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Journal of Midwifery History and Philosophy
Published by Yayasan Adra Karima Hubbi
ISSN : -     EISSN : 31107133     DOI : 10.70177/midwifery
Core Subject : Health,
Nursing Public Health
The Journal of Midwifery History and Philosophy is a scholarly, peer-reviewed publication that focuses on the historical and philosophical aspects of midwifery practice. The journal aims to provide a platform for midwives, researchers, educators, and policymakers to share their knowledge and experiences, and to advance the field of midwifery.
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 12 Documents
 1   2 
The Shift from Traditional Birth Attendants to Nurse-Midwives: A Post-Colonial Historical Review Kim Jong Il; Soneva Vong; Dilshan Perera
Journal of Midwifery History and Philosophy Vol. 1 No. 2 (2025)
Publisher : Yayasan Adra Karima Hubbi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70177/jmhp.v1i2.3566

Abstract

Background. Maternal healthcare systems in many post-colonial societies have undergone profound transformations characterized by a transition from traditional birth attendants (TBAs) to professionally trained nurse-midwives. This shift is frequently framed as a linear process of modernization aimed at improving clinical outcomes. However, such narratives often obscure the historical dynamics of colonial governance, epistemic hierarchies, and socio-cultural restructuring that shape healthcare practices and authority. Purpose. This study aims to critically examine the transition from TBAs to nurse-midwives through a post-colonial historical lens, focusing on how authority, knowledge systems, and maternal care practices have been reconfigured within this process. Method. The study employs a qualitative historical review design, integrating the analysis of policy documents, archival records, and scholarly literature. Data are examined through thematic coding guided by post-colonial theoretical frameworks to capture patterns of power, marginalization, and knowledge transformation. Results. The findings reveal that the transition was neither uniform nor uncontested. While nurse-midwifery became increasingly institutionalized, indigenous knowledge systems embodied by TBAs were systematically marginalized. At the same time, evidence points to the emergence of hybrid healthcare models in which traditional and biomedical practices coexist, interact, and adapt within local contexts. Conclusion. The transformation of maternal healthcare in post-colonial settings cannot be understood as a linear trajectory of progress. Instead, it represents a complex negotiation of power, culture, and knowledge. These findings highlight the need for more inclusive and context-sensitive policy approaches that recognize the value of pluralistic healthcare systems in improving maternal care outcomes.
Handmaids to the Doctor: Tracing the Subordination of Midwifery to Obstetrics in the 20th Century Ali Al- Jubouri; Daniyar Satybaldy; Azamat Nazarov
Journal of Midwifery History and Philosophy Vol. 1 No. 2 (2025)
Publisher : Yayasan Adra Karima Hubbi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70177/jmhp.v1i2.3567

Abstract

Background. The twentieth century marked a fundamental transformation in childbirth practices, driven by the rise of obstetrics and the gradual subordination of midwifery within institutional healthcare systems. This shift redefined maternal care through clinical authority, technological intervention, and standardized protocols, while simultaneously reshaping professional hierarchies and gendered roles in medicine. Purpose. This study aimed to critically examine how midwifery was repositioned from an autonomous, community-based practice into a subordinate role under the dominance of obstetrics within modern healthcare institutions. Method. A qualitative historical research design was employed, integrating archival analysis, policy documents, and scholarly literature. The data were analyzed using thematic coding informed by feminist theory and the sociology-of-professions framework to explore shifts in power, knowledge, and professional identity. Results. The findings indicate that the subordination of midwifery was influenced not only by clinical advancements but also by regulatory mechanisms, institutional expansion, and epistemological hierarchies privileging biomedical knowledge over experiential practice. Evidence further shows that this transformation reshaped both professional identities and the nature of childbirth, shifting it from relational, woman-centered care toward standardized medical control. Conclusion. The study concludes that the rise of obstetrics represents a complex reconfiguration of power and knowledge rather than a purely linear progression of medical improvement. These findings provide important insights for contemporary discussions on maternal care, interprofessional collaboration, and the development of more patient-centered healthcare approaches.

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