Cognition, Risk, and Responsibility in Obstetrics: Anthropological Analyses and Critiques of Obstetricians’ Practices

Volume 2 in this landmark 3-volume series The Anthropology of Obstetrics and Obstetricians: The Practice, Maintenance, and Reproduction of a Biomedical Profession looks at cognition, risk, and responsibility in obstetrics.

This volume contains social science analyses of Swiss, Chilean, Mexican, US, Greek, and Irish obstetrics and obstetricians, particularly around their reasons for the overuse of cesareans; a chapter on "4 Stages of Cognition" and a condition called "Substage," which describes how these concepts apply to obstetricians; and a chapter on why obstetricians fear home birth.

This book is a must-read for students, social scientists, and all maternity care practitioners who seek to understand obstetricians' differing ideologies and motives for practicing as they do.

An excerpt from Vania Smith-Oka and Lydia Dixon's chapter:
For systemic changes to occur, we must understand doctors’ decision-making rationales and take their fear-based perspectives about risk and responsibility into account, while also paying attention to the concerns raised by scholars and activists.

Robbie Davis-Floyd PhD, Adjunct Professor, Dept. of Anthropology, Rice University, Houston, Fellow of the Society for Applied Anthropology, and Senior Advisor to the Council on Anthropology and Reproduction, is a well-known medical/reproductive anthropologist and international speaker and researcher in transformational models in childbirth, midwifery, obstetrics, and reproduction.

Ashish Premkumar MD is an Assistant Professor of Obstetrics and Gynecology at the Feinberg School of Medicine at Northwestern University, as well as a maternal-fetal medicine subspecialist practicing at the John H. Stroger, Jr. Hospital of Cook County, Illinois. He is also a doctoral candidate in the Department of Anthropology at The Graduate School at Northwestern University.