<p>Until 1976, women in Alabama could choose to make use of a midwife when they gave birth. In that year, the Alabama state legislature outlawed the practice. This dissertation explores the consequences of that decision as well as the efforts of contemporary non-nurse midwives, also known as Certified Professional Midwives (CPM’s), to re-establish the practice as an option available to birthing women in the state.</p><p> In order to address the consequences of outlawing non-nurse midwives in the state of Alabama a mixed methodology approach is applied. Two years of ethnographic data collection approached with a feminist and cultural anthropology lens, reveal that the lack of medical infrastructure within the state of Alabama prohibits the ability for CPM’s to practice safely. This is owed to historically grounded stigma in racism and classism. As a result, the current CPM community within the state of Alabama, along with their clientele, is predominantly white. This is reflected in the case studies within the dissertation as all the families and care providers, regardless of clinical expertise, are all white. An examination of cesarean rates via quantitative analysis supports the historical and ethnographic findings. Cesarean rates are highest within counties that have a low median household income, and a population that is predominately African American.</p><p> The dissertation features five case studies of women who gave birth attended by a CPM. By relating the experiences of the birthing mothers, a CPM, and certified medical professionals, the dissertation offers evidence of the kind of supplemental medical care and knowledge that can be offered by practitioners of midwifery. At the same time, while contemporary midwives such as the one featured here offer important medical service to their clients, they are not equipped to or knowledgeable about political work necessary to push for the re-legalization of midwifery. This dissertation thus sheds light on the challenges facing midwives who would prefer to work openly and legally in the state.</p><p> Ultimately what is revealed is the value of supplementary healthcare networks within the state. While care and birth services provided by CPM’s is not readily accessible to all, those giving birth in Alabama can find support within the current system through supplementary healthcare networks. These networks include doulas, lactation support groups, babywearing groups, etc. It is a piecemeal system to be sure, but it is a piecemeal system that is working diligently to unlearn biases, and support women and birthing families. However, it is important to understand that the supplemental networks cannot fully address the larger structural crisis that is a lack of infrastructure within the state’s medical system. Ideally, a system that utilizes Obstetricians, Nurse Midwives, and Non-nurse Midwives, all with mutual respect for their own expertise, would exist to provide quality care to women throughout the state.</p>

PhD (Geology) / Department of Mining and Environmental Geology / Cretaceous-Tertiary Periods marked the break-up of Gondwana, a large landmass composed of most of the present-day southern continents. In understanding the events of the supercontinental break-up, paleoenvironmental studies need to be carried out. In such studies, kaolinites could be used as paleoenvironmental proxies due to their small particle sizes and large surface area. It is in this context that this research sought to reconstruct the paleoenvironments in which selected Cretaceous-Tertiary kaolin deposits in the Douala Sub-Basin in Cameroon formed. To achieve this objective, mineralogical and geochemical characterisations were carried out using x-ray diffractometry, scanning electron microscopy, Fourier transform infrared spectrometry, thermal analyses and x-ray fluorescence spectroscopy. Trace elements and stable isotopes were analysed using mass spectrometries. Ages of zircons in the kaolins were determined using laser ablation magnetic sector-field inductively coupled plasma mass spectrometry (LA-SF-ICP-MS) U-Pb geochronology. Diagnostic evaluation for industrial applications of the kaolins were carried out using particle size distribution, texture, moisture content, pH, and electric conductivity. Six kaolin deposits from Cretaceous-tertiary Formations of the Douala Sub-Basin were studied; namely, Bomkoul (Tertiary), Dibamba (Tertiary), Ediki (Cretaceous), Logbaba (Cretaceous), Missole (Tertiary) and Yatchika (Cretaceous). The nature and occurrences of these kaolin deposits in Cameroon were determined through thorough mineralogical and geochemical characterisations of bulk (< 2 mm size fraction), silt (2-63 μm size fraction) and clay samples (< 2 μm size fraction). By quantifying the mineral phases present, the morphology and the functional groups in the kaolins are presented as the mineralogical characteristics of kaolins of each study site; whereas, the major oxides geochemistry and the micro-elemental composition constitute the geochemical characteristics of these kaolins. The minerals’ geneses were also determined and the prevailing paleoenvironmental and paleoclimatic conditions in which they were formed were reconstructed using trace elements and stable isotopes of oxygen and hydrogen in kaolinite. The maximum age of the kaolins were determined using U-Pb LA-SFICP-MS dating of zircons in the kaolin deposits. Diagnostic evaluation of the kaolins was carried out, and involved the determination of physical characteristics (particle size, texture, colour and moisture content) and physico-chemical characteristics (pH and electrical conductivity). Results showed that kaolinite and quartz (as major phases), smectite and/or illite (as minor phases), anatase and rutile (as minor or trace phases), goethite and hematite (as trace viii phases) were the mineral phases present in bulk and silt samples. Whereas, in the < 2 μm fractions, the mineral phases are made up of kaolinite and smectite (as major phases), smectite and/or illite (as minor phases), anatase and rutile (as minor or trace phases), goethite and hematite (as trace phases). The kaolins are mostly made up of thin platy or pseudo-hexagonal particles or flakes, books or stacks of kaolinite. The Dibamba, Logbaba and Missole II kaolins have well-ordered structures. Exothermic peak temperatures were generally between 943-988oC. The most abundant major oxides are silica and alumina, followed by iron oxide and titania; though Logbaba and Missole II had higher titania than iron oxide. 85% of the kaolins, portrayed extreme silicate weathering (chemical index of alteration > 80%) and are compositionally mature (index of compositional variability > 0.78). The geochemical composition of the kaolins showed that source rocks of these kaolins vary between rhyolite/granite and rhyolite/granite + basalt. The geochemistry also suggested that the kaolins formed in a marine environment (except Logbaba samples). Trace elements results revealed that Cretaceous-Tertiary kaolins in the Douala Sub-Basin are mainly enriched in rare earth elements compared to the upper continental crust, and have negative Eu anomaly. Large ion lithophiles (mainly Rb and U) were highly enriched in samples, high field strength elements (Y and Nb) were enriched in studied samples of all fractions; and transition trace elements generally had concentrations quite similar to upper continental crust values. Stable isotopes showed that the kaolins were formed in a supergene environment; and temperatures of kaolinitisation (assuming equilibrium with the global meteoric water line) were 26.58oC ± 9.65oC for Cretaceous kaolins and 29.40oC ± 7.22oC for Tertiary kaolins. Assuming equilibrium with the local (Douala) meteoric water line, the temperatures of kaolinitisation were 24.64oC ± 9.48oC for Cretaceous and 27.42oC ± 7.08oC for Tertiary kaolins. Four main zircon populations were identified from radiogenic dating: the 1st between 550 and 650 Ma, the 2nd between 950 and 1050 Ma, the 3rd around 1600 Ma and the 4th between 2800-3200 Ma. These four zircon populations belong to the Proterozoic (Neo-, Meso- and Paleoproterozoic) and the Archean. The maximum depositional ages of the kaolins, reflected by the youngest weighted averages of zircon populations varied between 588 ± 2 Ma and 612 ± 2 Ma, all belonging to the Ediacaran Period (Neoproterozoic). The diagnostic evaluation of the kaolins revealed that the kaolins are very sandy, with 50% of the samples having a sandy loamy clay or sandy loam texture. The colour of the samples varied considerably from white to darker colours (dark grey); with 15% of the kaolins being light reddish brown. The moisture content was generally very low (< 2 wt %) in all size fractions, except in Yatchika samples (moisture content > 2 wt %). The kaolins are generally acidic, with ix a pH(KCl) varying between 3.06 and 3.81, except in Missole I samples, which had a pH (KCl) < 2. The electrical conductivity (EC) generally varied between 20 to ~ 50 μS/cm, except Dibamba and MSL II 01 samples which had EC values in the interval 50 μS/cm < EC < 80 μS/cm; and Missole I samples having an EC > 7500 μS/cm. In conclusion, no great distinction was found between Cretaceous and Tertiary kaolins of the Douala Sub-Basin based on their mineralogy and geochemistry. The best kaolins in terms of these characteristics, and in comparison with the Georgia Kaolins (known for their high kaolinite quality), were the Dibamba (Tertiary), Logbaba (Cretaceous) and Missole II (Tertiary) kaolins. Based on their compositional maturity and mineralogical characteristics, these three kaolins are considered to be second cycle sediments; unlike Bomkoul, Yatchika and Ediki kaolins, which are believed to be first cycle sediments. Based on the trace elements and stable isotopes composition, Cretaceous and Tertiary kaolins of the Douala Sub-Basin were derived from felsic rocks. However, Cretaceous kaolins were formed in a cooler anoxic reducing environment; whereas the Tertiary kaolins were formed in a warmer oxidising environment, with higher precipitation. Ages of zircons in Cretaceous-Tertiary kaolins suggested that the zircon formed during two main tectonic events: the Eburnean orogeny, during which older zircons crystallised and the Pan-African orogeny, during which younger zircons crystallised. The maximum depositional ages of the kaolins varied between 588 ± 2 Ma and 612 ± 2 Ma. The main identified sources of these zircons are the Archean Ntem Complex, the Paleoproterozoic Nyong Group and the Neoproterozoic Yaounde Group. The diagnostic evaluation indicated that the particle size greatly influences the mineralogy and geochemistry of the kaolins because the finer particles (< 2 μm) have higher amounts of kaolinite and Al2O3. The moisture content of the kaolins makes them suitable as paint fillers and in soap production. Paper coating, paper filler, ceramics, pharmaceutics and cosmetics are potential applications for the kaolins, though particle size reduction and beneficiation will give them a higher quality. However, because these kaolin deposits are not big and extensive, they cannot be recommended for large scale industrial applications; but they can be used for bricks, pottery and stoneware manufacturing.