Risk, theory, social and medical models: A critical analysis of the concept of risk in maternity care

Authors: MacKenzie Bryers, H. and van Teijlingen, E.

Journal: Midwifery

Volume: 26

Issue: 5

Pages: 488-496

ISSN: 0266-6138

DOI: 10.1016/j.midw.2010.07.003

Abstract:

Background: there is an on-going debate about perceptions of risk and risk management in maternity care. Objectives: to provide a critical analysis of the risk concept, its development in modern society in general and UK maternity services in particular. Through the associated theory, we explore the origins of the current preoccupation with risk Using Pickstone's historical phases of modern health care, the paper explores the way maternity services changed from a social to a medical model over the twentieth century and suggests that the risk agenda was part of this process. Key conclusions: current UK maternity services policy which promotes normality contends that effective risk management screens women suitable for birth in community maternity units (CMUs) or home birth: however, although current policy advocates a return to this more social model, policy implementation is slow in practice. Implications for practice: the slow implementation of current maternity policy in is linked to perceptions of risk. We content that intellectual and social capital remains within the medical model. © 2010 Elsevier Ltd.

http://eprints.bournemouth.ac.uk/15983/

Source: Scopus

Risk, theory, social and medical models: a critical analysis of the concept of risk in maternity care.

Authors: MacKenzie Bryers, H. and van Teijlingen, E.

Journal: Midwifery

Volume: 26

Issue: 5

Pages: 488-496

eISSN: 1532-3099

DOI: 10.1016/j.midw.2010.07.003

Abstract:

BACKGROUND: there is an on-going debate about perceptions of risk and risk management in maternity care. OBJECTIVES: to provide a critical analysis of the risk concept, its development in modern society in general and UK maternity services in particular. Through the associated theory, we explore the origins of the current preoccupation with risk. Using Pickstone's historical phases of modern health care, the paper explores the way maternity services changed from a social to a medical model over the twentieth century and suggests that the risk agenda was part of this process. KEY CONCLUSIONS: current UK maternity services policy which promotes normality contends that effective risk management screens women suitable for birth in community maternity units (CMUs) or home birth: however, although current policy advocates a return to this more social model, policy implementation is slow in practice. IMPLICATIONS FOR PRACTICE: the slow implementation of current maternity policy in is linked to perceptions of risk. We content that intellectual and social capital remains within the medical model.

http://eprints.bournemouth.ac.uk/15983/

Source: PubMed

Risk, theory, social and medical models: A critical analysis of the concept of risk in maternity care

Authors: Bryers, H.M. and van Teijlingen, E.

Journal: MIDWIFERY

Volume: 26

Issue: 5

Pages: 488-496

eISSN: 1532-3099

ISSN: 0266-6138

DOI: 10.1016/j.midw.2010.07.003

http://eprints.bournemouth.ac.uk/15983/

Source: Web of Science (Lite)

Risk, theory, social and medical models: A critical analysis of the concept of risk in maternity care

Authors: Bryers, H. and van Teijlingen, E.

Journal: Midwifery

Volume: 26

Pages: 488-496

ISSN: 0266-6138

DOI: 10.1016/j.midw.2010.07.003

Abstract:

Background there is an on-going debate about perceptions of risk and risk management in maternity care.

Objectives to provide a critical analysis of the risk concept, its development in modern society in general and UK maternity services in particular. Through the associated theory, we explore the origins of the current preoccupation with risk Using Pickstone's historical phases of modern health care, the paper explores the way maternity services changed from a social to a medical model over the twentieth century and suggests that the risk agenda was part of this process.

Key conclusions current UK maternity services policy which promotes normality contends that effective risk management screens women suitable for birth in community maternity units (CMUs) or home birth: however, although current policy advocates a return to this more social model, policy implementation is slow in practice.

Implications for practice the slow implementation of current maternity policy in is linked to perceptions of risk. We content that intellectual and social capital remains within the medical model.

http://eprints.bournemouth.ac.uk/15983/

http://www.midwiferyjournal.com/home

Source: Manual

Preferred by: Edwin van Teijlingen

Risk, theory, social and medical models: a critical analysis of the concept of risk in maternity care.

Authors: MacKenzie Bryers, H. and van Teijlingen, E.

Journal: Midwifery

Volume: 26

Issue: 5

Pages: 488-496

eISSN: 1532-3099

ISSN: 0266-6138

DOI: 10.1016/j.midw.2010.07.003

Abstract:

Background

there is an on-going debate about perceptions of risk and risk management in maternity care.

Objectives

to provide a critical analysis of the risk concept, its development in modern society in general and UK maternity services in particular. Through the associated theory, we explore the origins of the current preoccupation with risk. Using Pickstone's historical phases of modern health care, the paper explores the way maternity services changed from a social to a medical model over the twentieth century and suggests that the risk agenda was part of this process.

Key conclusions

current UK maternity services policy which promotes normality contends that effective risk management screens women suitable for birth in community maternity units (CMUs) or home birth: however, although current policy advocates a return to this more social model, policy implementation is slow in practice.

Implications for practice

the slow implementation of current maternity policy in is linked to perceptions of risk. We content that intellectual and social capital remains within the medical model.

http://eprints.bournemouth.ac.uk/15983/

Source: Europe PubMed Central

Risk, theory, social and medical models: A critical analysis of the concept of risk in maternity care

Authors: Bryers, H. and van Teijlingen, E.

Journal: Midwifery

Volume: 26

Issue: 5

Pages: 488-496

ISSN: 0266-6138

Abstract:

Background there is an on-going debate about perceptions of risk and risk management in maternity care.

Objectives to provide a critical analysis of the risk concept, its development in modern society in general and UK maternity services in particular. Through the associated theory, we explore the origins of the current preoccupation with risk Using Pickstone's historical phases of modern health care, the paper explores the way maternity services changed from a social to a medical model over the twentieth century and suggests that the risk agenda was part of this process.

Key conclusions current UK maternity services policy which promotes normality contends that effective risk management screens women suitable for birth in community maternity units (CMUs) or home birth: however, although current policy advocates a return to this more social model, policy implementation is slow in practice.

Implications for practice the slow implementation of current maternity policy in is linked to perceptions of risk. We content that intellectual and social capital remains within the medical model.

http://eprints.bournemouth.ac.uk/15983/

http://www.midwiferyjournal.com/home

Source: BURO EPrints