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Scissors as Symbols: Disputed Ownership of the Tools of Biomedical Obstetrics in Rural Indonesia

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Abstract

In the hands of both traditional and clinic midwives in rural Indonesia a simple biomedical tool, umbilical cord scissors, has come to develop a social life that symbolizes potential futures. In rural Indonesian villages resources are limited, maternal and infant mortality rates are high, and there is robust competition for both patients and status between traditional and clinic midwives, all set against nationalist pressure to “modernize.” The perceived right to use the umbilical cord scissors in a professional setting is contested. The folk midwives use the umbilical cord scissors to publically reference access to biomedical obstetric knowledge, a domain claimed by clinic midwives. This paper explores the way that the traditional midwives construct a hybrid modern identity by marking a place for traditional and biomedical obstetric systems in the treatment of childbirth. Further, this paper argues that traditional midwives use the symbolically laden umbilical cord scissors in their attempt to remain locally relevant and to circumvent the mission of the clinic programs to eradicate their practice.

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Notes

  1. Allen (2007) among others have found the opposite.

References

  • Allen, Denise Roth 2007 Managing Motherhood, Managing Risk: Fertility and Danger in West Central Tanzania. Ann Arbor: University of Michigan Press.

    Google Scholar 

  • Atkinson, Jane Monnig 1987 The Effectiveness of Shamans in an Indonesian Ritual. American Anthropologist 89(2):342–355.

    Article  Google Scholar 

  • Berry, Nicole 2010 Unsafe Motherhood: Mayan Maternal Mortality and Subjectivity in Post-War Guatemala. New York: Berghahn Books.

    Google Scholar 

  • Browner, Carole H. and Press, Nancy 1997 The Production of Authoritative Knowledge in American Prenatal Care. In Childbirth and Authoritative Knowledge: Cross-Cultural Perspectives. R. Davis-Floyd and C.F. Sargent, eds. Pp. 113–131. Berkeley: University of California Press.

    Google Scholar 

  • Browner, Carole H., and Carolyn F. Sargent, eds 2011 Reproduction, Globalization, and the State: New Theoretical and Ethnographic Perspectives. Durham, NC: Duke University Press.

    Google Scholar 

  • Casper, Monica J., and Adele E. Clarke 1998 Making the Pap Smear into the “Right Tool” for the Job: Cervical Cancer Screening in the USA, circa 1940–95. Social Studies of Science 28(2): 255–290.

    Article  Google Scholar 

  • Cosminsky, Sheila 2001 Midwifery Across the Generations: A Modernizing Midwife in Guatemala. Medical Anthropology 20:345–378.

    Article  Google Scholar 

  • Davis-Floyd, Robbie 2001 La Partera Profesional: Articulating Identity and Cultural Space for a New Kind of Midwife in Mexico. Medical Anthropology 20: 185–243.

    Article  Google Scholar 

  • Daviss, Betty Anne 1997 Heeding Warnings from the Canary, the Whale, and the Inuit: A Framework for Analyzing Competing Types of Knowledge about Birth. In, Childbirth and Authoritative Knowledge: Cross-Cultural Perspectives. Robbie Davis-Floyd and Carolyn Sargent, eds., pp. 440–474. Berkeley: University of California Press.

    Google Scholar 

  • Dumit, Joseph 2004 Picturing Personhood: Brain Scans and Biomedical Identity. Princeton, NJ: Princeton University Press.

    Google Scholar 

  • Geertz, Clifford 1973 The Interpretation of Cultures. New York: Basic Books.

    Google Scholar 

  • Ginsburg, Faye and Rayna Rapp 1995 Conceiving the New World Order: The Global Politics of Reproduction. Berkeley: University of California Press.

    Google Scholar 

  • Good, Byron 1994 Medicine, Rationality, and Experience: An Anthropological Perspective. Cambridge, UK: Cambridge University Press.

    Google Scholar 

  • Harding, Sandra 1996 Science is ‘Good to Think With’. Social Text 46/47: 15–26.

    Article  Google Scholar 

  • Harding, Sandra 2008 Sciences from Below: Feminisms, Postcolonialities, and Modernities. Durham: Duke University Press.

    Google Scholar 

  • Hay, M. Cameron 2001 Remembering to Live: Illness at the Intersection of Anxiety and Knowledge in Rural Indonesia. Ann Arbor: University of Michigan Press.

    Google Scholar 

  • Hildebrand, Vanessa 2009 Sumbawan Obstetrics: The Social Construction of Obstetrical Practice in Rural Indonesia. Ph. D. Dissertation, Department of Anthropology, Washington University in St. Louis.

  • Ivry, Tsipy 2010 Embodying Culture: Pregnancy in Japan and Israel. New Brunswick, NJ: Rutgers University Press.

    Google Scholar 

  • Jordan, Brigitte 1993 Birth in Four Cultures: A Crosscultural Investigation of Childbirth in Yucatan, Holland, Sweden, and the United States. Long Grove, IL: Waveland Press.

    Google Scholar 

  • Kleinman, Aruthur 1980 Patients and Healers in the Context of Culture. Berkeley: University of California Press.

    Google Scholar 

  • Laderman, Carol (1983) Wives and Midwives: Childbirth and Nutrition in Rural Malaysia. Berkeley: University of California Press

    Google Scholar 

  • Latour, Bruno 1993 We Have Never been Modern. Cambridge, MA: Harvard University Press.

    Google Scholar 

  • Levi-Strauss, Claude 1963 Structural Anthropology. New York: Anchor Books.

    Google Scholar 

  • Ortner, Sherry B. 1973 On Key Symbols. American Anthropologist 75(5):1338–1346.

    Article  Google Scholar 

  • Pigg, Stacey 1992 Inventing Social Categories through Place: Social Representations and Development in Nepal. Comparative Studies in Society and History 34: 491–513.

    Article  Google Scholar 

  • Pemberton, John 1994. On the Subject of Java. Ithaca: Cornell University Press.

    Google Scholar 

  • Stein, Eric 2005 Vital times: Power, Public Health, and Memory in Rural Java. Ph. D. dissertation, Department of Anthropology. Ann Arbor: University of Michigan.

  • Stein, Eric 2007 Midwives, Islamic Morality, and Village Biopower in Post-Suharto Era Indonesia. Body and Society 13(3): 55–77.

    Article  Google Scholar 

  • Teman, Elly 2009 Birthing a Mother: The Surrogate Body and the Pregnant Self. Berkeley, CA: University of California Press.

    Google Scholar 

  • Weiner, Margaret 2003 Hidden forces: colonialism and the politics of magic. In Magic and Modernity: Interfaces of Revelation and Concealment. Birgit Meyer and Peter Pels, eds., pp. 129–158. Stanford, CA: Stanford University Press.

  • Young, James and Linda Garro 1993 Medical Choice in a Mexican Village. Prospect Heights, IL: Waveland.

    Google Scholar 

Download references

Acknowledgments

I would like to thank an anonymous reviewer for generous and helpful commentary. In addition, I would like to thank Eileen Anderson-Fye, Ariel Cascio, Woody Gaines, Lee Hoffer, and Jenny Johnston for comments on earlier drafts of this paper. As always, thanks to the women of Sungai.

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Correspondence to Vanessa M. Hildebrand.

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Hildebrand, V.M. Scissors as Symbols: Disputed Ownership of the Tools of Biomedical Obstetrics in Rural Indonesia. Cult Med Psychiatry 36, 557–570 (2012). https://doi.org/10.1007/s11013-012-9268-9

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