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Updated: Jul 7, 2026

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale

Published on: August 25, 2014

Including the nonrational is sensible midwifery.

Jenny A Parratt¹, Kathleen M Fahy

¹School of Nursing and Midwifery, Faculty of Health, University of Newcastle, University Drive, Callaghan, NSW, Australia. jparratt@bigpond.com

Women and Birth : Journal of the Australian College of Midwives

|February 5, 2008

Summary

Childbirth care should integrate nonrational knowledge alongside rational approaches. Recognizing embodied experiences of both midwives and women leads to more holistic and optimal decision-making.

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Area of Science:

Midwifery and Women's Health
Sociology of Health
Philosophy of Science

Background:

The historical subordination of midwifery by medicine and nursing has led to a childbirth approach dominated by pure rationality.
This rational model often creates dichotomies, prioritizing rationality over other ways of knowing.
Expert clinical practice increasingly acknowledges the value of nonrational ways of knowing and behaving.

Purpose of the Study:

To expose the limitations of pure rationality in childbirth care.
To analyze concepts of mind, body, soul, and spirit through philosophical and spiritual theory.
To critique the rational/irrational dichotomy and propose a more inclusive model for midwifery knowledge.

Main Methods:

Post-structural study focusing on changes in women's embodied sense of self during childbearing.
Critique of the standard rational/irrational dichotomy.
Analysis drawing on philosophical and spiritual theories.

Main Results:

Pure rationality imposes limitations, exemplified by the concept of safety in childbirth.
Nonrational experiences are individual, contextual, and 'in-the-moment', encompassing both rational and nonrational power and knowledge.
A revised conceptualization offers a theoretical basis for more holistic ways of knowing in midwifery.

Conclusions:

Midwives and women must consciously integrate nonrational knowledge and power during the childbearing year.
Pure rational thinking limits possibilities by excluding the embodied ways of knowing of both midwives and women.
Including nonrational ways of knowing enhances decision-making, leading to more complete and optimal outcomes.