Introduction. What is childhood sexual abuse? How the research was conducted: the problems and dilemmas of dealing with such a topic. The interviews. How the interviewees responded. The impact of the research on me. What we already know about the impact of CSA on childbearing. Postnatal issues. The impact of caregivers. A life sentence: the effect of CSA on the interviewees' daily lives. The uniqueness of trauma resulting from CSA. Vulnerability: the end result. The psychological needs of birthing women, post-traumatic stress disorder and traumatic childbirth. Post-traumatic stress disorder. Re-enactment? The women's experiences of giving birth. Powerlessness. Betrayal. Humiliation. CSA and midwives: the impact on midwives' practice. What the midwife-survivors considered to be good practice. The pressure to conform. Coping with the inescapable: survivors' dissociation, 'professional dissociation'. 'Professional dissociation'. What women want from their maternity carers and why the industrial model cannot deliver. The disempowerment of midwives. The separation of midwives and women. The disempowerment of women. Institutionalised childbirth and sexual abuse. Choice and control - the rhetoric. What is the answer? Conclusions drawn from the women's positive experiences. Home birth - a different world. What can be done?
Introduction. What is childhood sexual abuse? How the research was conducted: the problems and dilemmas of dealing with such a topic. The interviews. How the interviewees responded. The impact of the research on me. What we already know about the impact of CSA on childbearing. Postnatal issues. The impact of caregivers. A life sentence: the effect of CSA on the interviewees' daily lives. The uniqueness of trauma resulting from CSA. Vulnerability: the end result. The psychological needs of birthing women, post-traumatic stress disorder and traumatic childbirth. Post-traumatic stress disorder. Re-enactment? The women's experiences of giving birth. Powerlessness. Betrayal. Humiliation. CSA and midwives: the impact on midwives' practice. What the midwife-survivors considered to be good practice. The pressure to conform. Coping with the inescapable: survivors' dissociation, 'professional dissociation'. 'Professional dissociation'. What women want from their maternity carers and why the industrial model cannot deliver. The disempowerment of midwives. The separation of midwives and women. The disempowerment of women. Institutionalised childbirth and sexual abuse. Choice and control - the rhetoric. What is the answer? Conclusions drawn from the women's positive experiences. Home birth - a different world. What can be done?
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