Symbolically, for 9 months a group of committed researchers cooperated closely to write a grant proposal for a research project into ethical controversies in the mother-midwife relation during childbirth. This CARE-study (Controversies surrounding Autonomy and Responsibility: a care-Ethical study into the mother-midwife relation) is now granted, which means that a young and gifted researcher, philosopher and midwife Rodante van der Waal, is funded to perform her four year PhD study. Next to an empirical research into the advancements of respectful maternity care, the project involves a philosophical study into the ontology and history of pregnancy, childbirth and midwifery care. The project will be performed at the University of Humanistic Studies (Utrecht, The Netherlands) under the supervision of prof dr Carlo Leget. I am proud to be involved in this as co-supervisor.
The research network Concerning Maternity has organized a third international conference on the 7th of May, where we will analyze and explore the lived experience of both pregnant and maternal subjectivity, as well as that of midwifery, in order to consider the question: what are pregnant and maternal subjectivities and how can maternity care attune to them adequately?
With Stella Villarmea (Spain), Mavis Kirkham (Scotland), Jonna Bornemark (Sweden), Lisa Baraitser (UK), Beatrijs Smulders (NL), Bahareh Goodarzi (NL), Neske Beks (NL) and others. Chaired by Rodante van der Waal, PhD student, philosopher and midwifery student (NL).
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Reading this article by Amy Westervelt with much appreciation and acknowledgment. She is so right. Not only mothers, but also women without children, and society as a whole deserve that motherhood is better understood from a feminist perspective. And from philosophy and ethics as a whole, for that matter. This is what our research project aims for: understanding what motherhood is about and seeking to complement theories and practices with an elaborate ethical and existential body of knowledge on maternity.
There are many sources that we can draw upon, this in itself is a journey full of discoveries. Looking forward to continue building a network of researchers and maternity care professionals, as well as feminists, to work on this unfinished task.
With great interest I have read this study by Elizabeth Newnham and Mavis Kirkham who develop a care ethical outlook on midwifery as adequate alternative to bioethical and medical emphasis on respect for autonomy. The authors argue convincingly that the concept of autonomy is as such inadequate in ethical questions in midwifery care. Not only is a relational instead of an individualistic view required, as the pregnant woman is two-in-one, also autonomy does not represent the actual obstetric practice that already focuses on the unborn and is not free from paternalism. Hence attention and arguments for autonomy in everyday midwifery practice seem to be primarily rhetorical. An adequate alternative, the authors claim, is care ethics as it uncovers power relations (instead of covering them up) and focuses on concrete relational practices rather than abstract principles. A view that importantly underpins our research.
Click here to read the article that I recently co-authored with colleague Merel Visse on responsibility in care. We believe that care ethics offers various important critical views on caring responsibility that mutually complement each other. However, by drawing upon the phenomenology of Jean-Luc Marion we believe these views can still be complemented by looking more at the passive, fragile, decentring aspect of responsibility. If we take it more literally, as being a response, it comes second to something else, to something that has preceded it and to which it responds. Responsibility might be less a one-person-task, a personal assignment, an individual burden, if we look at it this way.
Today I started to study this classical work by Barbara Duden: a fascinating analysis of our culture’s preoccupation with the visible, i.e. everything that can be witnessed, measured, controlled and interpreted. With regard to pregnancy the consequences are unreflected but severe: the disembodiment of women. Historically women’s experience of pregnancy was fundamentally different. A must read!