Even though medical practices are safer and more trust-worthy in modern society, the redefinition of pregnancy and childbirth as dangerous and risky to women's health and to the health of her fetus is still a dominant ideology today. Medicalization has socialized people into perceiving pregnancy and birth as high-risk situations where pregnant women are expected to seek out professional medical advice requiring technological medical interventions and monitoring (Zardorozyj 1999).
This is part 2 of my series on the Medicalization of Pregnancy and Childbirth. For Part 1 Click Here
How We Are Socialized To Think of Pregnancy
Women are socialized to believe that pregnancy is a condition deviating from normal health and that they need to rely on medical professionals to treat such a condition reinforcing dependency (Johnson 2008). Pregnancy in modern society is treated as a medical issue where conception, gestation, birth, and genetic inheritance is monitored, examined, and controlled by experts in the medical field (Perry 2008). Medical professionals are put in positions of authority over pregnant women and are given the task of helping women regulate their bodies according to set medical standards seen as minimizing health risks.
The medical community has set standards pregnant women and medical professionals are expected to follow to minimize health risks. Standards that have been set include the monitoring and regulating of activities such as eating, drinking, weight gain, emotions, exercise, and sexual activity (Kukla and Wayne 2011).
“Women feel pressure, exerted by medical professionals, agencies of the state, women’s magazines and pharmaceutical marketers to monitor their diets, weight, appearance, activities, behaviors and thoughts for any signs of abnormality or illness. During pregnancy this surveillance effort is increased, as medical doctors and nurses conduct tests to ensure that mothers are complying with best medical practices and fetuses are developing normally” Quote: (Johnson 2008).
Issues With Medicalization of Pregnancy
The medicalization of pregnancy is a major issue because control over pregnancy is taken out of the patients hands and put in the hands of medical practitioners. In Zardorozyj's article “Social Class, Social Selves and Social Control In Childbirth” (1999) she argues that medicalization is an alienating process that disempowers those without obstetrical training and is a process that focuses on issues of safety and not women's subjective experiences of giving birth.
Because of the focus medical practitioners put on safety and reducing risks, there are higher chances of technological interventions being recommended to patients. The focus put on reducing risks during pregnancy and safety of patients is in some ways a positive impact of medicalization because care given to expectant mothers and fetuses has improved in modern society and has improved health and made pregnancy/childbirth safer. Technological interventions are not always positive though and there may be unknown negative impacts of interventions.
Medicine Used As A Form of Social Control
According to research done by Heather A. Cahill (2000) at the University of York, medicalization has become a form of social control where patients trust their doctors to be moral and objective and as knowing the correct ways to treat health issues. Because of medicalization, medical jurisdiction has increased into areas not previously seen as medically defined problems. Social control is obtained by defining pregnancy as a medical disorder, by the usage of technological interventions to monitor and control biological processes, and through the usage of a medical setting.
Women's control and expertise over pregnancy is decreased and dependency on health care practitioners is ensured because they are seen as authority figures knowing privileged knowledge obtained through education and experience. Women's reproductive functions have been redefined to be seen as hazardous which has made women dependent on medical practitioners out of the belief that medical practitioners will do what is best to increase safety and reduce risks during pregnancy and childbirth (Zardorozyj 1999).
How effective modern medical knowledge and expertise actually is, has been an issue that has been debated in modern times. Most births take place in hospitals where technology is used as the basis for treatment making an evaluation of the effectiveness of medicalization impossible to accomplish. Because of the standardization of medical practices it is hard to measure whether or not medical interventions and routine medical practices are always necessary or beneficial to patients in all cases.
To be continued in part 3....
Photo Credit: All photos are my own and property of @marxrab. They are from my own pregnancy/hospitalization after giving birth.
Bibliography
Cahill, Heather. 2000. “Male Appropriation and Medicalization of Childbirth: An Historical Analysis” Journal of Advanced Nursing. 33(3): 334-342
Inhorn, M. C. (2006). Defining women’s health: A dozen messages From More Than 150 Ethnographies. Medical Anthropology Quarterly. 20(3): 345–378.
Ivry Tsipy and Elly Teman. 2008. “Expectant Israeli Fathers and the Medicalized Pregnancy: Ambivalent Compliance and Critical Pragmatism.” Culture Medical Psychiatry. 32: 358-386
Johnson, Candice. “The Political Nature of Pregnancy and Childbirth.” Canadian Journal of Political Science. 41(4):889–913
Kukla, Rebecca and Wayne, Katherine, "Pregnancy, Birth, and Medicine", The Stanford Encyclopedia of Philosophy.
Parry, Diana 2008. “We Wanted A Birth Experience, not a Medical Experience: Exploring Canadian Women Use of Midwifery.” Health Care for Women International. 29: 284-806
Rooks, Judith. 2006. “The History of Childbearing Choices in the United States.” Midwifery & Childbirth in America
Zadoroznyj, Maria 1999. “Social class, social selves and social control in childbirth.” Sociology of Health & Illness. 21(3):267-289
You say
Which is absolutely how it goes. Consider turning "moods" into a medical disorder. How on earth does feeling sad qualify as a disorder?
This is a pattern for medicine. It takes something applicable to a very small number of people and extends it to everyone. As an example, very few people that feel sad are truly, medically, pathologically "depressed." Most are just making bad choices and feeling regret, or not sleeping enough, or not eating well, or not getting enough sun, or not exercising enough. But of course, they get labeled as "depressed" along with the very few who truly have a messed up neurologic system. And of course get placed on the same meds. Which have their own undesirable consequences for taking them.
Or take gastritis/reflux. Very few people have a "hypersecretory" condition where they make too much acid. A couple percent in the entire population at best. The rest may have an irritated GI system, and discomfort is a symptom of this -- but the solution is to calm the irritation. Whether that means less preservatives, less chlorine, less fluoride, less carbs, less food, more water -- whatever, that is the solution to the problem.
But instead, everyone gets put on medications to block the production of stomach acid -- and get left on these meds for years even though the meds were only approved for up to 2 weeks of continuous use because the consequences of blocking stomach acid continually are really bad -- mineral and vitamin deficiencies, overgrowth of pathological bacteria and fungi, and a further messed up GI system because we keep dumping food into the bioreactor of our intestines without putting it through the necessary first step of acidification.
Love your thorough research and bibliography, by the way!
You are touching on something that I am passionate about, regardless of the medical specialty. Personal choices, and the freedom (to the extent that it has not been lost) include choosing alternatives that may not be medically "approved". Living in the U.S. and I presume most (overly) "developed countries", this can be an issue that affects ones life and freedoms, thanks in large part to interference from government agencies that in some cases go to extremes to expand their control over the choices one makes and the options that are available. They are usually identified by a familiar acronym. What we might presume to be the most "advanced medicine" is not necessarily (nor probably in my view) in your very best interest. I work with physicians in regard to my health problems when they arise, but trust? I reserve that for myself and an inner guidance that has saved me from untold compromise to my well being by using their diagnostic expertise, but my own resourcefulness, faith and intuition. These do not have ulterior motives and hidden interests. Ultimately, you alone are responsible for your own health and well being, even if you had failed to do the best you could have before a problem arises. Do not relinquish direct involvement in how situations are being addressed.
Thanks for reading and the well thought out comment! I specialized in medical and health related sociology in college (studying medicine from a view of how it impacts socialization and society). Medicalization is my favorite area to look at. Like you said advanced medicine may not always be in your best interest but we are pushed to put our health in the hands of doctors under a system that socializes us to be dependent on them. Far too often big business has it's hands in treatments which is in the interests of capitalists rather than patients being treated in a way best for them. When pregnant with my daughter I remember having very little power at times. Doctors treated me as ignorant and judgmentally for refusing standardized medicines or practices they did. To have power as a patient, in some cases it can be hard when doctors pressure you into thinking they are always right.
Not only does medicalization impact modern pregnancy, it seems like the use of prescription drugs for infants and children is normal now because adults also use prescription drugs a lot more than they really should be. I see the impact of the industry from the perspective of a former scientist watching med students working jobs in companies doing clinical trials to pay for their medical degree, and this can be a very vicious circle that shapes how doctors view their relationship with pharmaceutical companies (not to mention their patients). I hope there can be more studies and research in this area to help come up with some solutions. Your article is very enlightening of the situation from a different perspective!
Thank you my friend.@marxrab.. My wife will need this information a lot.
Thank you! Glad you found it useful.
Terimakasih @marxrab anda berbagi ilmu pengetahuan kepada saya khususnya dan umum keseluruh dunia sangat bermanfaat
saya sangat menyukai
Thank you!
This is highly informative and educative.
Most women and mothers don't know much about this. Thanks for bringing this close to us here. More grease to your elbow
Thanks for reading! Glad you liked it.
Thanks for sharing such a good information I Follow you for more information I always wait for your post thanks Happy new year
For more information about child birth and pregnancy read this post too.....
It hope it will be helpful
https://steemit.com/life/@usmanutmanzai/how-human-life-begins-amazing-facts
Regards