Perspectives on midwifery power: an exploration of the findings of the inquiry into peripartum hysterectomy at Our Lady of Lourdes Hospital, Drogheda, Ireland.

Full Abstract

The Lourdes Hospital Inquiry:
An inquiry into peripartum hysterectomy at Our Lady of Lourdes Hospital, Drogheda, Ireland, of 2006 recounts in detail the circumstances within which 188 peripartum hysterectomies were carried out at the hospital between 1974 and 1998. The findings of the inquiry have serious ramifications for Irish healthcare delivery and have implications for many professional groups, including midwives. The findings prompt clear questions about the relative position or power of midwives within maternity care. These questions are examined in this article, through the analysis and application of various theoretical perspectives on power. Critical views of power focus on the socio-political nature of oppressive structures within society and seek mechanisms to address these. Stemming from structure versus agency debates, Giddens's structuration theory examines the agency-structure interaction and stresses the centrality of agents' roles in the social reproduction of structures. Postmodernism, particularly drawing on the work of Michel Foucault, focuses on a fluid conception of power while also describing the nature of disciplinary power. It offers midwives a way of viewing power as productive and dispersed. Drawing on different aspects of these perspectives on power, helps us to understand midwives' relative positions and power relations and how to enhance these to prevent future tragic outcomes such as those reported in the inquiry report.

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Author information

Author/s: Matthews, Anne (A); Scott, P Anne (PA);

Affiliation: School of Nursing, Dublin City University, Dublin, Ireland. anne.matthews(-atsign-)dcu.ie

Journal and publication information

Publication Type: Journal Article; Review

Journal: Nursing inquiry (Nurs Inq), published in Australia. (Language: eng)

Reference: 2008-Jun; vol 15 (issue 2) : pp 127-34

Dates: Created 2008/05/14; Completed 2008/07/11;

PMID: 18476855, status: MEDLINE (last retrieval date: 11/6/2008)

Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.

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MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Assertiveness
Attitude of Health Personnel
Authoritarianism
Catholicism
Hospitals, Religious
Humans
Hysterectomy - nursing; statistics & numerical data
Ireland
Malpractice
Nurse Midwives - organization & administration; psychology
Nurse's Role - psychology
Nursing Methodology Research

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