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Nursing Ethics
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In the Company of Women: enacting autonomy within the perinatal nursing relationship

Lisa Goldberg

6-126G Clinical Sciences Building, University of Alberta, Edmonton, Alberta, Canada T6G 2E1, lsg{at}ualberta.ca

An understanding of autonomy has important significance in North American health care. Although a respect for autonomy is necessary to protect the self-determination and agency of birthing women in hospital settings, I suggest that enactments of autonomy that are independent of relationships offer only an incomplete interpretation of such a vital concept. In this article I explore an understanding of autonomy situated within the context of a relational birthing narrative. In so doing, autonomy becomes conceptualized as contextual and concrete, giving rise to an embodied view of the birthing woman.

Key Words: autonomy • birthing women • perinatal nursing • relational narrative

Nursing Ethics, Vol. 10, No. 6, 580-587 (2003)
DOI: 10.1191/0969733003ne648oa
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This article has been cited by other articles:


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 Nurs EthicsHome page
A. H Simmonds
Autonomy and Advocacy in Perinatal Nursing Practice
Nursing Ethics, May 1, 2008; 15(3): 360 - 370.
[Abstract] [PDF]

Home page
 Nurs EthicsHome page
A. Hallgren, M. Kihlgren, and P. Olsson
Ways of Relating During Childbirth: An ethical responsibility and challenge for midwives
Nursing Ethics, November 1, 2005; 12(6): 606 - 621.
[Abstract] [PDF]