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کتابخانه
محل استقرار
TLets486404
Birth control nursing in the Marie Stopes mothers' clinics 1921-1931
[Thesis]
Brand, Pauline
De Montfort University
2007
Ph.D.
De Montfort University
2007
The provision of contraceptive services has been identified as one of the most importantdevelopments in primary care. Although the history ofthe birth control movement iswell documented, the contribution made to the provision ofservices by nurses andmidwives and the actual development oftheir role, is conspicuous by its absence.Similarly, the history ofnursing has tended to ignore the work ofthose at the 'sharp'end ofpractice. This thesis addresses both lacunae by investigating the work of theJ Ã,• ~ Ã,•midwife-nurses in the Marie StopeS' Mothers' Clinics; focusing on the London and theCaravan Clinics between 1921 and 1931.The aims 0 f the study were; to trace the historical development of birth control nursingwithin the Marie Stopes Mothers' Clinic locating it in its social, political, medical,professional and legal.contexts; to determine the lay and medical perspectives whichinfluenced the development ofbirth control nursing within the Marie Stopes Mothers'Clinics.This historical study uses primary archival and secondary sources supplementedby amodified prosopographical technique and oral history interviews, to provide adistinctive record of the role undertaken by the midwife-nurses in the first birth controlclinic in Britain.The role ofthe midwife-nurses was unique, providing what was arguably the first nurseledbirth control service in this country. In exploring the expansion ofthe service, thethesis exposes previously unexplored links between Lamberts, a commercial organisation, Abertillery Hospital and the Stopes' clinics. An exploration of theplanning and development of the Caravan Clinics uncovers the way in which the serviceoperated and the difficult conditions experienced by the midwife-nurses. Three issuesof relevance to the history of nursing and contemporary practice are also revealed; theway in which the role was established: how the training for nurses working in the fieldof contraception and sexual health evolved; and the identification ofthe roots ofsexualhealth outreach services.The consequences of a disagreement between Stopes and the National Birth ControlCouncil (NBCC) produced two distinct approaches to the delivery of care and the roleof the staff. The traditional handmaiden approach continued in dinics under theauspices ofthe NBCC. The use of the speculum acted as a means to maintain thedominance of the medical profession, a situation that continued well into the 1990s.The thesis argues that had Stopes and her organisation remained within theamalgamated organisation, she may have inculcated her nurse-led approach into thework of these other clinics, with a subsequent impact on the role and training of nursesand midwives throughout the ensuing decades.Studying this group of midwife-nurses provides insight into the realities of clinical practice within what was, at the time, a controversial area ofpractice. The study hascontributed to a wider appreciation of the history of both nursing and birth control whilealso revealing the links to contemporary clinical practice in the field of sexual health.
Brand, Pauline
De Montfort University
مطالعه متن کتاب p
[Thesis]
276903
a
Y
