Reconfiguring Maternity Care? - Reflections on two Change Initiatives

.............................................................................................................................. I
 ACKNOWLEDGEMENTS.......................................................................................................... III
 TABLE OF CONTENTS .............................................................................................................V
 CHAPTER 1 INTRODUCTION ................................................................................................... 1
 CHAPTER 2 APPROACH AND STYLE........................................................................................11
 CHAPTER 3 THEORETICAL POINT OF DEPARTURE 
 – GOVERNMENTALITY.......................................................................................................... 33
 CHAPTER 4 THEORETICAL RESOURCES I
 – ANT AND THE SOCIO-LOGIC OF TRANSLATION ................................................................ 43
 CHAPTER 5 TWO CHANGE INITIATIVES................................................................................. 51
 CHAPTER 6 THEORETICAL RESOURCES II –PERFORMATIVITY, REGULARITY AND CONTINGENT PROCESSES ....................................... 99
 CHAPTER 7 THE LOGIC OF CENTRING THE CITIZEN, PATIENT AND PREGNANT WOMAN ......................................................................................113 7.1 Introduction – Pregnant Women, Citizens or Patients? ............................................................... 113
 7.2 Centring through Empowerment ..................................................................................................... 115
 7.3 Centring by Sharing the Care ............................................................................................................ 123
 7.4 General Centring in the Danish Health Care Sector ..................................................................... 131
 CHAPTER 8 THE LOGIC OF SEEKING PROGRESS THROUGH IT............................................139
 8.1 Philosophical Performances of Progress ......................................................................................... 140
 8.2 Progress through Technology ........................................................................................................... 145
 8.3 Progress in Health Care through IT................................................................................................. 148
 CHAPTER 9 THE LOGIC OF STANDARDISING THROUGH EXTERNALISATION.......................157
 9.1 Introduction and Theoretical History .............................................................................................. 157
 9.2 Evidence-Based Medicine (EBM)..................................................................................................... 161
 9.3 Accreditation........................................................................................................................................ 168
 9.4 VAS ....................................................................................................................................................... 173
 CHAPTER 10 .........................................................................................................................177
 EXPERIMENTATION .............................................................................................................177
 10.1 Conceptual Level............................................................................................................................... 180
 10.2 Material Level..................................................................................................................................... 190
 10.2.1 The User Profile........................................................................................................... 193
 10.2.2 The Contraction Meter ............................................................................................... 203
 10.2.3 The Pregnancy Kit....................................................................................................... 208
 CHAPTER 11 THE THEORETICAL POINT OF DEPARTURE REVISITED..................................231
 CHAPTER 12 CONCLUSION ..................................................................................................241
 BIBLIOGRAPHY.....................................................................................................................251
 TABLE OF FIGURES ............................................................................................................. 267
 APPENDIX A THREE POSTERS........................................................................................... 269
 APPENDIX B IDEAS CATALOGUE ....................................................................................... 273
 Reconfiguring Maternity Care?