La partera profesional: articulating identity and cultural space for a new kind of midwife in Mexico.

This article documents the emergence of a new kind of midwife in Mexico, the thoroughly postmodern partera profesional. It traces the transnational conjunctures that facilitated her creation, illustrates aspects of her philosophy and praxis, and probes her ongoing articulations of identity. These women, who are of diverse sociocultural backgrounds, initially sought training from American direct-entry midwives in the independent out-of-hospital midwifery model; now, they are adapting that model to the situation in Mexico. Through their own practices, through intensive liaison work with traditional midwives, and through organizing national midwifery conferences and meetings, they are creating midwifery as both incipient profession and nascent social movement. Some of them operate outside the medical system while others are carving a niche within it. The mere existence of these self-consciously activist midwives constitutes a critique of monological Mexican medicine and its high cesarean rates; however, these women face a long struggle to define their identities, legalize their practices, and generate a sustainable space within the emergent Mexican technocracy. To their intense dismay, this struggle must take place within the context of the escalating disappearance of the traditional midwives whom they seek to support. The tension they feel between their desire to preserve traditional midwifery and their desire to create professional midwifery is a recurrent theme. These goals alternately complement and conflict with one another, yet both are central to the partera profesional's ongoing efforts at identity articulation.

Stress-coping-adaptation: concepts for nursing.

Nursing has arrived at acceptance of several and diverse paradigms in conceptualization of its phenomena, research methodologies, and guidance of the discipline. Scholars and clinicians recognize the interaction of the person with the environment. Some implicitly focus on the experiences of stress, human responses, or efforts to cope with stress and movement toward adaptation or integrity of function. Stress-coping-adaptation is a complex conceptual framework with features powerful enough to explain nursing's phenomena of concern. Discourse dealing with stress-coping-adaptation as integral in nursing theory, research, practice, and education is warranted at this time.