Elizabeth Bogdan-Lovis | Michigan State University (original) (raw)

Journal Articles by Elizabeth Bogdan-Lovis

Wisconsin Archeologist, 2004

Papers by Elizabeth Bogdan-Lovis

Medical Anthropology Quarterly, 2003

ABSTRACT Birth by Design: Pregnancy, Maternity Care, and Midwifery in North America and Europe. R... more ABSTRACT Birth by Design: Pregnancy, Maternity Care, and Midwifery in North America and Europe. Raymond DeVries. Cecilia Benoit. Edwin R. Van Teijlingen. and Sirpa Wrede. eds. New York: Routledge, 2001. xviii. 301 pp.

Narrative Inquiry in Bioethics, 2017

Victorian Studies, 2001

... form and scopolamine, and later the incorporation of psychoprophylactic pain manage-ment stra... more ... form and scopolamine, and later the incorporation of psychoprophylactic pain manage-ment strategies, provoked the same thrust and parry of champions ... Gideon Mantell and the Discovery of Dinosaurs tells us a great deal about this collector and is essential reading for anyone ...

Ethnicity & Health, Mar 9, 2022

OBJECTIVES Previous studies have suggested that often, Black mothers' birthing experiences ar... more OBJECTIVES Previous studies have suggested that often, Black mothers' birthing experiences are not what they expected because of how they were treated by healthcare providers during labor and birth. Our goal in this study was to ask Black mothers who had recently given birth about the quality of their birthing experiences as well as their level of respect from, trust in, and satisfaction with their maternity healthcare providers. DESIGN This study gathered data from Black mothers (N = 209) who had given birth within the past two years, using a cross-sectional online survey measuring several variables about the birthing experience including types of healthcare provider communication, provider respect for the mother, trust, birth satisfaction, and emotional responses to birth. RESULTS Provider-centered communication, although preferred by some mothers, was associated with lower birth satisfaction and stronger negative emotions whereas positive birth satisfaction was linked to patient-centered communication which resulted in positive emotions. While most mothers reported overall satisfaction with their birth experience, nearly half reported experiencing some degree of disrespect from their healthcare providers during labor and birth. Moreover, trust and respect mediated the relationship for patient-centered communication with positive emotion and birth satisfaction. Over one-third of participants gave birth with a certified nurse midwife attending. There were no differences in perception of being respected or the quality of birth given the professional identity of the provider as an Obstetrician/Gynecologist or as a midwife. The advice suggested by Black mothers for their healthcare providers was instructive in identifying ways those providers could better serve their patients during birth. CONCLUSION This study showed that there is still additional work that needs to be done for racial equity and respect during birth. Practical implications for addressing health inequities are discussed.

Journal of Human Lactation, Sep 22, 2020

Background Previous qualitative researchers have shown that Chinese American mothers experienced ... more Background Previous qualitative researchers have shown that Chinese American mothers experienced high rates of suboptimal breastfeeding, especially early introduction of other foods before the recommended 6-month period of exclusive breastfeeding. Research aims (1) To explore attitudes that Chinese American mothers have about the meaning and practice of exclusive breastfeeding; (2) to evaluate the extent of family pressure and support to maintain exclusive breastfeeding; and (3) to examine the influence of breastfeeding self-efficacy and the intention to continue exclusive breastfeeding. Method Guided by the theory of planned behavior, this descriptive cross-sectional prospective online survey was conducted with Chinese American breastfeeding mothers ( N = 401). Participants’ attitudes, subjective norms, and perceived behavioral control for exclusive breastfeeding behaviors were measured. Results The M ( SD) age of participants was 29.14 ( SD = 6.90). Just over 50% reported receiving family support for exclusive breastfeeding. While participants had positive attitudes about exclusive breastfeeding and the value of colostrum, 64% ( n = 257) had already introduced foods other than mother’s own milk before their infant was 6-months old. Participants also expressed concern that their infants did not receive enough nutrition from exclusive mother’s milk. Participants with more than one child had significantly greater intention to continue exclusive breastfeeding compared to participants with only one child. Perception of approval by others for exclusive breastfeeding and breastfeeding self-efficacy were significantly related to behavioral intention to continue exclusive breastfeeding. Conclusion Suboptimal infant feeding is a problem for Chinese American women and may also be a problem for mothers in other ethnic groups. We found a lack of adherence with standard recommendations for sustaining 6-months of exclusive breastfeeding.

Journal of Health Communication, Jul 2, 2020

This study investigated prenatal goal setting and breastfeeding attitudes and intentions for 210 ... more This study investigated prenatal goal setting and breastfeeding attitudes and intentions for 210 Chinese American pregnant women. In addition, this study assessed impact of person-centered versus factual messages on breastfeeding attitudes and intentions. While pregnant women reported receiving information about Baby-Friendly designated hospitals from healthcare providers, most received no breastfeeding information from those same providers. Although women had positive attitudes toward breastfeeding, they showed lack of knowledge about colostrum, general approval for using infant formula, as well as early introduction of complementary foods. By extension, these attitudes suggested they misunderstood the meaning of exclusive breastfeeding. No differences were observed based on parity, trimester of pregnancy, level of education or income. Person-centered and factual messages were judged as equally effective messages, but intention to breastfeed was more affected by the factual message. Reasons for this result are discussed. Healthcare providers are positioned to proactively engage in maternal preparedness for exclusive breastfeeding. These results suggested a missed opportunity for healthcare providers to communicate the value of sustained exclusive breastfeeding for the recommended first 6 months of an infant's life and underscore a need for all antenatal healthcare providers to collaboratively ensure that breastfeeding information is comprehensively provided throughout the span of antenatal care.

Breastfeeding Medicine, 2020

Background: Breastfeeding has become the recognized standard for good parenting, with social cost... more Background: Breastfeeding has become the recognized standard for good parenting, with social costs for not breastfeeding, but not every mother wants to or is able to breastfeed. Objectives: This study investigated social and personal costs with no breastfeeding. Materials and Methods: An in-depth survey was conducted with 250 mothers with infants who were not breastfeeding. Situated in the Framework Integrating Normative Influences on Stigma model for stigma, the study analyzed internalized stigma and perception of stigma from others, maternal feelings of warmth for the infant, and hiding formula use. Results: Mothers who chose not to breastfeed reported little personal or public stigma. In comparison, mothers who were unable to breastfeed experienced relatively more internalized stigma and perceived that other people saw them as failures. Mothers who experienced more internalized and perceived social network stigma were likely to hide use of infant formula from others and had lower feelings of warmth for their infants. Knowledge about formula use and availability of support resulted in less stigma and more warmth for the infant. Conclusions: These results suggest that public responses causing a mother to feel guilty for using infant formula result in negative feelings of self-worth and dysfunctional maternal behaviors.

Journal of Health Communication, Jul 3, 2021

Pregnant women are especially vulnerable to COVID-19 while the short- and long-term impact of COV... more Pregnant women are especially vulnerable to COVID-19 while the short- and long-term impact of COVID-19 on maternal and infant health is only partially understood. We assessed the amount of uncertainty and anxiety pregnant women experienced about COVID-19 and whether, and the extent to which, they engaged in information seeking about COVID-19. In total, 320 pregnant women from 38 states took part in this research. The results showed that pregnant women experienced uncertainty and anxiety about pregnancy and breastfeeding and engaged in information seeking from their healthcare providers. Pregnant women’s uncertainty influenced information seeking via anxiety, but the effect varied depending on participants’ assessments of coping, communication, and target efficacy. While healthcare providers need to discuss ways to avoid COVID-19 infection, participants were assured that their providers had a plan to help them if they became infected with COVID-19.

Perspectives in Biology and Medicine, 2005

An old joke states that one need not worry about one's enemies, but may be in danger from one's f... more An old joke states that one need not worry about one's enemies, but may be in danger from one's friends.We review a number of "enemies" and "friends" of evidence-based medicine (EBM). To understand where these enemies and friends have come from, it is important to see how the rise of EBM has created shifts in power, especially within academic medicine. Attacks from "enemies"-especially the criticism that EBM amounts to overturning a medicine of the individual in favor of an undesirable population medicine-tend to reflect misunderstandings of EBM, or of the degrees of uncertainty inherent in medicine itself, rather than substantive criticisms. The activities of three categories of so-called friends might well give EBM an undesirable reputation.These "friends" are the practitioners of a crude version of EBM (uncritical acceptance of randomized controlled trials while rejecting all other forms of evidence), commercial sponsors of clinical trials whose biases distort the available evidentiary base, and bureaucrats who employ EBM practices in the service of inequitable rationing of health resources.

Birth-issues in Perinatal Care, Apr 23, 2023

Birth-issues in Perinatal Care, May 30, 2022

Journal of Applied Communication Research, Jul 4, 2018

This study assessed the impact of coworker support on lactating mothers' breastfeeding self-effic... more This study assessed the impact of coworker support on lactating mothers' breastfeeding self-efficacy after maternity leave. A crosssectional survey of 1000 working adults assessed effects of perception of fairness, coworkers' support for breastfeeding colleagues, and ick response on willingness to help mothers needing breaks to pump breastmilk at work. The study also examined how coworker support affected mothers' self-efficacy to continue breastfeeding. One out of four coworkers showed moderate to strong stigma, saw breaks to pump breastmilk as unfair, and showed less intention to help new mothers. These results suggest that while the majority of coworkers are generally supportive, lactating women are likely to encounter disapproving coworkers who may discourage them from continuing to breastfeed. The data showed that the majority of organizations included in this study have only passively fostered mother-friendly workplaces and could do more to encourage employees to be supportive of lactating colleagues.

Journal of the American Board of Family Medicine, 2005

Health Communication, Aug 14, 2023

Theoretical Medicine and Bioethics, Jul 25, 2012

Evidence-based medicine (EBM), by its ability to decrease irrational variations in health care, w... more Evidence-based medicine (EBM), by its ability to decrease irrational variations in health care, was expected to improve healthcare quality and outcomes. The utility of EBM principles evolved from individual clinical decision-making to wider foundational clinical practice guideline applications, cost containment measures, and clinical quality performance measures. At this evolutionary juncture one can ask the following questions. Given the time-limited exigencies of daily clinical practice, is it tenable for clinicians to follow guidelines? Whose or what interests are served by applying performance assessments? Does such application improve medical care quality? What happens when the best interests of vested parties conflict? Mindful of the constellation of socially and clinically relevant variables influencing health outcomes, is it fair to apply evidence-based performance assessment tools to judge the merits of clinical decision-making? Finally, is it fair and just to incentivize clinicians in ways that might sway clinical judgment? To address these questions, we consider various clinical applications of performance assessment strategies, examining what performance measures purport to measure, how they are measured and whether such applications demonstrably improve quality. With attention to the merits and frailties associated with such applications,

Journal of Evaluation in Clinical Practice, Mar 30, 2010

In its brief tenure evidence-based medicine (EBM) has proven to be a powerful magnet for criticis... more In its brief tenure evidence-based medicine (EBM) has proven to be a powerful magnet for criticism, while at the same time it has demonstrated impressive resilience. Located within the ongoing critical discourse surrounding the strengths and weaknesses of an EBM approach is the persistent question of the proper place of the social sciences relative to other disciplinary perspectives. This article considers one way the social sciences might usefully illuminate EBM-mediated human interactions to influence policy. We focus on the ethical nexus of the human impulse for unlimited consumption of health care resources in those situations where there exist competing clinical management options and suggest strategies for resource-preserving shared decision making. We conclude that a frugal default option is a fruitful avenue for future exploration in such situations. Yoking EBM to frugal evidence-based shared decision making We argue here that the use of EBM in the service of shared decision making, including an open appeal to frugal choices, is of great consequence in the current health care economy. We argue further that based on economic insights on human behaviour, structuring 'competing option' choice architecture in such a way

Considering the risks of transmitting HIV to an infant and/or an HIV-negative sexual partner, com... more Considering the risks of transmitting HIV to an infant and/or an HIV-negative sexual partner, combined with concerns about possibly leaving a living child behind, one might expect HIV-positive women to either delay or avoid childbearing entirely. Despite such unique challenges, research reveals that HIV-positive women's pregnancy desires differ little from those of non-infected women. While societal norms and expectations generally promote motherhood, HIV-positive women conversely are often discouraged from becoming pregnant, since total pregnancy avoidance is the only way to completely eliminate perinatal transmission risk among HIV-positive women. Paradoxically, advising HIV-positive women not to have children is inconsistent with the ideology of living with HIV/AIDS, and such advice infringes on their personal reproductive freedoms. Through a qualitative phenomenological research approach, 42 HIV-positive Black women of childbearing capacity in South Carolina were interviewed...