The central concern of this study is the social, cultural and political position of traditional birth attendants (TBA), known as yiey maap (grandmother midwives) in Chup Commune (pseudonym). In particular, this study explores strategies yiey maap use to negotiate or bypass Western model health services in an attempt to maintain their personal integrity and cultural capital as birth attendants, and to ensure the physical, emotional, economic and cultural safety of the woman they care for. / This thesis explores traditional maternity knowledges and practices using ethnographic methods to investigate the central issues, concerns and barriers confronting rural woman as they make choices to adapt, resist or negotiate Western maternity care. It is vital to consider historical, political, cultural and economic factors that influence women's decisions in order to understand how and why women hold onto or surrender their traditional childbirth knowledges and practices, including the preservation of yiey maap, their favoured birth attendant. / Safe Motherhood initiatives were introduced into resource-poor countries by the World Health Organization in 1987 with the goal of reducing maternal mortality rates. They were based on the premise that pregnancy, childbirth and postpartum care were safer when provided by skilled birth attendants in a modern health facility. TBAs were not considered skilled birth attendants by Safe Motherhood partner agencies, as training and utilizing TBAs in Safe Motherhood initiatives did not have a measurable impact on maternal mortality rates. Instead, TBAs' roles have been recast, and TBAs are expected to be health promoters and educators, referral agents and information gatherers. / I argue that Khmer women do not engage with the modern health system because it is unfamiliar and expensive, and health personnel provide poor quality care. Instead, in times of obstetric emergencies, women attempt to negotiate their own and their family's safety through personal autonomy and agency. / I conclude by proposing alternative approaches and strategies, including the increased utilisation of yiey maap in Cambodian Safe Motherhood programs. A central question is whether the Ministry of Health, supported by bilateral and multilateral agencies, should train and utilize yiey maap or midwives in maternity care. I argue that both are of equal importance. Until yiey maap are valued for their contribution to, and enjoy equitable inclusion in midwifery care, initiatives that involve yiey maap as program "extras", who undertake peripheral tasks, will not reduce maternal mortality rates.

Abstract The majority of young Australian women aspire to be married with at least one child and in some form of paid employment by the time they are 35 years of age. In an age of increasing female labour force participation, it seems then that young women really can have it all. However, while younger generations of women are now more likely than their male counterparts to go to university, Australian women, compared to women in other countries, have low workforce participation rates after childbearing; and many move to part-time positions characterised by lower earnings, less responsibility and less opportunity for training and promotion. Further, there continues to be significant occupational segregation in the workplace, and women continue to earn significantly less than men. Why are Australian women not utilizing their skills to their full potential? The issue of balancing paid work with family responsibilities is central to this debate; and crucial is the role of Australian work-family legislation, which has previously focussed on improving Australia’s low fertility rate through financial aids rather than recognising women’s increased attachment to the paid workforce. This underscores the need for further research on how young Australian women negotiate work and family, to contribute to the evidence base for the formation of policy that supports the needs of young Australian women. This thesis takes an innovative approach of examining the work and family aspirations of a new generation of young Australian women negotiating work and family, transitioning from their late teens/early twenties to their early 30s. A prominent theoretical model of women’s work and family preferences, Lifestyle Preference Theory, postulates that women’s work and family outcomes are primarily the result of what they had always aspired, and that all women living in contemporary society can ‘choose’ their preferred type of lifestyle. However, as argued in this thesis, this model doesn’t take into account women’s circumstances, systemic-level supports and life changes that impact upon women’s decisions. Further, compared to previous generations of women, when most of the research on women’s aspirations was conducted, there is a new development process bridging adolescence and early adulthood, termed Emerging Adulthood. Using a mixed-methods approach of quantitative and qualitative analyses, this thesis examines young Australian women’s work and family aspirations according to their life experiences and within the social and structural constraints on their lives, during this developmental period of the life course and new socio-historical context. Chapter 1 provides a historical context to women’s changing roles and increasing workforce participation over past decades, while also discussing the pervasiveness of gender stereotypes and gender differences in the workforce. Chapter 2 discusses the Australian context in more depth; including work and family trends and systemic-level work-family support. This section also introduces theoretical contributions in the area of women’s aspirations, and developmental changes likely to affect young women. Chapter 3 then provides an analysis of young Australian women’s work and family aspirations, including the consistency of their aspirations over time, using nationally representative data from the younger cohort of the Australian Longitudinal Study on Women’s Health (ALSWH). Chapters 4 and 5 examine the representativeness of Lifestyle Preference Theory as a model of young Australian women’s work and family aspirations. Chapter 4 investigates whether Australian women can be categorised as ‘types’ committed to pursuing a particular lifestyle while Chapter 5 investigates whether women’s aspirations are independent of context, as theorised by Lifestyle Preference Theory, or correlated to women’s circumstances and the constraints on their lives. Chapters 6 and 7 aim to give voices to the experiences of young Australian women forming their aspirations during this period of the lifespan, by analysing qualitative comments from the younger cohort of the ALSWH. Chapter 6 provides a context of what is important and happening in the lives of young Australian women, while Chapter 7 provides a more thorough discussion of women’s comments about their aspirations and with a comparative discussion of their comments to current theoretical models. Through an analysis of focus group material, Chapter 8 continues to examine the experiences of young women during this developmental period of the lifespan. This Chapter reviews young women’s thoughts on their aspirations for work and family, how they anticipate making work and family decisions, and how they perceive and experience this developmental period of the lifespan. Chapters 9 and 10 return to the quantitative data of the ALSWH to investigate why women change their aspirations over time, and specifically look at the impact of first birth and life events on women’s motherhood and employment aspirations. These Chapters discuss the role of systemic-level work-family support on women’s changing aspirations. Chapter 11 provides an integrative conclusion of findings, which show that women are forming and adjusting their aspirations as best they can within their circumstances and the constraints on their lives, and the broader context of Australia’s work and family support systems. This Chapter provides recommendations for policy and directions for future research.

There is a clear relationship between motherhood and space in the sense that motherhood is constituted spatially, taking specific and shifting forms in different spaces and because gendered geographies are made, remade or contested in terms of how women practise motherhood and other social identities in particular spaces. The meanings of motherhood are subject to constant renegotiation when gender identity is lived and constructed in times of hardship, political change or upheaval. Over the last few decades, Nicaragua has experienced dictatorship, insurrection, revolution, Contra war, more than a decade of neoliberal structural adjustment policies and a number of disasters including Hurricane Mitch which hit Nicaragua in October 1998. The social and cultural context in which women mother is a complex one. Family life is unstable and fluid and Nicaragua has large numbers of single mothers. However, a number of institutional actors have attempted to undermine this complexity by trying to fix the meanings of motherhood, family, femininity, masculinity and sexuality in simplified and reified ways. These attempts contribute to the pervasiveness of dominant discourses of motherhood. In many ways, everyday practices of motherhood are at odds with dominant discourses and the goal of this thesis is to broaden understandings of the way motherhood intersects with other cultural processes in particular spaces and of how women negotiate competing facets of multiple identities. Based on qualitative research conducted in Matagalpa with a group of single mothers, this thesis explores a number of arenas in which women negotiate motherhood, including family breakdown, revolution and counterrevolution, structural adjustment and disaster, and demonstrates how everyday practices challenge dominant understandings. Given that individuals participate in a number of discursive practices simultaneously, the intersection of dominant discourses and everyday practices work to create specific geographies of mothering. This means for example that women might adopt more masculine subject positions in relation to work and family while engaging in maternal politics in the political sphere or that male violence towards women can be condemned and single motherhood adopted as a positive form of identity assertion while uneasiness is expressed about the absence of fathers in children’s lives. By contextualising the conditions in which women mother and focusing on how individual women feel about and reflect upon their lives, this study illustrates the multiple dimensions of motherhood which exist within Nicaraguan culture and the contradictions faced by women who mother in sites of intense cultural struggle. This study has important implications for the epistemological transformation that is taking place within feminist geography in particular and within human geography more broadly. Motherhood has the discursive power to shape and define gender identities, but it can also be used to unsettle or destabilise gender and sexuality in material and discursive space.

[Truncated abstract] This thesis argues that the non-representation and under-representation of mothering in contemporary Australian literature reflects a much wider cultural practice of silencing the mother-as-subject position and female experiences as a whole. The thesis encourages women writers to pay more attention to the subjective experiences of mothering, so that women’s writing, in particular writing on those aspects of women’s lives that are silenced, of which motherhood is one, can begin to refigure motherhood discourses. This thesis examines mother-as-subject from three perspectives: mothering as a corporeal experience, mothering as a psychological experience, and the articulations and silences of mothering-as-subject. It engages with feminist, postmodern and fictocritical theories in its discussion of motherhood as a discourse through these perspectives. In particular, the thesis employs the theoretical works of postmodern feminists Hélène Cixous, Luce Irigaray and Julia Kristeva in this discussion . . . A fictional narrative also runs through the critical discussion on motherhood. This narrative, Catherine’s Story, gives a personal and immediate voice to the mother-as-subject perspective. In keeping with the nature of fictocriticism, strict textual boundaries between criticism and fiction are blurred. The two modes of writing interact and in the process inform and critique each other.

Thesis (M.A.)--Indiana University, 2008. / Department of Philosophy, Indiana University-Purdue University Indianapolis (IUPUI). Advisor(s): Peggy Zeglin Brand, Jason T. Eberl, Michael B. Burke. Includes vitae. Includes bibliographical references (leaves 79-84).

Thesis (Ph. D.)--Ohio State University, 2007. / Full text release at OhioLINK's ETD Center delayed at author's request

Thesis (M. Nurs.) (Hons.) -- University of Western Sydney, Nepean, 1998. / Bibliography : p. 176.

Thesis (Ph.D.) - James Cook University, 2003. / Typescript (photocopy) Bibliography: p. 332-359.

Thesis (Ph. D.)--University of Washington, 1993. / Vita. Includes bibliographical references (leaves [133]-138).

Thesis (Ph. D.)--University of California, San Diego, 1998. / Vita. Includes bibliographical references (leaves 301-317).