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Article by Robbie Davis-Floyd, PhD: A distressing cross-cultural trend is showing up in the growing body of anthropological literature about midwifery and birth in the developing world. From Tanzania to Papua New Guinea, anthropologists who observe professional midwives giving prenatal care and attending births increasingly note that, far from the midwifery ideal, professional midwives often treat women very badly during birth, ignoring their needs and requests, talking to them disrespectfully, ordering them around, and sometimes even yelling at them and slapping them. At the same time, and in direct correlation, the professional midwives are themselves often treated badly by the healthcare systems in which they work. They are almost always underpaid, are frequently mistreated by physicians who rank above them in the medical hierarchy, and generally work long hours under stressful conditions that often include inadequate facilities and equipment and too many women with too few midwives to care for them well. In short, professional midwives are often trapped in the biomedical healthcare system, a system that is failing to meet the needs of birthing women in developing countries.Anthropological Perspectives on Global Issues in Midwifery