A SCHOLARLY BOOK REPOSITORY
Carrying On investigates the origin stories of prevailing prenatal health norms by exploring the evolution of issues at the center of pregnancy, ranging from morning sickness and weight gain to ultrasounds and induction. When did women start taking prenatal vitamins, and why? When did the notion that pregnant women should “eat for two” originate? Where did exercise guidelines come from? And when did women start formulating birth plans?
A learning project with one foot in the past and the other in the present, Carrying On considers what history and medicine together can teach us about how and why we treat pregnancy–and pregnant women–the way we do. In a world of information overload, Carrying On offers expecting parents the context and background they need to approach pregnancy and prenatal health from a new place of understanding.
In Crack Mothers, Drew Humphries asserts that medicine and criminal justice have always been at odds on the subject of drug use. The one treats drug users as patients, the other as criminals. However, beginning in the late 1980s, the “crack mother” scare led to an unprecedented alliance between doctors and prosecutors in some states, where doctors turned addicted pregnant women over to the police for arrest, trial, and incarceration.
Humphries analyzes the public reaction to crack cocaine and the policies instituted to combat it. She shows us that, more often than not, policies were generated by the fears that crack mothers were harbingers of even more serious social problems. The media’s construction of the crack mother as a model of depravity, she argues, reflects mainstream desires and fears, rather than portraying the truth. Humphries offers a more balanced view of the women who use crack and the policies that have been adopted to stop them.
Humphries does not dwell on the transgressions of crack mothers, nor does she endorse the punitive measures of the drug war policy makers. After ten years of studying a wide range of state policies, she finds that zero tolerance, mandatory sentences, and interdiction have not only failed to reduce drug use but increased the sense of persecution among the urban poor and contributed to the crisis of overcrowding in courts and prisons. Moreover, she states, before crack mothers became a media spectacle, no one had considered the special needs of women in designing drug treatment programs. Crack Mothers is a timely and important contribution to our growing understanding of maternal health, drug use, and treatment.
In earlier times, a woman knew she was pregnant when she experienced “quickening”—she felt movement within her. Today a woman relies on what she sees in a test result or a digital sonogram image to confirm her pregnancy. A private experience once mediated by women themselves has become a public experience interpreted and controlled by medical professionals. In Disembodying Women, Barbara Duden takes a closer look at this contemporary transformation of women’s experience of pregnancy. She suggests that advances in technology and parallel changes in public discourse have refrained pregnancy as a managed process, the mother as an ecosystem, and the fetus as an endangered species.
Drawing on extensive historical research, Duden traces the graphic techniques-from anatomists’ drawings to woodcuts to X-rays and ultrasound-used to “flay” the female body and turn it inside out. Emphasizing the iconic power of the visual within twentieth-century culture, Duden follows the process by which the pregnant woman’s flesh has been peeled away to uncover scientific data. Lennart Nilsson’s now-famous photographs of the embryo published in Life magazine in the mid-1960s stand in stark contrast to representations of the invisible unborn in medieval iconography or sixteenth-century painting. Illumination has given way to illustration, ideogram to facsimile, the contemplative intuition of the body to a scientific analysis of its component parts.
New ways of seeing the body produce new ways of experiencing the body. Because technology allows us to penetrate that once secret enclosure of the womb, the image of the fetus, exposed to public gaze, has eclipsed that of woman in the public mind. Society, anxious about the health of the global environment, has focused on protecting “life” in the maternal ecosystem, in effect, pitting fetus against mother.
Duden’s reading of the body lends a unique historical and philosophical perspective to contemporary debate over fetal rights, reproductive technologies, abortion, and the right to privacy. This provocative work should reinvigorate that debate by calling into question contemporary certainties and the policies and programs they serve to justify.
The ethnography pieces together the voices of pregnant Japanese and Israeli women, their doctors, their partners, the literature they read, and depicts various clinical encounters such as ultrasound scans, explanatory classes for amniocentesis, birthing classes, and special pregnancy events.
The emergent pictures suggest that although experiences of pregnancy in Japan and Israel differ, pregnancy in both cultures is an energy-consuming project of meaning-making— suggesting that the sense of biomedical technologies are not only in the technologies themselves but are assigned by those who practice and experience them.
“Expecting Teryk is a rich and sumptuous work that speaks to the deeper realities and represents a unique viewpoint of experiences shared by all individuals who choose the path to parenthood.”—Disability, Pregnancy, and Parenthood
The period just prior to the birth of a child is a time of profound personal transformation for expectant parents. Expecting Teryk: An Exceptional Path to Parenthood is an intimate exploration, written in the form of a letter from a parent to her future son, that reclaims a rite of passage that modern society would strip of its magic.
Dawn Prince-Hughes, renowned author of Songs of the Gorilla Nation: My Journey through Autism, considers the ways being autistic might inform her parenting. She also candidly narrates her experience of becoming a parent as part of a lesbian couple—from meeting her partner to the questions they ask about their readiness to become parents and the practical considerations of choosing a sperm donor.
Expecting Teryk is viewed through the lens of autism as Prince-Hughes shares the unique way she sees and experiences the world—as well as her aching will to be fully present for her son. Contemplating the evolutionary traditions of parenting from both animal and human perspectives and the reassurances that nature offers, Expecting Teryk is a work of sensuous wonder that speaks to the deeper realities and archetypal experiences shared by all who embark on the journey of parenthood.
Fear and shame are prominent affective tropes that Maraesa uses to understand women's attitudes toward reproduction that are at times contrary to development discourse but that make sense in the lived experiences of the women of southern Belize.
With five years of parenting his irrepressible daughter Maeve under his belt, Roche, already forty-five years old, and his wife, Maura, face the prospect of another arrival and the myriad of emotions that come with a second child. From revelling in the joys of pregnancy such as Maura's delight at "having cleavage" and being able to eat whatever she desires; to assuaging the parental anxieties of choosing the right obstetrician, correcting the mistakes one made with the first child, and sending children to college in the future; to navigating the unforeseen, experiencing the unexpected death of a parent, and feeling trepidation toward the thought of having a son, Roche records his emotions with unusual candidness and intimacy.
Reflecting on day-to-day events and their significance in his family’s life together, Roche wonders what he is getting himself into and how much deeper he can immerse himself into parenting. Together, he and his wife face the bittersweet intersections of death and new life, menace and hopefulness. With sincerity and a mature wit, Great Expectation stands as a wise recounting of nine months’ time, with all of its chaos and charms, and offers a fresh perspective for first-time and veteran parents alike.
From the health risks of sexual activity to those of pregnancy, abortion, and childbirth, reproduction constitutes enormous risks to a woman’s health. Ill-health conditions related to sex and reproduction account for 25 percent of the global disease burden in adult women. In sub-Saharan Africa, they account for over 40 percent. The catastrophic effects of reproductive ill-health, however, are not limited to women; for infants and adult men, they inflict 25 percent and 1 percent respectively of the global burden.
This volume offers comprehensive data and detailed discussions of the epidemiologies of three sexually transmitted diseases, HIV, and five specific maternal conditions, as well as those of congenital anomalies and perinatal conditions. Projections of the HIV epidemic are provided: by 2020 HIV is projected to double to 2.5 percent of the global disease burden.
Health Dimensions of Sex and Reproduction will serve as a comprehensive reference for epidemiologists, public health specialists, practitioners and advocates of STD and HIV prevention, and reproductive and neonatal health.
How changing depictions of pregnancy in comedy from the start of the twentieth century to the present show an evolution in attitudes toward women’s reproductive roles and rights.
Some of the most groundbreaking moments in American film and TV comedy have centered on pregnancy, from Lucille Ball’s real-life pregnancy on I Love Lucy, to the abortion plot on Maude; Murphy Brown’s controversial single motherhood; Arnold Schwarzenegger’s pregnancy in Junior; or the third-trimester stand-up special Ali Wong: Baby Cobra.
In the first book-length study of pregnancy in popular comedy, Victoria Sturtevant examines the slow evolution of pregnancy tropes during the years of the Production Code; the sexual revolution and changing norms around nonmarital pregnancy in the 1960s and ‘70s; and the emphasis on biological clocks, infertility, adoption, and abortion from the 1980s to now.
Across this history, popular media have offered polite evasions and sentimentality instead of real candor about the physical and social complexities of pregnancy. But comedy has often led the way in puncturing these clichés, pointing an irreverent and satiric lens at the messy and sometimes absurd work of gestation. Ultimately, Sturtevant argues that comedy can reveal the distortions and lies that treat pregnancy as simple and natural “women’s work,” misrepresentations that rest at the heart of contemporary attacks on reproductive rights in the US.
Drawing on past speculation and present knowledge, reproductive biologist David Bainbridge conducts us through the forty weeks of a human pregnancy, from conception to breastfeeding, explaining the complex biology behind human gestation in a clear and unassuming manner.
Making Babies sets the latest findings in pregnancy biology in a challenging evolutionary, historical, and sociological context, proving that when it comes to drama, pregnancy has it all: sibling rivalry, a battle of the sexes, and a crisis of gender identity. Along the way, Bainbridge revisits some of the key puzzles about pregnancy: What's sex got to do with it? How does the fetus hijack its mother's immune system? What is the point, if any, of morning sickness? Just how does a fertilized ovum develop into eight pounds or so of baby, with ten fingers and ten toes? Does the baby or the mother control the onset of labor, and why is it such an ordeal for them both?
Entertaining and informative, Making Babies shows how the study of human pregnancy can help us understand our genesis as individuals and our evolution as a species, and provide insight into who we are and why we behave as we do.
In Managing Motherhood, Managing Risk, Denise Roth Allen persuasively argues that development interventions in the Third World often have unintended and unacknowledged consequences. Based on twenty-two months of fieldwork in the Shinyanga Region of west central Tanzania, this rich and engaging ethnography of women's fertility-related experiences highlights the processes by which a set of seemingly well-intentioned international maternal health policy recommendations go awry when implemented at the local level.
An exploration of how threats to maternal health have been defined and addressed at the global, national, and local levels, Managing Motherhood, Managing Risk presents two contrasting, and oftentimes competing, definitions of risk: those that form the basis of international recommendations and national maternal health policies and those that do not. The effect that these contrasting definitions of risk have on women's fertility-related experiences at the local level are explored throughout the book.
This study employs an innovative approach to the analysis of maternal health risk, one that situates rural Tanzanian women's fertility-related experiences within a broader historical and sociocultural context. Beginning with an examination of how maternal health risk was defined and addressed during the early years of British colonial rule in Tanganyika and moving to a discussion of an internationally conceived maternal health initiative that was launched on the world stage in the late 1980s, the author explores the similarities in the language used and solutions proposed by health development experts over time.
This set of "official" maternal health risks is then compared to an alternative set of risks that emerge when attention is focused on women's experiences of pregnancy and childbirth at the local level. Although some of these latter risks are often spoken about as deriving from spiritual or supernatural causes, the case studies presented throughout the second half of the book reveal that the concept of risk in the context of pregnancy and childbirth is much more complex, involving the interplay of spiritual, physical, and economic aspects of everyday life.
Around 1460, Michele Savonarola produced the extraordinary Mother’s Manual for the Women of Ferrara, a gynecological, obstetrical, and pediatric treatise composed in the vernacular so that it could be read not only by the learned but also by pregnant and nursing mothers and the midwives and wet nurses who presided over childbirth. Savonarola’s work is not merely a trivial set of instructions, but the work of a learned scholar who drew on, among others, the ancient Greek physicians Hippocrates and Galen, and Avicenna’s Canon of Medicine. The first of its kind, Savonarola’s Mother’s Manual helps readers understand both the development of late-medieval and early-modern obstetrics and gynecology, as well as the experiences of women who turn to advice books for help with reproductive issues. This book also provides a key to understanding why and how a new genre of book—the midwifery manual or advice book for pregnant women—arose in sixteenth-century Italy and eventually became a popular genre all over Europe from the early modern period to the present day.
By the early twenty-first century, about one woman in twelve could expect to die of a pregnancy or childbirth complication in Malawi. Specific deaths became object lessons. Explanatory stories circulated through hospitals and villages, proliferating among a range of practitioners: nurse-midwives, traditional birth attendants, doctors, epidemiologists, herbalists. Was biology to blame? Economic underdevelopment? Immoral behavior? Tradition? Were the dead themselves at fault?
In Partial Stories, Claire L. Wendland considers these explanations for maternal death, showing how they reflect competing visions of the past and shared concerns about social change. Drawing on extended fieldwork, Wendland reveals how efforts to legitimate a single story as the authoritative version can render care more dangerous than it might otherwise be. Historical, biological, technological, ethical, statistical, and political perspectives on death usually circulate in different expert communities and different bodies of literature. Here, Wendland considers them together, illuminating dilemmas of maternity care in contexts of acute change, chronic scarcity, and endemic inequity within Malawi and beyond.
A searing study of how modern reproductive politics shapes women's bodily agency
Pregnancy indisputably takes place within a woman's body. But as reproductive power finds its way into the hands of medical professionals, lobbyists, and policymakers, the geographies of pregnancy are shifting, and the boundaries need to be redrawn, argues Laura R. Woliver. The Political Geographies of Pregnancy is a vigorous analysis of the ways modern reproductive politics are shaped by long-standing debates on abortion and adoption, surrogacy arrangements, new reproductive technologies, medical surveillance, and the mapping of the human genome.
Across a politically charged backdrop of reproductive issues, Woliver exposes strategies that claim to uphold the best interests of children, families, and women but in reality complicate women's struggles to have control over their own bodies. Utilizing feminist standpoint theory and promoting a feminist ethic of care, Woliver looks at abortion politics, modern adoption laws that cater to male-headed families, regulations that allow the state to monitor pregnant women but not always provide care for them, and the power structures behind the seemingly benign world of egg-selling and surrogate parenting. She also considers the potentially staggering political implications of mapping the human genome, and the exclusion of women's perspectives in discussions about legislation and advancements in reproductive technologies.
—Gianna Pomata
Professor of the History of Medicine, Johns Hopkins University
In Pregnancy in the Victorian Novel—the first book-length study of the topic—Livia Arndal Woods traces the connections between literary treatments of pregnancy and the medicalization of pregnancy and childbirth occurring over the long nineteenth century. Woods uses the problem of pregnancy in the Victorian novel (in which pregnancy is treated modestly as a rule and only rarely as an embodied experience) to advocate for “somatic reading,” a practice attuned to impressions of the body on the page and in our own messy lived experiences. Examining works by Emily Brontë, Charlotte Mary Yonge, Anthony Trollope, George Eliot, Thomas Hardy and others, Woods considers instances of pregnancy that are tied to representations of immodesty, poverty, and medical diagnosis. These representations, Woods argues, should be understood in the arc of Anglo-American modernity and its aftershocks, connecting backward to early modern witch trials and forward to the criminalization of women for pregnancy outcomes in twenty-first-century America. Ultimately, she makes the case that by clearing space for the personal and anecdotal in scholarship, somatic reading helps us analyze with uncertainty rather than against it and allows for richer and more relevant textual interpretation.
Early twentieth-century Arizona was a life-threatening place for new and expectant mothers. Towns were small and very far apart, and the weather and harsh landscape often delayed midwives. It was not uncommon for a woman to give birth without medical care and with the aid of only family members. By the 1920s, Arizona was at the top of the list for the highest number of infant deaths.
Mary Melcher’s Pregnancy, Motherhood, and Choice in Twentieth-Century Arizona provides a deep and diverse history of the dramatic changes in childbirth, birth control, infant mortality, and abortion over the course of the last century. Using oral histories, memoirs, newspaper accounts, government documents, letters, photos, and biographical collections, this fine-grained study of women’s reproductive health places the voices of real women at the forefront of the narrative, providing a personal view into some of the most intense experiences of their lives.
Tackling difficult issues such as disparities in reproductive health care based on race and class, abortion, and birth control, this book seeks to change the way the world looks at women’s health. An essential read for both historians and public health officials, this book reveals that many of the choices and challenges that women once faced remain even today.
Using a sophisticated rhetorical analysis, Marika Seigel works to deconstruct pregnancy manuals while also identifying ways to improve communication about pregnancy and healthcare. She traces the manuals’ evolution from early twentieth-century tomes that instructed readers to unquestioningly turn their pregnancy management over to doctors, to those of the women’s health movement that encouraged readers to engage more critically with their care, to modern online sources that sometimes serve commercial interests as much as the mother’s.
The first book-length study of its kind, The Rhetoric of Pregnancy is a must-read for both users and designers of our prenatal systems—doctors and doulas, scholars and activists, and anyone interested in encouraging active, effective engagement.
The 1966 edition of the leading medical textbook states that pregnant women can safely smoke half a pack of cigarettes a day. Yet today, women who smoke during pregnancy are among the most vilified figures in public health campaigns. Laury Oaks argues this shift is not due solely to medical findings indicating that cigarette smoking may harm the fetus. Also responsible are a variety of social factors that converged more than a decade ago to construct the demonized category of the “pregnant smoker.”
This book charts the emergence of smoking during pregnancy as a public health concern and social problem. Oaks looks at the emphasis public health educators place on individual responsibility, the current legal and social assertion of fetal personhood, the changing expectations of pregnant and prepregnant women, and the advent of antismoking campaigns. She explores how public health educators discuss “the problem” with one another, how they communicate with pregnant smokers, and how these women themselves understand the “risk” of fetal harm. Finally, Oaks discusses the various meanings of “objective” statistics on the effects of smoking on the fetus, exploring the significance of cultural context in assessing the relative importance of those numbers. She argues that rather than bombarding pregnant women with statistics, health educators should consider the daily lives of these women and their socioeconomic status to understand why some women choose to smoke during pregnancy. Without downplaying the seriousness of the health risks that smoking poses to women and their babies, the book supports new efforts that challenge the moral policing of pregnant smokers.
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