Based on her 12 year study of a free-standing birth center,
Turkel analyzes the medical model of childbirth in contrast to the
midwifery model. In the medical model of birth, women are defined
as patients and birth takes place in hospitals where women have
little, if any, control over their experience. The midwifery model
views birth as a healthy process where midwives act as teachers and
guides for women during pregnancy and birth, helping women and
their families to shape and define their experience to meet their
needs and expectations. Under existing legal and cultural
circumstances, free-standing birth centers face a dilemma. They
must continually accomodate the medical model while trying to
maintain the midwifery model and give women an option to home birth
or to hospital birth.
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