Conclusion
Midwifery has survived and thrived in Britain and has been revived in the U.S. It would seem that it is still recognised as an important occupation, highly valued by women. However its history has been one of conflict; despite pre-industrial midwives being in positions of relative authority, changes over subsequent centuries eroded this authority. The rise of science as authoritative knowledge, the involvement of men and the influence of medicine on childbirth have all had impact on the status of midwifery and the control of midwives. In the past two centuries, other occupational groups have been vying for control over the midwifery sphere of practice in the UK. Changes in relation to skill mix in maternity services and in supervision set the scene for the potential of professional control remaining an important issue in the future of midwifery practice.
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