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According to the Latina health paradox, Mexican immigrant women have less complicated pregnancies and more favorable birth outcomes than many other groups, in spite of socioeconomic disadvantage. Alyshia Gálvez provides an ethnographic examination of this paradox. What are the ways that Mexican immigrant women care for themselves during their pregnancies? How do they decide to leave behind some of the practices they bring with them on their pathways of migration in favor of biomedical approaches to pregnancy and childbirth?

This book takes us from inside the halls of a busy metropolitan hospital’s public prenatal clinic to the Oaxaca and Puebla states in Mexico to look at the ways Mexican women manage their pregnancies. The mystery of the paradox lies perhaps not in the recipes Mexican-born women have for good perinatal health, but in the prenatal encounter in the United States. Patient Citizens, Immigrant Mothers is a migration story and a look at the ways that immigrants are received by our medical institutions and by our society

“State alert as pregnant asylum seekers aim for Ireland.” “Country Being Held Hostage by Con Men, Spongers, and Those Taking Advantage of the Maternity Residency Policy.” From 1997 to 2004, headlines such as these dominated Ireland’s mainstream media as pregnant immigrants were recast as “illegals” entering the country to gain legal residency through childbirth. As immigration soared, Irish media and politicians began to equate this phenomenon with illegal immigration that threatened to destroy the country’s social, cultural, and economic fabric.

Pregnant on Arrival explores how pregnant immigrants were made into paradigmatic figures of illegal immigration, as well as the measures this characterization set into motion and the consequences for immigrants and citizens. While focusing on Ireland, Eithne Luibhéid’s analysis illuminates global struggles over the citizenship status of children born to immigrant parents in countries as diverse as the United States, Hong Kong, and elsewhere. Scholarship on the social construction of the illegal immigrant calls on histories of colonialism, global capitalism, racism, and exclusionary nation building but has been largely silent on the role of nationalist sexual regimes in determining legal status. Eithne Luibhéid turns to queer theory to understand how pregnancy, sexuality, and immigrants’ relationships to prevailing sexual norms affect their chances of being designated as legal or illegal.

Pregnant on Arrival offers unvarnished insight into how categories of immigrant legal status emerge and change, how sexual regimes figure prominently in these processes, and how efforts to prevent illegal immigration ultimately redefine nationalist sexual norms and associated racial, gender, economic, and geopolitical hierarchies.