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Heeding warnings ... from the canary, the whale, and the Jnuit, Part Two
Midwifery Today and Childbirth Education
|July 1, 1997
Summary
Modern and traditional views on reproductive risk clash, particularly for Inuit communities. A midwife
Area of Science:
- Reproductive Health
- Medical Anthropology
- Sociology of Health
Background:
- Tension exists between traditional and modern definitions of reproductive risk and normalcy.
- This conflict is examined within the Inuit community of Northern Canada.
- A community midwife's perspective highlights the devaluation of cultural and intuitive logic in birth settings.
Purpose of the Study:
- To present an analytical framework classifying competing logics in birth settings.
- To illustrate how certain logics (e.g., cultural, intuitive) are devalued.
- To explore how the Inuit settlement of Povungnituk re-integrates community knowledge in decision-making.
Main Methods:
- Analysis of competing logics in birth settings, including political, scientific, clinical, cultural, legal, personal, intuitive, and economic factors.
- Case study of the Inuit community of Povungnituk (POV).
- Examination of the role of community midwives at The Maternity in decision-making.
Main Results:
- A framework is presented to classify and illuminate competing logics in birth settings.
- Supervaluation of certain logics leads to devaluation of others, often with significant consequences.
- The Povungnituk (POV) settlement aims to reintegrate authoritative community knowledge.
Conclusions:
- Re-integrating community-based knowledge, such as that of Inuit midwives, is crucial for balanced decision-making in birth.
- Recognizing and valuing diverse forms of logic (cultural, intuitive) can improve reproductive healthcare.
- The Povungnituk model offers insights into balancing diverse logical imperatives in birth settings.
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