A critical analysis of the Australian Defence Force policy on maternal health care

Abstract Objective: To critically analyse the Australian Defence Force (ADF) policy on maternal health care: Health Directive No 235 – Management of pregnant members in the Australian Defence Force. Method: Bacchi's ‘What's the problem represented to be’ framework was used to analyse Healt...

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Main Author: Maureen Montalban
Format: Article
Language:English
Published: Elsevier 2017-08-01
Series:Australian and New Zealand Journal of Public Health
Subjects:
Online Access:https://doi.org/10.1111/1753-6405.12646
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author Maureen Montalban
author_facet Maureen Montalban
author_sort Maureen Montalban
collection DOAJ
description Abstract Objective: To critically analyse the Australian Defence Force (ADF) policy on maternal health care: Health Directive No 235 – Management of pregnant members in the Australian Defence Force. Method: Bacchi's ‘What's the problem represented to be’ framework was used to analyse Health Directive No 235. This paper critically examines the representation of pregnancy and birth, the resulting effects and considers alternate representations. Results: The ADF's policy on maternal healthcare considers pregnancy as a health issue that requires specialist intervention and care, also known as the medicalisation of birth. Current research emphasises women‐centred care; a model of care not contained in the ADF policy. Conclusion: The problematisation of pregnancy in the ADF restricts women's choices regarding their maternal healthcare provider. This is contrary to the healthcare rights of Australians and likely contributes to health inequalities of ADF women. Implications for public health: A research gap regarding ADF women's knowledge and wishes regarding their maternal health care has been identified. Future research can inform any alterations to the ADF policy on maternal healthcare.
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spelling doaj.art-1255b2885c064b5a8ba0f0ce193c653f2023-09-02T13:21:05ZengElsevierAustralian and New Zealand Journal of Public Health1326-02001753-64052017-08-0141439940410.1111/1753-6405.12646A critical analysis of the Australian Defence Force policy on maternal health careMaureen Montalban0School of Health Sciences Flinders University South AustraliaAbstract Objective: To critically analyse the Australian Defence Force (ADF) policy on maternal health care: Health Directive No 235 – Management of pregnant members in the Australian Defence Force. Method: Bacchi's ‘What's the problem represented to be’ framework was used to analyse Health Directive No 235. This paper critically examines the representation of pregnancy and birth, the resulting effects and considers alternate representations. Results: The ADF's policy on maternal healthcare considers pregnancy as a health issue that requires specialist intervention and care, also known as the medicalisation of birth. Current research emphasises women‐centred care; a model of care not contained in the ADF policy. Conclusion: The problematisation of pregnancy in the ADF restricts women's choices regarding their maternal healthcare provider. This is contrary to the healthcare rights of Australians and likely contributes to health inequalities of ADF women. Implications for public health: A research gap regarding ADF women's knowledge and wishes regarding their maternal health care has been identified. Future research can inform any alterations to the ADF policy on maternal healthcare.https://doi.org/10.1111/1753-6405.12646Australian Defence Forcematernal healthcareBacchi and problematisationmedicalisation of birthwomen‐centred care
spellingShingle Maureen Montalban
A critical analysis of the Australian Defence Force policy on maternal health care
Australian and New Zealand Journal of Public Health
Australian Defence Force
maternal healthcare
Bacchi and problematisation
medicalisation of birth
women‐centred care
title A critical analysis of the Australian Defence Force policy on maternal health care
title_full A critical analysis of the Australian Defence Force policy on maternal health care
title_fullStr A critical analysis of the Australian Defence Force policy on maternal health care
title_full_unstemmed A critical analysis of the Australian Defence Force policy on maternal health care
title_short A critical analysis of the Australian Defence Force policy on maternal health care
title_sort critical analysis of the australian defence force policy on maternal health care
topic Australian Defence Force
maternal healthcare
Bacchi and problematisation
medicalisation of birth
women‐centred care
url https://doi.org/10.1111/1753-6405.12646
work_keys_str_mv AT maureenmontalban acriticalanalysisoftheaustraliandefenceforcepolicyonmaternalhealthcare
AT maureenmontalban criticalanalysisoftheaustraliandefenceforcepolicyonmaternalhealthcare