Governing Risk, Governing Women

Author(s):  
Miranda R. Waggoner

This concluding chapter revisits the social and medical trends that have intersected with recent knowledge shifts in understanding pregnancy health risk, especially the contemporary tendency in medicine and public health toward the anticipation of risk, the persistence of cultural and medical assumptions that link all reproductive outcomes to women’s individual behaviors, and the ongoing debates in reproductive politics that hinder discussions about comprehensive women’s health care. This chapter ends by considering ways to think through, with, and beyond the pre-pregnancy care model in women’s health policy.

Author(s):  
Miranda R. Waggoner

This chapter reflects on the state of women’s health care and the policy that undergirds the contemporary vibrancy of the pre-pregnancy care framework. It explains why pre-pregnancy care was initially met with opposing interpretations about its vision and potential efficacy. Analyzing interview data in conjunction with historical materials, this chapter shows that pre-pregnancy care was, in part, created to advance reproductive justice by bridging the long-divided realms of maternal care and reproductive care. By traversing the boundaries of entrenched reproductive silos, the pre-pregnancy care model expanded health care during women’s reproductive years—an outcome that seemingly served progressive goals. However, the idea of couching women’s health in terms of their maternity status followed a long tradition of maternalism in American policymaking, further entangling motherhood and womanhood.


Author(s):  
Miranda R. Waggoner

This chapter examines how the pre-pregnancy care model has influenced public health promotion, illustrated through the “Show Your Love” campaign that was created by the Centers for Disease Control and Prevention (CDC) in 2013. This chapter reveals how the campaign’s message drew on and promoted gendered and racialized tropes in its goal of promoting pre-maternal love for future babies and, in so doing, further stratified reproduction. Discussion in this chapter highlights the social control aspects of public health and how the power of this particular messaging potentially reframes practices of “intensive mothering” into an ethic of “anticipatory motherhood.”


2016 ◽  
Vol 23 (12) ◽  
pp. 1566-1578 ◽  
Author(s):  
Renata Ferdinand

This essay uses autoethnography to relate the experience of being diagnosed with lupus. By using my personal experiences and a discussion of illness and Black women’s health, I critically examine larger critical race issues of race, gender, and the social barriers to health care. Specifically, the essay focuses on the ways in which race impacts my experiences with the healthcare system, from my own insecurities of being stereotyped to the ways that doctors interact with me. The essay is framed by popular quotes from Charlie Brown because they help mediate the very personal experiences I am recounting.


1998 ◽  
Vol 4 (3) ◽  
pp. 8
Author(s):  
Lesley Doyal

The creation of a National Women's Health Policy in 1989 put Australia at the forefront of developments in women's health. By contrast, in the United Kingdom there is still no clear strategy for improving gender equity in the health service, and many of the principles taken for granted in Australia are not even on the National Health Service agenda. The current reforms of our health service do reflect a backing away from the 'quasi markets' of the Conservative era. However, little attention has been paid during this process to the specific needs of women. So Australia is still ahead, with Victoria in particular playing a key role in disseminating examples of good practice, both at home and internationally. The Australian Women's Health Policy and Program provides a fertile environment for innovation in good practice, but this does not mean that there is nothing left to achieve. Indeed, it may well require considerable effort just to maintain what has already been put in place. To move forward will mean continuing to confront those challenges in trying to improve women's health around the world. These are addressed by looking at three key themes: reconfiguring medicine; dealing with diversity; and gendering the social model of health. In each case these themes are placed in a global context.


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