Biopower and Reproductive Loss

Extensive research indicates that mothers in particular grieve a variety of losses – miscarriage, stillbirth, ectopic pregnancy, induced abortions, newborn deaths – at all gestational stages, yet often find their grief invalidated. In turn, the lack of support or affirmation of these grief responses can be experienced as an exacerbation of the initial impact of death. This painful social silence that parents have expressed as part of their reproductive loss serves as the foundation for this paper, which explores both the strategic silences and discourses in the network of knowledges constituting reproductive loss in an era of biopower. The first section of the paper outlines the (bio)medicalization of the pregnant-unborn body, tracing this process through the deployment of sexuality that socialized fertility and the female body in the early eighteenth century. The second section discusses the responsibilization of the pregnant-unborn body through the technology of risk. Here I show how death infuses the discourse of state intervention in mortality rates, but as a strategic silence mobilizing the ethics of responsibility while never revealing the limits of biopower or the state's promise to foster, protect and enhance life. The third section turns to two discursive strategies tying the pregnant body and the foetal body in relation of responsibility: antenatal care and the reduction of perinatal mortality in late nineteenth- and early twentieth-century Western societies. These serve as more specific illustrations of how reproductive loss is taken up in politics of risk that remains in the biomedical understanding of pregnancy and childbirth today. I conclude with some reflections on the intercorporeality of becoming-unborn and becoming-death, connecting the struggle of parents bereaved by reproductive loss with a broader struggle to move beyond the biomedical control of life and death in an era of biopower.     

Abortion Policy and Vulnerable Women in the United States: A Call for Social Work Policy Practice

Repressive abortion policy in the United States creates undue burdens for groups of vulnerable women, including adolescents, women of color, women living in rural areas, and women with economic disadvantages. Repressive abortion policy creates a two-tiered system of access to reproductive health care that is a particular disadvantage to vulnerable women. In this study, current policy is discussed with examples of such policies outlined in three areas: insurance coverage and Medicaid restrictions, mandatory waiting periods, and mandated state counseling. Social workers' role in policy practice is emphasized in regard to advocacy and abortion policy.     

肉兔的养殖特性研究

为了解肉兔在养殖过程中的生理、生长特性,本试验购入种兔5只(1♂、4♀)进行饲养探索,并作观察记录.结果表明:肉兔6-7个月龄即可生育;孕期平均:31.6d,最长33d,最短30d;每胎产子最多为6只,最少1只;兔仔出生2d时平均重量:43.99g;29d时平均体重:463.33g,约为初生平均体重的10倍;60d时平均体重为1130g,约为初生体重的25倍、约为一月龄体重的2.5倍.体重是一月龄兔仔体重的2.5倍.     

Replication of an Intensive Educational Intervention for Youth Pregnancy and STI Prevention: The GIG

The article reports the results of two years of program replication to determine the effectiveness of an innovative intervention which is one component of a program aimed at the prevention of pregnancy and sexually transmitted infection (STI). The GIG is a 6 h intervention which presents prevention information in an entertainment venue employing non-conventional and youth culture oriented educational activities. Statistically significant improvement in knowledge and attitudes with regard to pregnancy and STI was found in both replication samples, demonstrating consistency in the effectiveness of the intervention. Item by item analyses of measure items offer information regarding specific knowledge and attitudes. Implications for further implementation of the intervention and broader applications are offered. STI has replaced STD in medical parlance.     

Male Pregnancy Intendedness and Children's Mental Proficiency and Attachment Security During Toddlerhood

Using a sample of biological resident fathers and their children from the Early Childhood Longitudinal Study Birth Cohort (ECLS‐B) 9‐ and 24‐month surveys (N = 5,300), this study examines associations and the direct and indirect pathways through which men's pregnancy intentions influence toddlers' mental proficiency and attachment security. Findings indicate that unwanted and mistimed pregnancies for fathers had negative consequences for toddlers' mental proficiency and attachment security. Additionally, men's pregnancy intentions were found to work indirectly through lower prenatal behaviors and father engagement and greater mother‐father relationship conflict to negatively influence toddlers' mental proficiency. Men's pregnancy intentions also worked indirectly through greater relationship conflict and higher father involvement to influence attachment security.     

Family Change and Continuity in Iran: Birth Control Use Before First Pregnancy

Using data from the 2002 Iran Fertility Transition Survey, we examined birth control use between marriage and first pregnancy. We focused on the post‐1990 increase in birth control use and develop two explanations. The first posits that birth control use reflects a new marriage form, the conjugal marriage, which places a heightened value on the spousal relationship while deemphasizing the centrality of parenthood. A second explanation stresses the use of a new resource, effective birth control, within an Iranian‐Islamist view of marriage. Key to this explanation is the role of the state—Iranian political/religious actors encourage early marriage and the use of birth control. Although the explanations could be complementary, evidence provides more support for the latter.     

Low‐Income Latina Mothers' Expectations for Their Pregnant Daughters' Autonomy and Interdependence

Forty‐five pregnant Latina adolescents and their mothers (23 English‐speaking, 22 Spanish‐speaking) were videotaped conversing about feelings and plans related to the adolescent's pregnancy. The prevalence of the mothers' messages about the daughter's reliance on the family unit (interdependence) and the daughter's self‐sufficiency (autonomy) were related to adolescents' reported and observed feelings about their pregnancies, pending motherhood challenges, and their relationships with their mothers. Increased interdependence messages appeared to denote positive family relations among Spanish‐speaking dyads, in that these adolescents reported more positive feelings about their pregnancy, perceived that their mothers felt more positive, and perceived more maternal social support and open communication. The role of interdependence messages was less clear for adolescents from English‐speaking families. Higher levels of maternal autonomy messages had positive associations for both groups, in that it was related to higher disclosure about concerns about childcare needs among adolescents from English‐speaking families, and about educational goals for adolescents from Spanish‐speaking families.     

Health Status and Pregnancy Outcome in Patients Attending Prenatal Care

ABSTRACT

Maternal mortality tends to be ignored as a major public health problem. In addition to a high number of deaths, women also suffer from long-term disabilities related to complications of pregnancy and childbirth. Most of these deaths occur in developing countries and are complicated by living in rural areas, having a lack of resources and a lack of untrained individuals to assist with the pregnancy and delivery. The advantages of prenatal care in preventing complications and death are discussed.     

Between badness and sickness: Reconsidering medicalization for high risk children and youth

Most of the sociological literature about “troubling” children and youth focuses on how the scientific authority of medical experts, with a discourse of sickness, has come to displace the moral authority of justice enforcement officials and their rhetoric of badness as arbiters of childhood pathology. Yet my experience working with high-risk children and youth during a post-MSW fellowship strongly suggests that discourses of badness have not supplanted discourses of sickness. Indeed, these discourses remain deeply intertwined with implications for the way we conceptualize troubling children and youth, for the treatment we prescribe, and for how children and youth understand themselves. Discussing two composite cases to illustrate how negotiations of badness and sickness unfold, I argue that shifts in attributions of badness and sickness follow predictable patterns generally occurring in response to: (1) changes in the context (whether the child is at home, school, or in a treatment setting); (2) changes in an actor's interests or role (parents may attribute troubling behaviors as badness at home but frame them as sickness with people outside the family); and/or (3) changes in external structures of time (e.g. the end of the school year or the end of a Medicaid authorization). In conclusion, I consider the implications of partial medicalization and these patterns of narrative negotiations for future research and practice.