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1.
Sociol Health Illn ; 46(5): 849-866, 2024 Jun.
Article in English | MEDLINE | ID: mdl-38133530

ABSTRACT

The clock occupies a prominent position in many feminist and midwifery critiques of the medicalisation of labour and birth. Concern has long focused on the production of standardised 'progress' during labour via the expectation that once in 'established' labour, birthing people's cervixes should dilate at a particular rate, measurable in centimetres and clock time. In this article we draw on 37 audio- or video-recordings of women labouring in two UK midwife-led units in NHS hospital settings to develop a more nuanced critique of the way in which times materialise during labour. Mobilising insights from literature that approaches time as relational we suggest that it is helpful to explore the making of times during labour as multiple, uncertain and open-ended. This moves analysis of time during labour and birth beyond concern with particular forms of time (such as the clock or the body) towards understanding how times are constituted through interactions (for example, between midwives, cervixes, clocks, people in labour and their birth partners), and what they do.


Subject(s)
Labor Stage, First , Midwifery , Humans , Female , Pregnancy , United Kingdom , Cervix Uteri , Adult , Delivery, Obstetric/psychology , Labor, Obstetric/psychology
2.
Fem Psychol ; 27(2): 225-242, 2017 05.
Article in English | MEDLINE | ID: mdl-28546656

ABSTRACT

In this paper, I highlight key differences between a discourse analytic approach to women's accounts of abortion and that taken by the growing body of research that seeks to explore and measure women's experiences of abortion stigma. Drawing on critical analyses of the conceptualisation of stigma in other fields of healthcare, I suggest that research on abortion stigma often risks reifying it by failing to consider how identities are continually re-negotiated through language-use. In contrast, by attending to language as a form of social action, discursive psychology makes it possible to emphasise speakers' capacity to construct "untroubled" (i.e. non-stigmatised) identities, while acknowledging that this process is constrained by the contexts in which talk takes place. My analysis applies these insights to interviews with women concerning their experiences of having an abortion in England. I highlight three forms of discursive work through which women navigate "trouble" in their accounts of abortion, and critically consider the resources available for meaning-making within this particular context of talk. In doing so, I aim to provoke reflection about the discursive frameworks through which women's accounts of abortion are solicited and explored.

3.
Sociol Health Illn ; 39(6): 832-846, 2017 07.
Article in English | MEDLINE | ID: mdl-27910107

ABSTRACT

Tensions between the 'clock time' of medicine and the embodied times of its subjects are central to feminist writing concerning Western obstetric practice. In this article, I expand the focus of this literature by addressing the temporal dynamics of another site of reproductive healthcare: abortion provision. Echoing obstetric accounts of birth, time in legal, healthcare and social scientific discourse on abortion is routinely conceptualised as a finite resource contained within the pregnant/foetal body, which can be measured using clocks and calendars. I argue that women's interview accounts of their experiences of ending their pregnancies offer opportunities for critical reflection on this characterisation of pregnancy as linear 'gestational time'. First, participants in this study re-position the significance of gestational time by articulating its embodied meaning. Second, they provide alternative accounts of the temporality of pregnancy as a process which emerges through, and is disrupted by, the dynamics of socio-material relations. The article considers the broader implications of women's accounts of pregnancy times for legal, healthcare and social scientific accounts of 'later' abortion.


Subject(s)
Abortion, Induced/psychology , Decision Making , Women's Health , Adult , England , Female , Feminism , Humans , Interviews as Topic , Narration , Pregnancy , Qualitative Research , Time Factors
4.
Gend Soc ; 29(5): 694-715, 2015 Oct.
Article in English | MEDLINE | ID: mdl-26435577

ABSTRACT

Feminist scholarship has demonstrated the importance of sustained critical engagement with ultrasound visualizations of pregnant women's bodies. In response to portrayals of these images as "objective" forms of knowledge about the fetus, it has drawn attention to the social practices through which the meanings of ultrasound are produced. This article makes a novel contribution to this project by addressing an empirical context that has been neglected in the existing feminist literature concerning ultrasound, namely, its use during pregnancies that women decide to terminate. Drawing on semi-structured interviews with women concerning their experiences of abortion in England, I explore how the meanings of having an ultrasound prior to terminating a pregnancy are discursively constructed. I argue that women's accounts complicate dominant representations of ultrasound and that in so doing, they multiply the subject positions available to pregnant women.

5.
Soc Sci Med ; 80: 105-12, 2013 Mar.
Article in English | MEDLINE | ID: mdl-23287458

ABSTRACT

Within contemporary Scottish policy guidance, abortion is routinely configured as evidence of a resolvable problem with the healthcare provision of contraception. This article draws on 42 semi-structured interviews with Scottish health professionals conducted during 2007-2008, in order to explore how, and in what form, realities of contraception/abortion are sustained within abortion practice. In addition to providing empirical insights concerning this sociologically neglected aspect of reproductive healthcare, it demonstrates how a novel conceptual approach could be used to develop existing social scientific analyses of the provision of techniques of fertility prevention. Science and Technology Studies (STS) has highlighted the importance of studying the complex socio-material practices through which realities are enacted (or 'performed'). Mobilising this insight, my analysis illustrates the complex socio-material work required to enact abortion as evidence of a 'problem' with contraception that is resolvable within the healthcare consultation. This work, I argue, renders visible the ontologically 'multiple' (Mol, 2002) nature of contraception/abortion, with important implications for both social science and policy approaches to these techniques of fertility prevention.


Subject(s)
Abortion, Induced/statistics & numerical data , Attitude of Health Personnel , Contraception , Reproductive Health Services , Female , Humans , Male , Pregnancy , Qualitative Research , Scotland
6.
Sociology ; 47(3): 509-525, 2013 Jun 01.
Article in English | MEDLINE | ID: mdl-25774067

ABSTRACT

This article illustrates how Scottish health professionals involved in contemporary abortion provision construct stratified expectations about women's reproductive decision-making. Drawing on 42 semi-structured interviews I reveal the contingent discourses through which health professionals constitute the 'rationality' of the female subject who requests abortion. Specifically, I illustrate how youth, age, parity and class are mobilised as criteria through which to distinguish 'types' of patient whose requests for abortion are deemed particularly understandable or particularly problematic. I conceptualise this process of differentiation as a form of 'stratified reproduction' (Colen, 1995; Ginsburg and Rapp, 1995) and argue that it is significant for two reasons. Firstly, it illustrates the operation of dominant discourses concerning abortion and motherhood in twenty-first century Britain. Secondly, it extends the forms of critique which feminist scholarship has, to date, developed of the regulation of abortion provision in the UK.

7.
Soc Stud Sci ; 42(1): 53-74, 2012 Feb.
Article in English | MEDLINE | ID: mdl-22530383

ABSTRACT

Feminist STS analyses of contemporary reproductive medicine have illustrated the proliferation of practices that position fetuses as individual subjects, and have highlighted the major implications of such practices for pregnant women. In an attempt to challenge medicine's claims to 'know' the fetus, this body of literature has also demonstrated the renegotiable basis of pregnant/fetal subjectivity, using detailed empirical analyses of the practices through which particular pregnant and fetal subjects emerge in particular contexts. In this paper I contribute to this endeavour utilizing an empirical case study of an important, but neglected aspect of reproductive healthcare: the demarcation of temporal thresholds on abortion provision in the absence of diagnosed fetal abnormality. Drawing on semi-structured interviews with Scottish health professionals, I explore the discursive practices through which they demarcate 'later' abortion as a problematic decision. I argue that such practices are intimately dependent on particular co-constructions of temporality and pregnant/fetal subjectivity, and support this argument with reference to the counter-representations of the gestational timing of abortion that emerge from a minority of health professionals' accounts. I suggest that, collectively, this body of data illustrates the opportunities that (re)presenting temporality would afford those engaged in attempts to foster the construction of less oppressive pregnant/fetal subjectivities. My broader aim is to illustrate the insights that feminist theorizations of pregnant/fetal subjectivity gain from explicit engagement with another important theme of contemporary STS scholarship, namely, the constitutive role played by representations of temporality in technoscientific innovation and practice.


Subject(s)
Abortion, Legal/psychology , Abortion, Legal/ethics , Decision Making , Female , Humans , Pregnancy , Scotland , Time Factors
8.
FEBS Lett ; 580(7): 1897-902, 2006 Mar 20.
Article in English | MEDLINE | ID: mdl-16516209

ABSTRACT

The oxidoreductase ERp57 is involved in the formation and breaking of disulfide bonds in assembling proteins within the environment of the endoplasmic reticulum. Site-directed mutants of the redox-active Cys-Gly-His-Cys motif within an isolated ERp57 sub-domain have been studied. Whereas mutation of either cysteine residue abolished reductase activity, substitution of the central residues resulted in retention of partial activity. Alkylation studies indicated that the central residue mutants retained the normal disulfide bond in the motif, whereas this disulfide bond became more resistant to reduction following addition of a third residue into the redox motif, demonstrating an optimum spacing within the redox-active motif of ERp57.


Subject(s)
Heat-Shock Proteins/genetics , Mutagenesis, Site-Directed , Protein Disulfide-Isomerases/genetics , Alkylation , Amino Acid Motifs , Animals , Cysteine , Oxidation-Reduction , Rats , Recombinant Proteins
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