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DECEMBER 1999 ISSUE OF INTERNATIONAL JOURNAL OF CHILDBIRTH EDUCATION

ABSTRACTS OF FEATURE ARTICLES

Family-Centered Maternity Care: Past, Present, Future
by Celeste R. Phillips
The author takes us on a historical voyage through the twentieth century as she explains the progress of the family-centered maternity care social movement. She comments on the changes that occurred in each decade and the situation today. The article concludes with the author's opinion of the challenges for childbirth educators in the twenty-first century.
To download and view this article (in pdf format), click here.

Breastfeeding and Parenting in the Twenty-First Century: My Hopes
by Kathleen G. Auerbach
The author details her wish list for the future of breastfeeding and parenting. She includes twenty-six hopes for parents in the year 2000 and beyond and for the society in which they embark on their parenting adventures in the twenty-first century.

Birth in the Next Millennium
by Jan S. Mallak
This article reflects the author's observations about how things may change due to Y2K. She comments on how a disruption of services may impact the current medical management of childbirth. Going back to a more natural approach may be necessary since birth cannot be delayed like tests and elective surgery can until normal conditions exist again. Issues like fetal monitoring, IVs, drugs, pitocin and other interventions are addressed. It's definitely food for thought for those who believe in and promote woman-centered childbirth experiences.

The Future of Midwifery
by Judith P. Rooks and Eunice K. M. Ernst
There are two opposing views of childbirth in America today. One, the midwifery model, focuses on pregnancy and birth as a natural process that should be treated as normal until there is evidence of a problem. The other is the medical model which treats pregnancy and birth as a medical event which justifies the present epidemic of medical intervention. Scientific evidence supports the midwifery model of care for normal pregnancy and birth and the obstetrician specialist for care of women with complications, pointing to a need for greater collaboration between midwives and obstetricians. This article describes the history of nurse-midwifery in the United States and its present situation. It makes recommendations on what will be necessary for the future growth and availability of midwifery care.

Why History Repeats Itself: What Can Childbirth Educators Do About It?
by Ann Corwin
The millennium is the perfect opportunity for the childbirth education community to learn from its mistakes and bask in the light of its profound impact on beginning families. The author explains that the best way to accomplish the task of preparing parents-to-be is for childbirth education and postpartum parenting education to become one. Birthing and parenting mirror each other. Both teach powerful lessons of trust, courage, and comfort for new families.

Labor Support: Where Has It Been and Where Is It Going?
by Penny Simkin
This article describes the ancient practice of women helping women in childbirth, which was the norm until the twentieth century when women gave birth without support while heavily drugged. Labor support has returned, provided by husbands, loved ones, and most recently, doulas. Challenges to doulas are discussed along with predictions for the twenty-first century including the expansion of the doula's role into other branches of health care and other stressful life situations.

A History of Childbirth Education
by Doris Haire
A history of childbirth education is presented by Doris Haire, co-president of ICEA 1970-1972. The author describes how Drs. Grantly Dick-Read, Robert Bradley, Fernand Lamaze, and Ashley Montagu influenced the field of childbirth education. A discussion of the establishment of the International Childbirth Education Association is included with details on the development of its teacher training program.

COLUMNS

Information Update
by Grace La Torra
Does lunar position influence the time of delivery? A statistical analysis; Sweeping of the membranes at 39 weeks in multiparous women: A randomized controlled trial; and Midwifery care, social and medical risk factors, and birth outcomes in the USA.

Educator's Corner
by Kathy Swift
"Who do you think had the most significant effect on childbirth and/or childbirth education in the twentieth century and why?"

The Internet
by Debra Madonna
The future of babies and mothers; includes resources on folic acid, alcohol and tobacco use, and substance abuse during pregnancy.

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