In the Company of Women: enacting autonomy within the perinatal nursing relationship

Abstract

An understanding of autonomy has important significance in North American health care. Although a respect for autonomy is necessary to protect the self-determination and agency of birthing women in hospital settings, I suggest that enactments of autonomy that are independent of relationships offer only an incomplete interpretation of such a vital concept. In this article I explore an understanding of autonomy situated within the context of a relational birthing narrative. In so doing, autonomy becomes conceptualized as contextual and concrete, giving rise to an embodied view of the birthing woman.

Keywords

autonomy birthing women perinatal nursing relational narrative

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References

Olthuis JH. Face-to-face ethical asymmetry or the symmetry of mutuality? In: Olthuis JH ed. Knowing other-wise. Philosophy at the threshold of spirituality. New York: Fordham University Press , 1997: 121-158.

Benhabib S. The generalized and the concrete other: the Kohlberg-Gilligan controversy and feminist theory. In: Benhabib S , Cornell D eds. Feminism as critique. On the politics of gender. Minneapolis. MN: University of Minnesota Press , 1987: 77-95.

Sherwin S. A relational approach to autonomy in health care. In: Sherwin S ed. The politics of women’s health. Exploring agency and autonomy. Philadelphia, PA: Temple University Press , 1998: 19-47.

Gadow S. Whose body? Whose story? The question about narrative in women’s health care . Soundings 1994; 77: 295-307 .

Donchin A. Understanding autonomy relationally: toward a reconfiguration of bioethical principles . J Med Philos 2001; 26: 365-386 .

Goldberg L. Rethinking the birthing body: Cartesian dualism and perinatal nursing . J Adv Nurs 2002; 37: 446-451 .

Held V. Feminist morality. Transforming culture, society, and politics. Chicago, IL: The University of Chicago Press , 1993.

Raymond J. A passion for friends. Toward a philosophy of female affection. Boston, MA: Beacon Press , 1986.

Benner P. The roles of embodiment, emotion, and lifeworld for rationality and agency in nursing practice . Nurs Philos 2000; 1: 1-14 .

10.

James S. With woman: the midwifery relation [Thesis]. Edmonton: University of Alberta, 1997.

11.

Bergum V. Knowledge for ethical care . Nurs Ethics 1994; 1: 71-79

12.

Leder D. The absent body. Chicago, IL: University of Chicago Press , 1990.

13.

Stewart D , Mickunas A. Exploring phenomenology. A guide to the field and its literature, second edition. Athens, OH: Ohio University Press , 1990.

14.

Lorde A. Sister outsider. Freedom, CA: Crossing Press , 1984.