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There has been substantial interest in US cesarean rates, which increased from 5% of deliveries in the 1970s to nearly one-third of births by the mid-2000s. Explanations typically emphasize individual risk factors (e.g., advanced maternal age, increased BMI, and greater desire for control over delivery) of women giving birth, or address institutional factors, such as the medicalization of childbirth and the culture of liability leading physicians to practice defensive medicine. We focus here on another non-medical explanation – childbirth education (CBE). CBE is an important, underexplored mechanism that can shape women’s expectations about labor and birth and potentially lead them to expect, or desire, a cesarean delivery as a normalized outcome. We analyze data from three waves (2002, 2006, 2013) of the Listening to Mothers national survey on US women’s childbearing experiences (n = 3,985). Using logistic regression analysis, we examined both mode of delivery (vaginal versus cesarean), and attitudes about future request for elective cesarean among both primiparous and multiparous women. Despite previous research suggesting that CBE increased the likelihood of vaginal delivery, we find that CBE attendance was not associated with likelihood of vaginal delivery among either primiparous or multiparous women. However, both primiparous and multiparous women who attended CBE classes were significantly more likely to say they would request a future, elective cesarean. Furthermore, these effects were in the opposite direction of effects for natural birth attitudes. Our findings suggest that contemporary CBE classes may be a form of “anticipatory socialization”, potentially priming women’s acceptance of medicalized childbirth.

Purpose – Women are more susceptible to specific health risks such as breast cancer, cervical cancer, and risk during pregnancy and childbirth. These can affect women’s well-being and also need to be managed to avoid financial loss. Takaful operators in Malaysia have been offering special takaful products for women. Women can mitigate exposure to these risks through insurance. This study examines the risks faced by Malaysian women and the coverage they are offered by Islamic insurance.

Methodology/approach – The study used a qualitative methodology involving documentary evidence and interviews with four Islamic insurance agents and four product development officers from four Islamic insurance providers in Malaysia.

Findings – Among the risks faced by women are female-specific illnesses, the cost of expensive treatments, crime-related accidents or loss, social or career risks and privatisation policy. Due to these risks, women are in need of female-specific takaful products to reduce risk and protect themselves.

Originality/value – Specific takaful products for women are crucial to protect them from risks, improving their well-being and increasing their participation in the nation’s economic and social development.

Blacks are more likely than white, in the United States, to experience a stillbirth. In this study, I use a structural perspective of race to create a heuristic model that combines medical and social epidemiological explanations to understand the racial disparity in stillbirths. Using data from the National Maternal and Infant Health Survey 1988 (NMIHS), I examine whether racial disparities in stillbirths can be explained by medical and social epidemiological variables. My findings show that medical and social epidemiological explanations do little to reduce the racial disparity. However, many medical model variables were important predictors of stillbirths including multiple gestations, being overweight, obesity, vaginal bleeding, advanced maternal age, and parity.

Although birth-preparation classes are the most important institution for parents-to-be, they have largely been disregarded in sociological research. This empirical study aims to examine the role birth-preparation classes in Germany play in the extensive gendering during the transition to parenthood. We combine ethnography of birth-preparation classes with a content analysis of text material offered by professional associations of midwives. This empirical investigation aims to show that today’s birth-preparation classes highlight differences between men and women as well as between women without children and mothers, interconnect them with gendered attributions of child care and labor and legitimize these differences through naturalization. Thus, birth-preparation classes introduce a gendered distribution of labor as early as the antenatal phase and thereby function as institutions promoting a process of regendering and retraditionalization.

This chapter aims to delineate the indigenous pattern of parental involvement in Taiwan by investigating the effects of specific practices in schools and in the family, such as school selection, school involvement, preparing a study place at home, and providing nutritious food.

We use two waves of data from the Taiwan Youth Project (2000, 2003) to examine how parental involvement varies between dual- and single-earner families, and we further demonstrate how sons and daughters have different access in terms of recognizing their parents’ effort, and how children’s subjective appraisals promote their academic performance with respect to test scores.

We find that dual-earner families have higher incomes, higher educational levels, and have fewer children than single-earner ones. Our multivariate analyses show that parental involvement does increase youngsters’ Basic Competence Test (BCT) score. However, we are unable to find any direct or indirect effects from parental employment status on BCT scores. Further analysis indicates that the relationship between parental school involvement and BCT score is only significant among dual-earner families, but not for the single-earner ones. In addition, our multiple group analysis reveals that sons’ BCT scores are affected more by parents’ school involvement, whereas daughters’ are affected more by special home provision. Our findings from adolescents’ subjective responses imply that sons may be more responsive to a non-familial context in contrast with daughters, who react more positively to familial provision.

Prior to the onset of the COVID-19 pandemic, women did nearly three-quarters of the world’s unpaid work. As institutional supports, including in-person school and community-based care for children, the elderly, and the disabled vanished early in the pandemic, many women’s caregiving responsibilities increased. In some cases, opportunities for paid employment disappeared due to layoffs and furloughs, while in others, paid work was no longer possible without access to the missing institutional supports. Either way, access to needed supports – financial, practical, and social – was diminished. The lapse of needed supports also had severe impacts on subgroups of women, including pregnant and post-partum women. A range of considerations – vaccine safety, social interaction and infection risk, disease severity – have posed serious challenges for pregnant and post-partum women. Across the board, women’s need for continuous access to better social, financial, and practical supports at home, in the community, and in the workplace was made even more evident by the COVID-19 pandemic.