BU Research Blog

First page of the paper

The paper ‘Risk, theory, social and medical models’ published in 2010 co-authored with Dr. Helen Bryers made it into the top ten most downloaded articles in the past 90 days from the journal Midwifery.  See http://www.journals.elsevier.com/midwifery/most-downloaded-articles/

It is also in the top 12 most quoted papers published in Midwifery.  This interesting as all 11 papers that have been cited more often are older, i.e. have been in print longer and therefore had more time to be cited.

The Abstract of the paper reads:

Background: there is an on-going debate about perceptions of risk and risk management in maternity care. Objectives: to provide a critical analysis of the risk concept, its development in modern society in general and UK maternity services in particular. Through the associated theory, we explore the origins of the current preoccupation with risk Using Pickstone’s historical phases of modern health care, the paper explores the way maternity services changed from a social to a medical model over the twentieth century and suggests that the risk agenda was part of this process. Key conclusions: current UK maternity services policy which promotes normality contends that effective risk management screens women suitable for birth in community maternity units (CMUs) or home birth: however, although current policy advocates a return to this more social model, policy implementation is slow in practice. Implications for practice: the slow implementation of current maternity policy in is linked to perceptions of risk. We content that intellectual and social capital remains within the medical model. © 2010 Elsevier Ltd.

The full reference this paper is MacKenzie Bryers, H. & van Teijlingen, E. (2010) Risk, theory, social and medical models: A critical analysis of the concept of risk in maternity care. Midwifery 26(5): 488-496.

Prof. Edwin van Teijlingen

Centre for Midwifery, Maternal & Perinatal Health