Major Theoretical Positions






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Contemporary Practice: The Battlefield
  • Tension between the technocratic and natural models of childbirth


  • Technocratic - where events and midwives’ reactions may be largely guided by electronic and other devices


  • Natural model in which the midwives’ role is to provide security and support for the mother as she births according to her own body’s timetable


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Operational definition of Technology in childbirth

  • The devices such as:


  • CTG machine,
  • epidural syringe pump
  • Dinomapp
  • IVAC


  • fit the ‘hardware’ – type of definition while midwives’ usage
  • of them fits the software dimensions i.e. the associated
  • processes and skills
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Classification of low and high technology used in childbirth

  • Low technology includes ‘mechanical’ devices such as the pinard stethoscope that demand skill and expertise in interpretation and use by the midwife


  • High technology devices are characterised by their electronically controlled automation – electronic intelligence


  • CTG and dinomapp are essentially monitoring devices


  • IVAC and Graseby are intervention controlling devices (Sinclair & Gardner,  1999)



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Y Generation and Modern thinking...
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Traffic Trend Analysis
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Breastfeeding iPhone Apps For Every Purpose
(data courtesy of Maria  Herron doctoral student)
  • Pumping Breast Milk When You Are Away From Baby: iLetDown
  • This app stimulates a woman’s let-down, or milk-ejection reflex. It is especially helpful when you need to pump in a stressful environment, like at work! When you open iLetDown, you see a picture of a sleeping baby. (There is also an option to upload your own baby’s image.) You then choose from several audio choices that simulate an actual hungry baby. The idea is that when you see and hear the baby, your milk with let down. Pretty cool, huh?


  • Tracking Breastfeeding: BabyTracker: Nursing
  • This is simply a great tool for anyone, but especially helpful for breastfeeding twins because there is so much to keep track of-two babies, two breasts, the data collection is endless! Baby Tracker: Nursing tracks nursing sessions without a notebook, stop-watch, safety pins in your bra, or homely looking bracelets.
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Virtual Birth iBirth
  • http://www.youtube.com/watch?v=9jYp_Vh6yjM


  • 1,619,981 views
  • This is a video of my second unassisted waterbirth, with my husband, Jason.... One of the most amazing experiences of my life.


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