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Confronting maternal mortality, controlling birth in Nepal: the gendered politics of receiving biomedical care at birth.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Brunson, Jan
Spatial Coverage	Nepal
Description	Country affiliation: United States Author Affiliation: Brunson J ( Department of Sociology and Anthropology, Bowdoin College, 7000 College Station, Brunswick, ME 04101, USA. jbrunson@bowdoin.edu)
Abstract	One way of reducing maternal mortality in developing countries is to ensure that women have a referral system at the local level that includes access to emergency obstetric care. Using a 13-month ethnographic study from 2003 to 2005 of women's social positions and maternal health in a semi-urban community of Hindu-caste women in the Kathmandu Valley, this paper identifies impediments to receiving obstetric care in a context where the infrastructure and services are in place. As birth in Nepal predominantly takes place at home, this paper identifies the following areas for potential improvement in order to avoid the loss of women's lives during childbirth: the frequency of giving birth unaided, minimal planning for birth or obstetric complications, and delayed responses at the household level to obstetric emergencies. Focusing particularly on the last item, this study concludes that women do not have the power to demand biomedical services or emergency care, and men still viewed birth as the domain of women and remained mostly uninvolved in the process. As the cultural construction of birth shifts from a 'natural' phenomenon that did not require human regulation toward one that is located within the domain of biomedical expertise and control, local acceptance of a biomedical model does not necessarily lead to the utilization of services if neither women nor men are in a culturally-defined position to act.
File Format	HTM / HTML
ISSN	02779536
e-ISSN	18735347
Journal	Social Science & Medicine
Issue Number	10
Volume Number	71
Language	English
Publisher	Elsevier
Publisher Date	2010-11-01
Publisher Place	Great Britain (UK)
Access Restriction	Open
Subject Keyword	Discipline Medicine Cultural Characteristics Gender Identity Health Services Accessibility Home Childbirth Maternal Health Services Utilization Obstetric Labor Complications Mortality Psychology Maternal Mortality Maternal Welfare Pregnancy Qualitative Research Social Class Urban Health Research Support, Non-u.s. Gov't
Content Type	Text
Resource Type	Article
Subject	Medicine Health (social science) History and Philosophy of Science

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