Re-examining the meanings of childbirth: Beyond gender and the “Natural” versus “Medical” dichotomy

Abstract

Historically, a major focus of women's health research has been on the increasing medicalization of “natural” reproductive processes, with early feminist scholarship in this area largely critical of this trend. Recently, feminist scholars have begun to explore the various ways that women actually experience medicalization. We suggest that current feminist scholarship on medicalization and childbirth remains limited in two ways: (1) much of this research still focuses on privileged women and neglects the experiences of women at various social locations, as well as how oppression and privilege shape those experiences and (2) existing literature does not operationalize what medicalization or “natural” reproductive processes mean for individual women. More specifically, feminist scholars have not investigated systematically how diverse women define and experience their births within the context of a taken-for-granted definitional dichotomy of “natural” versus “medical” birth that characterizes much of the classic and contemporary feminist literature. In this chapter, we explore women's different discussions of “natural” birth and, by default, learn about their definitions of medicalization as well. Drawing from a critical, comparative analysis of qualitative, empirical data gathered from three different groups of childbearing women in two studies – that is, middle-class Caucasian adult women birthing in a hospital setting, middle-class Caucasian adult women birthing in a birthing center setting, and poor African American teen mothers birthing in a hospital setting – we propose a new methodological and conceptual framework for re-examining the meanings of “natural” versus “medical” birth experiences and pushing beyond a strictly gender-based analysis.