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

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


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.

Affiliation

NHS Highland, Assynt House, Beechwood Park, Inverness IV2 3BW, UK; Centre for Rural Health, University of Aberdeen, Centre for Health Science, Inverness, UK.

Journal Details

This article was published in the following journal.

Name: Midwifery
ISSN: 1532-3099
Pages:

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