Rural maternity care: Can we learn from Wal-Mart?

Authors: van Teijlingen, E.R. and Pitchforth, E.

Journal: Health and Place

Volume: 16

Issue: 2

Pages: 359-364

ISSN: 1353-8292

DOI: 10.1016/j.healthplace.2009.11.007

Abstract:

In many countries rural maternity care is under threat. Consequently rural pregnant women will have to travel further to attend larger maternity units to receive care and deliver their babies. This trend is not dissimilar from the disappearance of other rural services, such as village shops, banks, post offices and bus services. We use a comparative approach to draw an analogy with large-scale supermarkets, such as the Wal-Mart and Tesco and their effect on the viability of smaller rural shops, depersonalisation of service and the wider community. The closure of a community-maternity unit leads to women attending a different type of hospital with a different approach to maternity care. Thus small community-midwifery units are being replaced, not by a very similar unit that happens to be further away, but by a larger obstetric unit that operates on different models, philosophy and notions of risk. Comparative analysis allows a fresh perspective on the provision of rural maternity services. We argue that previous discussions focusing on medicalisation and change in maternity services can be enhanced by drawing on experience in other sectors and taking a wider societal lens. © 2009 Elsevier Ltd. All rights reserved.

http://eprints.bournemouth.ac.uk/12607/

Source: Scopus

Rural maternity care: can we learn from Wal-Mart?

Authors: van Teijlingen, E.R. and Pitchforth, E.

Journal: Health Place

Volume: 16

Issue: 2

Pages: 359-364

eISSN: 1873-2054

DOI: 10.1016/j.healthplace.2009.11.007

Abstract:

In many countries rural maternity care is under threat. Consequently rural pregnant women will have to travel further to attend larger maternity units to receive care and deliver their babies. This trend is not dissimilar from the disappearance of other rural services, such as village shops, banks, post offices and bus services. We use a comparative approach to draw an analogy with large-scale supermarkets, such as the Wal-Mart and Tesco and their effect on the viability of smaller rural shops, depersonalisation of service and the wider community. The closure of a community-maternity unit leads to women attending a different type of hospital with a different approach to maternity care. Thus small community-midwifery units are being replaced, not by a very similar unit that happens to be further away, but by a larger obstetric unit that operates on different models, philosophy and notions of risk. Comparative analysis allows a fresh perspective on the provision of rural maternity services. We argue that previous discussions focusing on medicalisation and change in maternity services can be enhanced by drawing on experience in other sectors and taking a wider societal lens.

http://eprints.bournemouth.ac.uk/12607/

Source: PubMed

Rural maternity care: Can we learn from Wal-Mart?

Authors: van Teijlingen, E.R. and Pitchforth, E.

Journal: HEALTH & PLACE

Volume: 16

Issue: 2

Pages: 359-364

eISSN: 1873-2054

ISSN: 1353-8292

DOI: 10.1016/j.healthplace.2009.11.007

http://eprints.bournemouth.ac.uk/12607/

Source: Web of Science (Lite)

Rural maternity care: Can we learn from Wal-Mart?

Authors: van Teijlingen, E. and Pitchforth, E.

Journal: Health & Place

Volume: 16

Pages: 359-364

ISSN: 1353-8292

DOI: 10.1016/j.healthplace.2009.11.007

Abstract:

In many countries rural maternity care is under threat. Consequently rural pregnant women will have to travel further to attend larger maternity units to receive care and deliver their babies. This trend is not dissimilar from the disappearance of other rural services, such as village shops, banks, post offices and bus services. We use a comparative approach to draw an analogy with large-scale supermarkets, such as the Wal-Mart and Tesco and their effect on the viability of smaller rural shops, depersonalisation of service and the wider community. The closure of a community–maternity unit leads to women attending a different type of hospital with a different approach to maternity care. Thus small community–midwifery units are being replaced, not by a very similar unit that happens to be further away, but by a larger obstetric unit that operates on different models, philosophy and notions of risk. Comparative analysis allows a fresh perspective on the provision of rural maternity services. We argue that previous discussions focusing on medicalisation and change in maternity services can be enhanced by drawing on experience in other sectors and taking a wider societal lens.

http://eprints.bournemouth.ac.uk/12607/

http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B6VH5-4XSJVW2-1&_user=1682380&_rdoc=1&_fmt=&_orig=search&_sort=d&_docanchor=&view=c&_acct=C000011378&_version=1&_urlVersion=0&_userid=1682380&md5=7af59bd3d6e7381805dec81e991921d5

Source: Manual

Preferred by: Edwin van Teijlingen

Rural maternity care: can we learn from Wal-Mart?

Authors: van Teijlingen, E.R. and Pitchforth, E.

Journal: Health & place

Volume: 16

Issue: 2

Pages: 359-364

eISSN: 1873-2054

ISSN: 1353-8292

DOI: 10.1016/j.healthplace.2009.11.007

Abstract:

In many countries rural maternity care is under threat. Consequently rural pregnant women will have to travel further to attend larger maternity units to receive care and deliver their babies. This trend is not dissimilar from the disappearance of other rural services, such as village shops, banks, post offices and bus services. We use a comparative approach to draw an analogy with large-scale supermarkets, such as the Wal-Mart and Tesco and their effect on the viability of smaller rural shops, depersonalisation of service and the wider community. The closure of a community-maternity unit leads to women attending a different type of hospital with a different approach to maternity care. Thus small community-midwifery units are being replaced, not by a very similar unit that happens to be further away, but by a larger obstetric unit that operates on different models, philosophy and notions of risk. Comparative analysis allows a fresh perspective on the provision of rural maternity services. We argue that previous discussions focusing on medicalisation and change in maternity services can be enhanced by drawing on experience in other sectors and taking a wider societal lens.

http://eprints.bournemouth.ac.uk/12607/

Source: Europe PubMed Central

Rural maternity care: Can we learn from Wal-Mart?

Authors: van Teijlingen, E. and Pitchforth, E.

Journal: Health & Place

Volume: 16

Issue: 2

Pages: 359-364

ISSN: 1353-8292

Abstract:

In many countries rural maternity care is under threat. Consequently rural pregnant women will have to travel further to attend larger maternity units to receive care and deliver their babies. This trend is not dissimilar from the disappearance of other rural services, such as village shops, banks, post offices and bus services. We use a comparative approach to draw an analogy with large-scale supermarkets, such as the Wal-Mart and Tesco and their effect on the viability of smaller rural shops, depersonalisation of service and the wider community. The closure of a community–maternity unit leads to women attending a different type of hospital with a different approach to maternity care. Thus small community–midwifery units are being replaced, not by a very similar unit that happens to be further away, but by a larger obstetric unit that operates on different models, philosophy and notions of risk. Comparative analysis allows a fresh perspective on the provision of rural maternity services. We argue that previous discussions focusing on medicalisation and change in maternity services can be enhanced by drawing on experience in other sectors and taking a wider societal lens.

http://eprints.bournemouth.ac.uk/12607/

http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B6VH5-4XSJVW2-1&_user=1682380&_rdoc=1&_fmt=&_orig=search&_sort=d&_docanchor=&view=c&_acct=C000011378&_version=1&_urlVersion=0&_userid=1682380&md5=7af59bd3d6e7381805dec81e991921d5

Source: BURO EPrints