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This book provides a theoretically and empirically grounded
examination of the struggle for maternity care in contemporary
Russia, framed by changes to the healthcare system and the roles of
its participants after socialism. The chapters consider multiple
perspectives and interactions between women and professionals and
the structural and institutional pressures they face when striving
for better conditions and treatment. Russian maternity care is
characterized by the vivid mix of legacy of Soviet paternalism and
medicalization, bureaucratic principles of state regulation (with
high level of centralization and lack of professional autonomy) and
global neoliberal tendencies. Maternity care professionals have to
satisfy not only the growing needs and demands of women, but also
deal with increasing state regulative control, market demands and
new professional standards of care. Navigating these multiple and
various challenges, maternity providers have to perform in multiple
roles, bridge the organizational gaps and inconsistencies. Thus,
the field of struggle for good care becomes not only professional,
but political one. Highlighting the opportunities and barriers for
good care in the context of post-socialist Russia, this book will
be of particular interest to medical anthropologists and
sociologists as well as midwives and other health professionals.
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