"I Felt Like I Was Cut in Two": Postcesarean Bodies and Complementary and Alternative Medicine in Switzerland.

Cesarean Cesareaned bodies Complementary and alternative medicine Postpartum Switzerland

Journal

Culture, medicine and psychiatry
ISSN: 1573-076X
Titre abrégé: Cult Med Psychiatry
Pays: Netherlands
ID NLM: 7707467

Informations de publication

Date de publication:
06 May 2024
Historique:
accepted: 18 03 2024
medline: 6 5 2024
pubmed: 6 5 2024
entrez: 6 5 2024
Statut: aheadofprint

Résumé

In neoliberal cultural contexts, where the ideal prevails that female bodies should be unchanged by reproductive processes, women often feel uncomfortable with their postpartum bodies. Cesareaned women suffer from additional discomfort during the postpartum period, and cesarean births are associated with less satisfying childbirth experiences, fostering feelings of failure among women who had planned a vaginal delivery. In Switzerland, one in three deliveries is a cesarean. Despite the frequency of this surgery, women complain that their biomedical follow-up provides minimal postpartum support. Complementary and alternative medicine (CAM) therapists address these issues by providing somatic and emotional postcesarean care. CAM is heavily gendered in that practitioners and users are overwhelmingly women and in that most CAM approaches rely on the essentialization of bodies. Based on interviews with cesareaned women and with CAM therapists specialized in postcesarean recovery, I explore women's postpartum experiences and how they reclaim their postcesarean bodies.

Identifiants

pubmed: 38709356
doi: 10.1007/s11013-024-09856-6
pii: 10.1007/s11013-024-09856-6
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Subventions

Organisme : Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung
ID : 197393

Informations de copyright

© 2024. The Author(s).

Références

Ballif, E. (2020). Policing the maternal mind: Maternal health, psychological government and Swiss pregnancy politics. Social Politics, 27(1), 74–96. https://doi.org/10.1093/sp/jxy041
doi: 10.1093/sp/jxy041
Baud, D., Sichitiu, J., Lombardi, V., De Rham, M., Meyer, S., Vial, Y., & Achtari, C. (2020). Pelvic floor dysfunction 6 years after uncomplicated vaginal versus elective cesarean deliveries: A cross-sectional study. Scientific Reports, 10, 21509. https://doi.org/10.1038/s41598-020-78625-3
doi: 10.1038/s41598-020-78625-3
Beaud, S., & Weber, F. (2010). Guide de l’enquête de Terrain: Produire et Analyser Des Données Ethnographiques. 4
Béhague, D. P. (2002). Beyond the simple economics of cesarean section birthing. Culture, Medicine, and Psychiatry, 26, 473–507. https://doi.org/10.1023/a:1021730318217
doi: 10.1023/a:1021730318217
Bishop, F. L., & Lewith, G. T. (2010). Who uses CAM? A narrative review of demographic characteristics and health factors associated with CAM use. eCAM, 7(1), 11e28. https://doi.org/10.1093/ecam/nen023
doi: 10.1093/ecam/nen023
Bornatici, C., Gauthier, J.-A., & Le Goff, J.-M. (2021). Les attitudes envers l’égalité des genres en Suisse, 2000–2017. Social Change in Switzerland. https://doi.org/10.22019/SC-2021-00001
doi: 10.22019/SC-2021-00001
Bossano, C. M., Townsend, K. M., Walton, A. C., Blomquist, J. L., & Handa, V. L. (2017). The maternal childbirth experience more than a decade after delivery. American Journal of Obstetrics and Gynecology, 217(3), 342.e1-342.e8. https://doi.org/10.1016/j.ajog.2017.04.027
doi: 10.1016/j.ajog.2017.04.027
Bowlby, J. (1969). Attachment. Basic Books.
Bramwell, R. (2001). Blood and milk: Constructions of female bodily fluids in western society. Women and Health, 34(4), 85–96. https://doi.org/10.1300/j013v34n04_06
doi: 10.1300/j013v34n04_06
Brenton, J., & Elliott, S. (2014). Undoing gender? The case of complementary and alternative medicine. Sociology of Health and Illness, 36(1), 91–107. https://doi.org/10.1111/1467-9566.12043
doi: 10.1111/1467-9566.12043
Broom, A., Doron, A., & Tovey, P. (2009). The inequalities of medical pluralism: Hierarchies of health, the politics of tradition and the economies of care in Indian oncology. Social Science & Medicine, 69, 698–706. https://doi.org/10.1016/j.socscimed.2009.07.002
doi: 10.1016/j.socscimed.2009.07.002
Burcher, P., Cheyney, M., Li, K. N., Hushmendy, S., & Kiley, K. C. (2016). Cesarean birth regret and dissatisfaction: A qualitative approach. Birth, 43(4), 346–352. https://doi.org/10.1111/birt.12240
doi: 10.1111/birt.12240
Cameron, M. (2010). Feminization and marginalization? Women ayurvedic doctors and modernizing health care in Nepal. Medical Anthropology Quarterly, 24(1), 42–63. https://doi.org/10.1111/j.1548-1387.2010.01084.x
doi: 10.1111/j.1548-1387.2010.01084.x
Chautems, C. (2022). Negotiated breastfeeding. Holistic postpartum care and embodied parenting. Routledge.
Chu, D. M., Ma, J., Prince, A. L., Anthony, K. M., Seferovic, M. D., & Aagaard, K. (2017). Maturation of the infant microbiome community structure and function across multiple body sites and in relation to mode of delivery. Nature Medicine, 23(3), 314–326. https://doi.org/10.1038/nm.4272
doi: 10.1038/nm.4272
Cindoglu, D., & Sayan-Cengiz, F. (2010). Medicalization discourse and modernity: Contested meanings over childbirth in contemporary Turkey. Health Care for Women International, 31(3), 221–243. https://doi.org/10.1080/07399330903042831
doi: 10.1080/07399330903042831
Davis-Floyd, R. (2018). The technocratic, humanistic, and holistic paradigms of birth and health care. In R. Davis-Floyd (Ed.), Ways of knowing about birth: Mothers, midwives, medicine, and birth activism. Waveland Press.
Davis-Floyd, R. (2022). Birth as an American rite of passage (3rd ed.). Routledge.
doi: 10.4324/9781003001393
Declercq, E., Cunningham, D. K., Johnson, C., & Sakala, C. (2008). Mothers’ reports of postpartum pain associated with vaginal and caesarean deliveries: Results of a national survey. Birth, 35(1), 16–24. https://doi.org/10.1111/j.1523-536x.2007.00207.x
doi: 10.1111/j.1523-536x.2007.00207.x
Deforges, C., Sandoz, V., & Horsch, A. (2020). Le trouble de stress post-traumatique lié à l’accouchement. Périnatalité. https://doi.org/10.3166/rmp-2020-0101
doi: 10.3166/rmp-2020-0101
Denis, B. (2009). La Parole au bébé. Éditions Le Dauphin Blanc.
Downe, S., & Christine, McCourt. (2008). From being to becoming: Reconstructing childbirth knowledge. In S. Downe (Ed.), Normal childbirth: Evidence and debate (pp. 3–27). Elsevier.
Dubois, J., Bill, A.-S., Pasquier, J., Keberle, S., Burnand, B., & Rodondi, P.-Y. (2019). Characteristics of complementary medicine therapists in Switzerland: A cross-sectional study. PLoS ONE, 14(10), e0224098. https://doi.org/10.1371/journal.pone.0224098
doi: 10.1371/journal.pone.0224098
Eisenberg, D. M., Davis, R. B., Ettner, S. L., Appel, S., Wilkey, S., Van Rompay, M., & Kessler, R. C. (1998). Trends in alternative medicine use in the United States, 1990–1997: Results of a follow-up national survey. JAMA, 280, 1569–1575. https://doi.org/10.1001/jama.280.18.1569
doi: 10.1001/jama.280.18.1569
Faircloth, C. (2013). Militant lactivism? Attachment parenting and intensive motherhood in the UK and France. Berghahn Books.
Federal Statistical Office. (2019). Consultation de médecine complémentaire. https://www.bfs.admin.ch/bfs/en/home/news/whats-new.assetdetail.7586138.html .
Fenwick, S., Holloway, I., & Alexander, Jo. (2009). Achieving normality: the key to status passage to motherhood after a caesarean section. Midwifery, 25(5), 554–563. https://doi.org/10.1016/j.midw.2007.10.002
doi: 10.1016/j.midw.2007.10.002
Fox, B., & Neiterman, E. (2015). Embodied motherhood. Women’s feelings about their postpartum bodies. Gender and Society, 29(5), 670–693. https://doi.org/10.1177/0891243215591598
doi: 10.1177/0891243215591598
Frass, M., Strass, R. P., Friehs, H., Müllner, M., Kundi, M., & Kaye, A. D. (2012). Use and acceptance of complementary and alternative medicine among the general population and medical personnel: a systematic review. The Ochsner Journal, 12, 45–56.
Fuller, R. C. (2001). Spiritual, but not religious: Understanding unchurched America. Oxford University Press.
doi: 10.1093/0195146808.001.0001
Gardey, D., & Julia, H. (2015). Cet obscur sujet du désir. Médicaliser les troubles de la sexualité féminine en Occident. Travail Genre Et Sociétés, 2(34), 73–92. https://doi.org/10.3917/tgs.034.0073
doi: 10.3917/tgs.034.0073
Giddens, A. (1991). Modernity and self-identity. Self and society in the late modern age. Polity Press.
Giddens, A. (1992). The transformation of intimacy. Sexuality, love and erotism in modern societies. Polity Press.
Guittier, M.-J., Cedraschi, C., Jamei, N., Boulvain, M., & Guillemin, F. (2014). Impact of the mode of delivery on the birth experience in first-time mothers: a qualitative study. BMC Pregnancy and Childbirth, 14, 254. https://doi.org/10.1186/1471-2393-14-254
doi: 10.1186/1471-2393-14-254
Hanselmann V., & von Greyertz, S. (2013). Accouchements par césarienne en Suisse. Rapport en réponse au postulat Maury Pasquier (08.3935) (pp. 1–28). Office Fédéral de la Santé Publique (OFSP).
Hays, S. (1996). The cultural contradictions of motherhood. Yale University Press.
Herzog, C. (2020). “#MonPostPartum : un hashtag pour libérer la parole sur l’après-accouchement. Le Monde, 20 February.
Hirt, C. (2009). La sexualité postnatale: un objet d’étude négligé par les sciences humaines et sociales. In C. Deschamps, L. Gaissad, & C. Taraud (Eds.), Hétéros. Discours, lieux, pratiques. Epel.
Jarty, J., & Fournier, T. (2019). Healthy children, healthy nations. Discipliner les corps reproducteurs pour la santé de qui ? Enfances Familles Générations 33.
Kenney, M., & Muller, R. (2017). Of rats and women: Narratives of motherhood in environmental epigenetics. BioSocieties, 12, 23–46. https://doi.org/10.1057/s41292-016-0002-7
doi: 10.1057/s41292-016-0002-7
Keshet, Y., & Simchai, D. (2014). The ‘gender puzzle’ of alternative medicine and holistic spirituality: A literature review. Social Science and Medicine, 113, 77–86. https://doi.org/10.1016/j.socscimed.2014.05.001
doi: 10.1016/j.socscimed.2014.05.001
Klassen, P. E. (2001). Blessed events: Religion and home birth in America. Princeton University Press.
Klein, S. D., Torchetti, L., Frei-Erb, M., & Wolf, U. (2015). Usage of complementary medicine in Switzerland: Results of the Swiss Health Survey 2012 and development since 2007. PLoS ONE, 10(12), e0144676. https://doi.org/10.1371/journal.pone.0141985
doi: 10.1371/journal.pone.0141985
Klimpel, J., & Whitson, R. (2016). Birthing modernity: spatial discourses of cesarean birth in São Paulo, Brazil. Gender, Place & Culture, 23(8), 1207–1220. https://doi.org/10.1080/0966369X.2015.1136817
doi: 10.1080/0966369X.2015.1136817
Kukla, R. (2005). Mass hysteria. Medicine, culture and mothers’ bodies. Rowman and Littlefield Publishers.
Lagae, D., Schuler-Barazzoni, M., Ungarelli-McEvoy, C., Diaw, C. S., & Roth-Kleiner, M. (2019). Respiratory distress in newborn infants in Western Switzerland. The Journal of Maternal-Fetal and Neonatal Medicine, 34(19), 3112–3119. https://doi.org/10.1080/14767058.2019.1678131
doi: 10.1080/14767058.2019.1678131
Loi fédérale sur les professions de santé du 30 septembre 2016 (Etat le 1er février 2020). (RS 811.21). https://fedlex.data.admin.ch/filestore/fedlex.data.admin.ch/eli/cc/2020/16/20200201/fr/pdf-a/fedlex-data-admin-ch-eli-cc-2020-16-20200201-fr-pdf-a.pdf
Longman, C. (2020). Healers, missionaries and entrepreneurs of the feminine. The secularization of contemporary women’s spirituality. In A. Fedele & K. E. Knibbe (Eds.), Secular societies, spiritual selves? The gendered triangle of religion, secularity and spirituality. Routledge.
Lupton, D. (2012). “Precious cargo”: foetal subjects, risk and reproductive citizenship. Critical Public Health, 22(3), 329–340. https://doi.org/10.1080/09581596.2012.657612
doi: 10.1080/09581596.2012.657612
Maffi, I. (2012). L’accouchement est-il un événement ? Regards croisés sur les définitions médicales et les expériences intimes des femmes en Jordanie et en Suisse. Mondes Contemporains, 2, 53–80.
Malacrida, C., & Boulton, T. (2012). Women’s perception of childbirth “Choices”. Competing discourses of motherhood, sexuality, and selflessness. Health, 18(1), 41–59. https://doi.org/10.1177/0891243212452630
doi: 10.1177/0891243212452630
Malacrida, C., & Boulton, T. (2014). The best laid plans? Women’s choices, expectations and experiences in childbirth. Health, 18(1), 41–59. https://doi.org/10.1177/1363459313476964
doi: 10.1177/1363459313476964
Manaï, D., Burton-Jeangros, C., & Elger, B. (2010). Risques et informations dans le suivi de la grossesse: droit et pratiques sociales. Stämpfli.
Martin, E. (1987). The woman in the body: A cultural analysis of reproduction. Beacon Press.
Memmi, D. (2004). Administrer une matière sensible. Conduites raisonnables et pédagogie par corps autour de la naissance et de la mort. In D. Fassin & D. Memmi (Eds.), Le gouvernement des corps. Éditions de l’École des hautes études en sciences sociales.
Miller, T. (2007). “Is this what motherhood is all about?”: Weaving experiences and discourse through transition to first-time motherhood. Gender and Society, 21, 337–358. https://doi.org/10.1177/0891243207300561
doi: 10.1177/0891243207300561
Mueller, N. T., Bakacs, E., Combellick, J., Grigoryan, Z., & Dominguez-Bello, M. G. (2015). The infant microbiome development: Mom matters. Trends in Molecular Medicine, 21(2), 109–117.
doi: 10.1016/j.molmed.2014.12.002
Neiterman, E., & Fox, B. (2017). Controlling the unruly maternal body: Losing and gaining control over the body during pregnancy and the postpartum period. Social Science and Medicine, 174, 142–148. https://doi.org/10.1016/j.socscimed.2016.12.029
doi: 10.1016/j.socscimed.2016.12.029
Observatoire suisse de la santé. (2023). Césariennes. Retrieved June 28, 2023, from https://www.versorgungsatlas.ch/fr/indicator/_173
Office fédéral de la statistique. (2019). Statistique médicale des hôpitaux. ' Accouchements et santé maternelle en 2017 '. Retrieved November 29, 2023, from https://www.bfs.admin.ch/bfs/fr/home/actualites/quoi-de-neuf.assetdetail.8369419.html
Ollivier, R. A., Aston, M. L., & Price, S. L. (2020). Exploring postpartum sexual health: A feminist poststructural analysis. Health Care for Women International, 41(10), 1081–1100. https://doi.org/10.1080/07399332.2019.1638923
doi: 10.1080/07399332.2019.1638923
Poole, J. H. (2013). Adhesions following cesarean delivery: A review of their occurrence, consequences and preventative management using adhesion barriers. Women’s Health, 9(5), 467–477. https://doi.org/10.2217/whe.13.45
doi: 10.2217/whe.13.45
Richardson, S. S. (2015). Maternal bodies in the postgenomic order. Gender and the explanatory landscape of epigenetics. In S. S. Richardson & S. Hallam (Eds.), Postgenomics: Perspectives on biology after the genome. Duke University Press.
Rose, N. (1998). Inventing our selves. Psychology, power and personhood. Cambridge University Press.
Rose, N. (2006). Governing “advanced” liberal democracies. In S. Aradhana & G. Anil (Eds.), The anthropology of the state: A reader. Blackwell.
Schmitz, O. (2006). Les médecines en parallèle: multiplicités des recours au soin en Occident. Karthala.
Schweizer, A. (2017). L’abord de la sexualité en consultation gynécologique. Revue Médicale Suisse, 13, 590–593. https://doi.org/10.53738/REVMED.2017.13.554.0590
doi: 10.53738/REVMED.2017.13.554.0590
Sevelsted, A., Stokholm, J., Bønnelykke, K., & Bisgaard, H. (2014). Cesarean section and chronic immune disorders. Pediatrics, 135(1), e92–e98. https://doi.org/10.1542/peds.2014-0596
doi: 10.1542/peds.2014-0596
Shammas, B. (2020). This ad is a raw look at postpartum life. The Oscars rejected it for being too graphic. The Washington Post, 2 October.
Sointu, E. (2006). Healing bodies, feeling bodies: Embodiment and alternative and complementary health practices. Social Theory and Health, 4, 203–220. https://doi.org/10.1057/palgrave.sth.8700071
doi: 10.1057/palgrave.sth.8700071
Sointu, E. (2011). Detraditionalisation, gender and alternative and complementary medicines. Sociology of Health and Ilness, 33(3), 556–571. https://doi.org/10.1111/j.1467-99566.2010.01275.x
doi: 10.1111/j.1467-99566.2010.01275.x
Sointu, E., & Woodhead, L. (2008). Spirituality, gender, and expressive selfhood. Journal of the Scientific Study of Religion, 47(2), 259–276. https://doi.org/10.1111/j.1468-5906.2008.00406.x
doi: 10.1111/j.1468-5906.2008.00406.x
Stearns, C. A. (1999). Breastfeeding and the Good Maternal Body. Gender and Society, 13, 308–325. https://doi.org/10.1177/089124399013003003
doi: 10.1177/089124399013003003
Upchurch, D. M., & Chyu, L. (2005). Use of complementary and alternative medicine among American women. Women’s Health Issues, 15(1), 5–13. https://doi.org/10.1016/j.whi.2004.08.010
doi: 10.1016/j.whi.2004.08.010
Vozari, A.-S. (2015). “Si Maman va bien, bébé va bien”. La gestion des risques psychiques autour de la naissance. Recherches Familiales, 12, 153–163. https://doi.org/10.3917/rf.012.0153
doi: 10.3917/rf.012.0153
Weizman, I. (2021). Ceci est notre post-partum. Défaire les mythes et les tabous pour s’émanciper. Marabout.
Wendland, C. L. (2007). The vanishing mother. Cesarean section and “Evidence-Based Obstetrics.” Medical Anthropology Quarterly, 21(2), 218–233. https://doi.org/10.1525/maq.2007.21.2.218
doi: 10.1525/maq.2007.21.2.218
World Health Organization. (2021a). Infant and young child feeding. Retrieved June 28, 2023, from https://www.who.int/news-room/fact-sheets/detail/infant-and-young-child-feeding
World Health Organization. (2021b). Cesarean section rates continue to rise, amid growing inequalities in access. World Health Organization, Departmental News. https://www.who.int/news/item/16-06-2021-caesarean-section-ratescontinue-to-rise-amid-growing-inequalities-in-access

Auteurs

Caroline Chautems (C)

Center for Gender Studies, Institute of Social Sciences, University of Lausanne, Lausanne, Switzerland. caroline.chautems@unil.ch.

Classifications MeSH