Profession, skill, or domestic duty? Midwifery in Sheffield, 1881-1936.

T. Mcintosh
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引用次数: 18

Abstract

Midwives today trace their professional identity back to the period following the midwifery regulation of 1902, when provisions were made for the training and registration of all midwives, and for the gradual elimination of the untrained practitioner. Some historians have argued that this represented a definite break and signalled the willingness of midwives to move towards a professional status. A comparison of midwifery in Sheffield pre- and post-regulation demonstrates no significant change in the practice and profiles of those in the occupation; all midwives remained primarily married or widowed part-time workers. Training for midwives was instituted early in Sheffield. Those trained had fairly high caseloads for the period, but their social and economic status was no different from non-trained midwives in the area. Regulation had a significant impact on the attitude of doctors towards midwives, who were increasingly viewed as part of a medical structure of care. Some midwives attempted to pursue collective action in order to improve their prospects, but they were in the minority. The limits to their professional development were demonstrated by their lack of control over supervision, their subordinate relationship to doctors, and their inability to work in unison.
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职业、技能还是家庭责任?谢菲尔德的助产士,1881-1936。
今天,助产士的职业身份可以追溯到1902年《助产条例》之后的时期,当时规定了对所有助产士的培训和注册,并逐步淘汰未经培训的从业者。一些历史学家认为,这代表了一个明确的突破,标志着助产士愿意向专业地位迈进。在谢菲尔德的助产前和监管后的比较表明,在那些在职业的做法和概况没有显著的变化;所有助产士主要仍然是已婚或丧偶的兼职工作者。谢菲尔德很早就开始了助产士培训。在此期间,受过培训的助产士的工作量相当高,但她们的社会和经济地位与该地区未受过培训的助产士没有什么不同。监管对医生对助产士的态度产生了重大影响,助产士越来越被视为医疗保健结构的一部分。一些助产士试图采取集体行动,以改善他们的前景,但他们是少数。他们缺乏对监督的控制,与医生的从属关系,以及无法协调一致地工作,这些都证明了他们专业发展的局限性。
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