Academic literature on the topic 'Childbirth – Sociological aspects'

<p><strong><em>Background: </em></strong><em>The development of an early detection guidebook for risk factors in pregnant women's complications packaged in MCH books was considered effective for health workers and mothers as guidelines for the prevention of complications. However, the use of MCH books has not been maximal. Of the 81.5% of mothers who own MCH books, only 60.5% understand it. This makes one of the causes of maternal and infant mortality is ignorance of the signs of complications. In addition, in MCH books there is only an assessment of physical disorders without judging from psychological and sociological. </em></p><p><strong><em>Objectives: </em></strong><em>The purpose of this study was to produce an MCH handbook model with addition NEW FPS (Physiological, Psychological and Sociological) </em>factors to maximize the understanding of pregnant women and the enforcement of high potential risk diagnoses carefully and accurately.</p><p><strong><em>Methods: </em></strong><em>This was Research and Development (R&amp;D) study using Borg and Gall models. The data in the study was obtained using interviews, NEW FPS questionnaires, pregnant women's response trial questionnaires. The population in this study consisted of 16 people and taken a sample of 16 respondents who were pregnant women in trimester 3 to 3 years by using Simple Random Sampling technique.</em></p><p><strong><em>Results: </em></strong><em>The results showed the development of MCh handbooks with the addition of FPS variabels effectively used as one of the efforts in early detection of pregnancy and childbirth with percentage results: physiological (56.2%) psychological (62.5%) and sociological (68.7%). Based on the results, the response of pregnant women to trials in the development of MCH handbooks obtained an average percentage (87%), the addition of FPS variabels to MCH handbooks was effectively used as an effort to early detection of pregnancy and childbirth complications. The fulfillment of these three aspects can increase the achievement of the MCH program in the early screening of complications.</em></p><strong><em>Conclusions: </em></strong><em>This study concludes that the addition of NEW FPS variabels in MCH handbooks is feasible and effectively used as one of the media to conduct early detection of the occurrence of pregnancy and childbirth.</em>

The article is devoted to the current aspects of demographic development in the EAEU member states in the context of studying the specifics of the reproductive and migratory behavior of young people in Russia, Kazakhstan and Kyrgyzstan. The modern generation of young people in post-Soviet countries over the past three decades has been influenced by various factors that have radically transformed their views on family, childbirth and migration. Their attitudes towards reproductive and migratory behavior will dominate the future demographic trends not only in each of the studied countries, but also in the Eurasian space as a whole. Therefore, a detailed study of the attitudes of the young and educated generation is the most important task of demographic and sociological sciences. Based on the results of a sociological survey conducted using a unified methodology, the article examines the features of reproductive and migratory behavior in countries at different stages of the “demographic transition.” It reveals the peculiarities of the respondents’ attitude from the three states to official marriage, age preferences for starting a family and giving birth to their first child. Reproductive judgments regarding anticipated and ideal number of children are identified. The use of the ranking method allowed to detect ​​the normative childbearing models in the three countries and the differences between them. The conclusion states that in all the states in question, the prevailing socio-economic conditions are an obstacle to the implementation of the existing ideal reproductive attitudes. The gender peculiarities of the views of young people in the three countries on extramarital unions, reproductive patterns and “planned childlessness” were noted. The article demonstrates that, with regard to the results of the study, in the next 25 to 30 years families in Russia will likely have a small number of children, in Kazakhstan—an average number, and reproductive behavior in Kyrgyzstan will likely retain its tendency towards having many children. The article also contains conclusions about specific migration attitudes based on the replies to questions about the preferred place to apply professional skills, create a family and have children. The dependence of migration attitudes on gender and country of residence has been revealed. Based on empirical data, the groups of respondents characterized by pragmatic, patriotic and antipatriotic migratory behavior have been identified. It was determined that young people who live in Kyrgyzstan are more focused on moving to a new place of residence, while all respondents are quite cosmopolitan in regard to the place of application of their professional skills, and students are most patriotic about the place to start a family.

Prometheus, chained to a rock, having his liver pecked out by a great bird only for the organ to grow back again each night so that the torture may be repeated afresh the next day must be the quintessential image of masculinity in crisis. This paper will consider Promethean myth and the issues it raises regarding 'creation' including: the role of creator, the relationship between creator and created, the usurping of maternal (creative) power by patriarchy and, not least, the offering of an experimental model in which masculine identity can be recreated. I argue that Promethean myth raises significant issues relating to anxieties associated with notions of masculinity and gender, which are subsequently transposed in Shelley's modernist recasting of the myth, Frankenstein. I then consider 'Promethean' science fiction film, as an area particularly concerned with re-creation, in terms of construction of the self, gender and masculinity. Prometheus & Creation Prometheus (whose name means 'forethought') was able to foresee the future and is credited with creating man from mud/clay. As Man was inferior to other creations and unprotected, Prometheus allowed Man to walk upright [1] like the Gods. He also stole from them the gift of fire, to give to Man, and tricked the Gods into allowing Man to keep the best parts of sacrifices (giving the Gods offal, bones and fat). Thus Prometheus is regarded as the father and creator of Mankind, and as Man's benefactor and protector; whose love of Man (or love of trickery and his own cleverness) leads him to deceive the Gods. Prometheus's brother, Epimetheus (whose name means 'afterthought'), was commissioned to make all the other creations and Prometheus was to overlook his work when it was done. Due to Epimetheus's short-sightedness there were no gifts left (such as fur etc.) to bestow upon Man – the nobler animal which Prometheus was entrusted to make. Prometheus, a Titan, and illegitimate son of Iapetus and the water nymph Clymene (Kirkpatrick, 1991), helped fight against the Titans the side of Zeus, helping Zeus seize the throne. More than simple indication of a rebellious spirit, his illegitimate status (albeit as opposed to an incestuous one – Iapetus was married to his sister Themis) raises the important issues of both legitimacy and filial loyalty, so recurrent within accounts of creation (of man, and human artifice). Some hold that Prometheus is punished for his deceptions i.e. over fire and the sacrifices, thus he is punished as much for his brother's failings as much as for his own ingenuity and initiative. Others maintain he is punished for refusing to tell Zeus which of Zeus's sons would overthrow him, protecting Zeus' half mortal son and his mortal mother. Zeus's father and grandfather suffered castration and usurpment at the hands of their offspring – for both Zeus and Prometheus (pro)creation is perilous. Prometheus's punishment here is for withholding a secret which accords power. In possessing knowledge (power) which could have secured his release, Prometheus is often viewed as emblematic of endurance, suffering and resistance and parental martyrdom. Prometheus, as mentioned previously, was chained to a rock where a great bird came and tore at his liver [2], the liver growing back overnight for the torture to be repeated afresh the following day. Heracles, a half mortal son of Zeus, slays the bird and frees Prometheus, thus Man repays his debt by liberation of his benefactor, or, in other accounts, he is required to take Prometheus's place, and thus liberating his creator and resulting in his own enslavement. Both versions clearly show the strength of bond between Prometheus and his creation but the latter account goes further in suggesting that Man and Maker are interchangeable. Also linked to Promethean myth is the creation of the first woman, Pandora. Constructed (by Jupiter at Zeus's command) on one hand as Man's punishment for Prometheus's tricks, and on the other as a gift to Man from the Gods. Her opening of 'the box', either releasing all mans ills, plagues and woes, or letting all benevolent gifts but hope escape, is seen as disastrous from either perspective. However what is emphasised is that the creation of Woman is secondary to the creation of Man. Therefore Prometheus is not the creator of humankind but of mankind. The issue of gender is an important aspect of Promethean narrative, which I discuss in the next section. Gender Issues Promethean myths raise a number of pertinent issues relating to gender and sexuality. Firstly they suggest that both Man and Woman are constructed [3], and that they are constructed as distinct entities, regarding Woman as inferior to Man. Secondly creative power is posited firmly with the masculine (by virtue of the male sex of both Prometheus and Jupiter), negating maternal and asserting patriarchal power. Thirdly Nature, which is associated with the feminine, is surpassed in that whilst Man is made from the earth (mud/clay) it is Prometheus who creates him (Mother Earth providing only the most basic raw materials for production); and Nature is overcome as Man is made independent of climate through the gift of fire. Tensions arise in that Prometheus's fate is also linked to childbirth in so far as that which is internal is painfully rendered external (strongly raising connotations of the abject – which threatens identity boundaries). The intense connection between creation and childbirth indicates that the appropriation of power is of a power resting not with the gods, but with women. The ability to see the future is seen as both frightening and reassuring. Aeschylus uses this to explain Prometheus's tolerance of his fate: he knew he had to endure pain but he knew he would be released, and thus was resigned to his suffering. As the bearer of the bleeding wound Prometheus is feminised, his punishment represents a rite of passage through which he may earn the status 'Father of Man' and reassert and define his masculine identity, hence a masochistic desire to suffer is also suggested. Confrontations with the abject, the threat posed to identity, and Lacanian notions of desire in relation to the other, are subjects which problematise the myth's assertion of masculine power. I will now consider how the Promethean myth is recast in terms of modernity in the story of Frankenstein and the issues regarding male power this raises. Frankenstein - A Modern Prometheus Consistent with the Enlightenment spirit of renewal and reconstruction, the novel Frankenstein emerges in 1818, re-casting Promethean myth in terms of science, and placing the scientist (i.e. man) as creator. Frankenstein in both warning against assuming the power of God and placing man as creator, simultaneously expresses the hopes and fears of the transition from theocratic belief to rationality. One of the strategies Frankenstein gives us through its narrative use of science and technology is a social critique and interrogation of scientific discourse made explicit through its alignment with gender discourse. In appropriating reproductive power without women, it enacts an appropriation of maternity by patriarchy. In aligning the use of this power by patriarchy with the power of the gods, it attempts to deify and justify use of this power whilst rendering women powerless and indeed superfluous. Yet as it offers the patriarchal constructs of science and technology as devoid of social responsibility, resulting in monstrous productions, it also facilitates a critique of patriarchy (Cranny Francis, 1990, p220). The creature, often called 'Frankenstein' rather than 'Frankenstein's monster', is not the only 'abomination to God'. Victor Frankenstein is portrayed as a 'spoilt brat of a child', whose overindulgence results in his fantasy of omnipotent power over life itself, and leads to neglect of, and lack of care towards, his creation. Indeed he may be regarded as the true 'monster' of the piece, as he is all too clearly lacking Prometheus's vision and pastoral care [4]. "Neither evil nor inhuman, [the creature] comes to seem little more than morally uninformed, poorly 'put together' by a human creator who has ill served both his creation and his fellow humans." (Telotte, 1995, p. 76). However, the model of the natural – and naturally free – man emerges in the novel from an implied pattern of subjection which demonstrates that the power the man-made constructs of science and technology give us come at great cost: "[Power] is only made possible by what [Mary Shelley] saw as a pointedly modern devaluation of the self: by affirming that the human is, at base, just a put together thing, with no transcendent origin or purpose and bound to a half vital existence at best by material conditions of its begetting."(ibid.) Frankenstein's power expressed through his overcoming of Nature, harnessing of technology and desire to subject the human body to his will, exhibits the modern world's mastery over the self. However it also requires the devaluation of self so that the body is regarded as subject, thus leading to our own subjection. For Telotte (1995, p37), one reflection of our Promethean heritage is that as everything comes to seem machine-like and constructed, the human too finally emerges as a kind of marvellous fiction, or perhaps just another empty invention. Access to full creative potential permits entry "into a true 'no man's land'…. a wonderland...where any wonder we might conceive, or any wondrous way we might conceive of the self, might be fashioned". Certainly the modernist recasting of Promethean myth embodies that train of thought which is most consciously aiming to discover the nature of man through (re)creating him. It offers patriarchal power as a power over the self (independent of the gods); a critique of the father; and the fantasy of (re)construction of the self at the cost of deconstruction of the body which, finally, leads to the subjection of the self. The Promethean model, I maintain, serves to illuminate and further our understanding of the endurance, popularity and allure of fantasies of creation, which can be so readily found in cinematic history, and especially within the science fiction genre. This genre stands out as a medium both well suited to, and enamoured with, Promethean reworkings [5]. As religion (of which Greek mythology is a part) and science both attempt to explain the world and make it knowable they offer the reassurance, satisfaction and the illusion of security and control, whilst tantalising with notions of possible futures. Promethean science fiction film realises the visual nature of these possible futures providing us, in its future visions, with glimpses of alternative ways of seeing and being. Promethean Science Fiction Film Science fiction, can be seen as a 'body genre' delineated not by excess of sex, blood or emotion but by excess of control over the body as index of identity (Cook, 1999, p.193). Science fiction films can be seen to fall broadly into three categories: space flight, alien invaders and futuristic societies (Hayward, 1996, p.305). Within these, Telotte argues (Replications, 1995), most important are the images of "human artifice", which form a metaphor for our own human selves, and have come to dominate the contemporary science fiction film (1995, p11). The science fiction film contains a structural tension that constantly rephrases central issues about the self and constructedness. Paradoxically whilst the science fiction genre profits from visions of a technological future it also displays technophobia – the promises of these fictions represent dangerous illusions with radical and subversive potential, suggesting that nature and the self may be 'reconstructable' rather than stable and unchanging. Whilst some films return us safely to a comforting stable humanity, others embrace and affirm the subversive possibilities advocating an evolution or rebirth of the human. Regardless of their conservative (The Iron Giant, 1999, Planet of the Apes, 1968) or subversive tendencies (Metropolis 1926, Blade Runner 1982, Terminator 1984), they offer the opportunity to explore "a space of desire" (Telotte, p. 153, 1990) a place where the self can experience a kind of otherness and possibilities exceed the experience of our normal being (The Stepford Wives 1974, The Fly 1986, Gattaca 1997 [6]). What I would argue is central to the definition of a Promethean sub-genre of science fiction is the conscious depiction and understanding of the (hu)man subject or artifice as technological or scientific construction rather than natural. Often, as in Promethean myth, there is a mirroring between creator and creation, constructor and constructed, which serves to bind them despite their differences, and may often override them. Power in this genre is revealed as masculine power over the feminine, namely reproductive power; as such tensions in male identity arise and may be interrogated. Promethean (film) texts have at their centre issues of what it is to be human, and within this, what it is to be a man. There is a focus on hegemonic masculinity within these texts, which serves as a measure of masculinity. Furthermore these texts are most emphatically concerned with the construction of masculinity and with masculine power. The notion of creation raises questions of paternity, motherhood, parenting, and identification with the father, although the ways in which these issues are portrayed or explored may be quite diverse. As a creation of man, rather than of 'woman', the subjects created are almost invariably 'other' to their creators, whilst often embodying the fantasies, desires and repressed fears of their makers. That otherness and difference form central organising principles in these texts is undisputable, however there also can be seen to exist a bond between creator and created which is worthy of exploration, as the progeny of man retains a close likeness (though not always physically) to its maker [7]. Particularly in the Promethean strand of science fiction film we encounter the abject, posing a threat to fragile identity constructions (recalling the plight of Prometheus on his rock and his feminised position). I also maintained that 'lack' formed part of the Promethean heritage. Not only are the desires of the creators often lacking in Promethean care and vision, but their creations are revealed as in some way lacking, falling short of their creator's desire and indeed their own [8]. From the very beginnings of film we see the desire to realise (see) Promethean power accorded to man and to behold his creations. The mad scientists of film such as Frankenstein (1910), Homunculus (1916), Alraune (1918), Orlacs Hande (1925) and Metropolis (1926) and Frankenstein (1931) all point to the body as source of subjection and resistance. Whilst metal robots may be made servile, "the flesh by its very nature always rebels" (Telotte, 1995, p. 77). Thus whilst they form a metaphor for the way the modern self is subjugated, they also suggest resistance to that subjugation, pointing to "a tension between body and mind, humanity and its scientific attainments, the self and a cultural subjection" (ibid.). The films of the 1980's and 90's, such as Blade Runner (1982), Robocop (1987) Terminator 2: Judgement Day (1994), point towards "the human not as ever more artificial but the artificial as ever more human" (Telotte, 1995, p.22). However, these cyborg bodies are also gendered bodies providing metaphors for the contemporary anxieties about 'masculinities'. Just as the tale of Prometheus is problematic in that there exist many variations of the myth [9], with varying accounts capable of producing a range of readings, concepts of 'masculinity' are neither stable nor uniform, and are subject to recasting and reconstruction. Likewise in Promethean science fiction film masculine identities are multiple, fragmented and dynamic. These films do not simply recreate masculinities in the sense that they mirror extant anxieties but recreate in the sense that they 'play' with these anxieties, possibilities of otherness and permeate boundaries. We may see this 'play' as liberating, in that it offers possible ways of being and understanding difference, or conservative, reinstating hegemonic masculinity by asserting old hierarchies. As versions of the myth are reconstructed what new types of creator/creature will emerge? What will they say about our understanding and experiences of "masculinities"? What new possibilities and identities may we envision? Perhaps the most significant aspect of our Promethean heritage is that, as Prometheus is chained to his rock and tortured, through the perpetual regeneration of his liver, almost as if to counterweight or ballast the image of masculinity in crisis, comes the 'reassuring' notion that whatever the strains cracks or injuries the patriarchal image endures: 'we can rebuild him' [10]. We not only can but will, for in doing so we are also reconstructing ourselves. Footnote According to Bulfinch (web) he gave him an upright stature so he could look to the Heavens and gaze on the stars. Linking to Science Fiction narratives of space exploration etc. (Encyclopedia Mythica – [web]) -The liver was once regarded as the primary organ of our being (the heart being our contemporary equivalent) where passions and pain and were felt. Both physically constructed and sociologically, with woman as inferior lesser being and implying gender determinism. This is further articulated to effect in the James Whale film (Frankenstein, 1931), where 'Henry' Frankenstein's creation is regarded as his 'first born' and notions of lineage predominate, ultimately implying he will now pursue more natural methods of (pro)creation. Frankenstein is seen by some as the first cyborg novel in its linking of technology and creation and also often cited as the first science fiction film (although there were others). For example in Andrew Niccol's Gattaca (1997), the creation of man occurs through conscious construction of the self, acknowledging that we are all constructed and acknowledging that masculinity must be reconstructed if it is to be validated. Patriarchy has worked to mythologise our relationship to (mother) nature, so that the human becomes distinct from the manufactured. What is perhaps the most vital aspect of the character Vincent in Gattaca is his acknowledgement that the body must be altered, restructured, reshaped and defined in order to pass from insignificance to significance in terms of hegemonic masculine identity. It is therefore through a reappraisal of the external that the internal gains validity. See Foucault on resemblance and similitude (in The Gendered Cyborg, 2000). See Scott Bukatman on Blade Runner in Kuhn, 1990. The tale of Prometheus had long existed in oral traditions and folklore before Hesiod wrote of it in Theogeny and Works and Days, and Aeschylus, elaborated on Hesiod, when he wrote Prometheus Bound (460B.C). Catchphrase used in the 1970's popular TV series The Six Million Dollar Man in relation to Steve Austin the 'bionic' character of the title. References Bernink, M. & Cook, P. (eds.) The Cinema Book (2nd edition). London: British Film Institute Publishing, 1999. Clute, J. Science Fiction: The Illustrated Encyclopaedia. London: Dorling Kindersley, 1995. Cohan, S. & Hark, I.R. (eds.) Screening the Male. London: Routledge, 1993. Hall, S., Held, D. & McLennan, G. (eds.) Modernity and its Futures. Cambridge and Oxford: Polity Press in association with The Open University, 1993. Jancovich, M. Rational Fears: American horror in the 1950's. Manchester and New York: Manchester University Press, 1996. Jeffords, S. Can Masculinity be Terminated? In Cohan, S. & Hark, I.R. (eds.) Screening the Male. London and New York: Routledge, 1993. Kirkup, G., Janes, L., Woodward, K. & Hovenden, F. (eds.) The Gendered Cyborg: A Reader. London: Routledge, 2000. Kuhn, A. (ed.) Alien Zone: Cultural Theory and Contemporary Science Fiction Cinema. London and New York: Verso, 1990. Sobchack, V. Screening Space. New Brunswick, New Jersey and London: Rutgers University Press 1999. Telotte, J.P. A Distant Technology: Science Fiction Film and the Machine Age, Hanover and London: Wesleyan University Press, 2000. Telotte, J.P. Replications. Urbana and Chicago: University of Illinois Press, 1995 Bulfinch's Mythology, The Age of Fable – Chapter 2: Prometheus and Pandora: (accessed 21st March 2000) http://www.bulfinch.org/fables/bull2.html Bulfinch's Mythology: (accessed March 21st 2000) http://www.bulfinch.org.html Encyclopaedia Mythica: Greek Mythology: (accessed June 15th 2000) http://oingo.com/topic/20/20246.html Encyclopaedia Mythica: Articles (accessed 15th June 2000) http://www.pantheon.org/mythica/articles.html

Defence date: 14 April 2000
Examining board: Prof. Arpad Szakolczai (University of Cork, EUI-Supervisor) ; Prof. Bernhard Giesen (University of Konstanz, EUI- Co-supervisor) ; Prof. Peter Wagner (EUI) ; Prof. Maria Moog-Grünewald (University of Tübingen)
PDF of thesis uploaded from the Library digitised archive of EUI PhD theses completed between 2013 and 2017