I am worried about this shift too. Even when it was called maternity services efforts actually had to be made to centre mothers.
Now with perinatal services the disembodied, depersonalised process of birth is centred. What becomes of mother and baby?
When the mother is centred then the baby benefits because the mother is the source of life, nurture and love for the baby.
When birth was moved out of the home and into the hospitals we saw the rise of obstetric violence and the needs of the institution and its functioning took precedence over individual mother-baby dyads. The 70’s and 80’s were the peak of this. Women created a grassroots movement to humanise birth and midwives got on board in the 90’s with women centred care, an emphasis on choice, control and informed consent. Evidence based practice and respect for women became the focus. Part of this was empowering language, that is the use of anatomically correct language to describe women’s bodies but also avoiding phrases such as “good girl” to encourage women during labour because these are adult women giving birth not children. Also avoiding the use of the word lady which is a euphemism for woman, somehow being part of the aristocracy made being female acceptable in times past but the word woman was being reclaimed. A woman was considered a powerful adult human being competent to make choices about her birth, able to take charge and fully capable of consenting or not to procedures.
Now what is a woman and what is her place in “perinatal services”?
Once it would have been women’s grassroots groups that were consulted on these changes, the NCT, AIMS, and local committees. Where are they now? Well I have seen that AIMS has been captured. I don’t know about the NCT.