Deconstructing Pregnancy: RU486, Seeing "Eggs," and the Ambiguity of Very Early Conceptions

This article deconstructs previous notions of pregnancy. Using empirical data from French women's experience with RU486 for medical abortion, I demonstrate that very early and unwanted conceptions have an ambiguous quality. I illustrate an understanding of pregnancy as a reproductive continuum: these women understand pregnancy to include a stage where "eggs," and not fetuses, are present. I discuss how the use of RU486 creates new ways of knowing about the fetus, and I compare an understanding of the fetus by women using RU486 with previous understandings from ultrasound images, in utero photography, and the imagination. I demonstrate that women's embodied knowledge can expand the parameters of fetal discourse. [RU486, fetal discourse, embodied knowledge, abortion, reproductive technology]     

Narrative mediation of conventional and new "mental health" paradigms: reading the stories of immigrant Iranian women

The potential of storytelling to effect change and produce new knowledge is being recognized across disciplines. Two conditions are necessary to realize these goals: first, reading of stories must be contextualized to include larger social and political landscapes; and second, how stories are read and toward what end must be closely examined. This article explores these issues with reference to the subject of the "mental health" or emotional well-being of a cohort of postrevolution Iranian women from metropolitan Vancouver, British Columbia. Reading their stories at a particular moment in time shows that well-being is essentially grounded in spaces and places where we live, work, and engage in social interactions. This commonplace knowledge, which is subdued in medical discourse, is retrieved through Iranian women's stories of life and living told at a time when their experiences, histories, and viewpoints on health are subject to erasure.     

"Change yourself and the whole world will become kinder": Russian activists for reproductive health and the limits of claims making for women

This article views reproductive health activism as a fruitful site for analyzing the cultural logics through which legitimate claims for women's needs become expressed and circumscribed. It begins from the observation that in the United States and Britain, reproductive health has been a key arena for feminist political claims and struggles for women's rights, bodily integrity, access to health care, and demands for authority in relations with experts. These concerns and struggles have not, however, emerged in all postsocialist contexts, and new activism in Russia reveals strikingly different agendas. Innovative groups of health providers seeking to increase women's access to birth control methods and safe sex, home birth opportunities, and improved health services work outside of feminist perspectives and reject political paths for change. By examining the ideological inspirations, cultural logics, and political-economic constraints shaping the outreach work of Russian health practitioners, the article explains how and why health activism became a site for personal "spiritual" revival and the strengthening of nuclear families. It also explores how conditions following the collapse of socialism have further legitimized activists' rejection of political agendas for change.     

Street smarts and urban myths: women, sex work, and the role of storytelling in risk reduction and rationalization

Storytelling has a strong tradition in inner-city American communities. In this article, we examine patterns of storytelling among a sample of drug-using women from New York City who engage in street-based sex work. We consider two particular formats of storytelling for analysis: "street smarts" and "urban myths." Street smarts are stories of survival, and urban myths are compilations of street legends spread by word of mouth. The narratives are filled with tales of extreme risk across situations. The women used the stories to delineate the boundaries of risk as well as to rationalize risks they deemed to be inevitable but temporary in their lives. Few of the women capitalized on the greater instructive quality of the stories toward increased risk reduction, which may relate to the women's distance from an identity of "sex worker." If properly harnessed, the strength of storytelling suggests new avenues for risk-reduction interventions.     

Responsible choices: situating pregnancy intention among Haitians in South Florida

In this article, I focus on unintended pregnancy as a means to interrogate the intersections of abortion and prenatal discourses in the United States, and the ways in which these discourses assume certain kinds of moral, liberal subjects. Using media material, congressional legislation, public health policy, and ethnographic data from South Florida (2004-06), I trace how these discourses assume that women will behave in "rational," "responsible" ways to plan their reproductive futures, and how these assumptions intersect with Haitian women migrants' lived experiences in South Florida. My research illustrates how decisions about family planning are situated within particular local moral worlds, where gender relations, religion, power, and desires for children inform women's everyday lives.     

"Seeing the baby": pleasures and dilemmas of ultrasound technologies for primiparous Australian women

The practice of obstetric ultrasound scans has undergone significant expansion in the last two decades and is now a standard part of many women's antenatal care in Australia as elsewhere. This article reviews recent evidence about the value of obstetric ultrasound, summarizing debates and contradictions in research literature and practitioner guidelines. Pregnant women's interpretations of the significance of ultrasound are examined through multiple interviews with 34 study participants. We find that ultrasound has become an integral part of women's embodied experience of pregnancy, with its own pleasures and dilemmas. The increasing use of the technology has augmented the role of scientific biomedicine in the government of pregnancy. This must be understood in the light of trends toward individualized risk management in which the pregnant woman increasingly takes responsibility for the successful outcome of the pregnancy, in a context where pregnancy is discursively constructed as a risky domain of gendered experience in contemporary Australian society.     

Silences and Serenades: The Journeys of Three Ethnic Minority Women School Leaders

This article articulates the need to explore the knowledge and practice of ethnic minority women school leaders, to encourage dialogue, and to ask, "What is it about these women's lives that reveals ontological and political discourses and practices that disrupt the rhythm of the mainstream?" The stories affirm each woman's explicit struggle against "overt and passive racism" and objectifying marginalization. Additionally, each story reveals a unique "self-text," which is a composite of history, family, profession, and cultural memories. Each woman, in the way she expresses this "self," is an advocate for respect and equity.     

EGG FREEZING: A BREAKTHROUGH FOR REPRODUCTIVE AUTONOMY?

This article describes the relatively new technology of freezing human eggs and examines whether egg freezing, specifically when it is used by healthy women as 'insurance' against age-related infertility, is a legitimate exercise of reproductive autonomy. Although egg freezing has the potential to expand women's reproductive options and thus may represent a breakthrough for reproductive autonomy, I argue that without adequate information about likely outcomes and risks, women may be choosing to freeze their eggs in a commercially exploitative context, thus undermining rather than expanding reproductive autonomy.     

Rains gone bad, women gone mad: rethinking gender rituals of rebellion and patriarchy

This article reconsiders the argument that 'rituals of rebellion' be seen as women's ritual response to everyday patriarchal structures – an argument originally suggested by Gluckman, but recently evoked by Spencer, the Creiders, and others – in light of recent anthropological theorizing on gender. Using as an example one such women's ritual among the Ihanzu of Tanzania, I show how this particular formulation reduces complex notions of gender and gender practices to unnuanced, monolithic, and all-encompassing gender-systems, both in everyday and ritual realms. This it does, first, by conflating gender ideals with gender behaviours and, second, by ignoring people's conflicting ideas about gender. By problematizing these contradictions, I demonstrate how Ihanzu women's rites are not about rebellion but gender complementarity, played out by women dancers embodying both genders simultaneously. Above all, this case compels us to rethink, fundamentally, 'rituals of rebellion' and 'patriarchy'.     

Examining police/black relations: what's in a story?

This article presents evidence from a detailed qualitative study to demonstrate the significance of personal knowledge to black people’s understanding of police/black relations. It explains how the stories told by respondents to illustrate their views revealed that previous explanations of the relationship have over-stressed the role of the black community and underplayed the importance of personal experiences in helping to form the perspectives of black people. The article outlines three central assumed truths contained within the stories, each of which leads to the conclusion that policing is irrefutably racialized. It is argued that the stories are underpinned by a dominant narrative of racialized policing which has grave implications for efforts to address the mistrust of the police evident among the black population. In highlighting the social role of stories, the article draws attention to their analytical significance in sociological analysis. It also draws attention to the importance of increasing the focus on the experiences and views of those on the receiving end of criminal justice in order to improve our understanding of everyday processes of racialization.     

The varied nature of women's sexuality: unresolved issues and a theoretical approach

During the 20th century there were clear indications that the socio-cultural suppression of women's sexuality had lessened, revealing a marked variability of women's sexual expression. In this article we review the recent literature to explore explanations for this variability. It is clear that we know little about the nature of sexual desire, and in particular, what it is that is desired. There is also now substantial evidence that vaginal response, as measured by vaginal pulse amplitude, is a relatively automatic response to perception of sexual stimuli, regardless of whether these stimuli are perceived positively or result in subjective arousal. This is considered as a possible mechanism that allows vaginal intercourse without pain, even when the woman is not sexually aroused. The roles of androgens and estrogen in women's sexuality remain uncertain. The evidence is, however, consistent with there being a testosterone-dependent component of women's sexuality that is more important for some women than others. Finally, a new theoretical model is presented that aims to resolve these uncertainties and that proposes different types of women's sexuality. Once we have a better understanding of “normal” female sexuality, in its various forms, our ability to develop effective treatments for women's sexual problems should improve.     

A "Consumer's Right" to Choose a Midwife: Shifting Meanings for Reproductive Rights under Neoliberalism

The "right to choose" has long served as the ideological rallying cry for reproductive rights activists. Yet critical attention to the social, political, and economic conditions under which individuals make such choices has been central to anthropological research on reproduction. In the context of neoliberal public policy shifts that favor trust in the market to remedy all social and economic inequality, I explore how women's reproductive rights are becoming characterized by one's ability to consume uneven reproductive "choices." Based on my ethnographic fieldwork with midwifery supporters in Virginia, I examine how organizers have begun to utilize "consumer rights" rhetoric in their struggle for legal access to midwives. One often-unintended result has been intensified divisions within this movement, particularly as low-income "homebirthers" feel unable to claim the identity of "consumer." I use Virginia as a case study to raise broader questions about women's shifting strategies toward securing reproductive rights under neoliberalism.     

Reproductive strategies and Islamic discourse: Malian migrants negotiate everyday life in Paris, France

Approximately 37 thousand Malians currently reside in France as part of the West African diaspora. Primarily Muslim, both women and men confront challenges to their understandings of Islamic prohibitions and expectations, especially those addressing conjugal relations and reproduction. Biomedical policies generate marital conflicts and pose health dilemmas for women who face family and community pressures to reproduce but biomedical encouragement to limit childbearing. For many women, contraception represents a reprieve from repeated pregnancies and fatigue in spite of resistance from those who contest women's reproductive decisions as antithetical to Islam. French social workers play a particularly controversial role by introducing women to a discourse of women's rights that questions the authority of husbands and of religious doctrine. Women and men frame decisions and debate in diverse interpretations of Islam as they seek to manage the contradictions of everyday life and assert individual agency in the context of immigration and health politics.     

Women's autonomy and reproductive preferences in Eritrea

Current research and policies on reproductive behaviours in many East African countries focus primarily on proxy indicators of women's autonomy, and very little emphasis is placed on direct indicators of women's autonomy. In this paper, data from the 2002 Eritrea Demographic and Health Survey (EDHS) are used to address some of the most frequently raised questions about the link between women's autonomy and reproductive behaviour. The results from the multivariate logistic models show that although the relationship between women's autonomy and reproductive preferences in Eritrea is complex, some clear, broad patterns exist that have implications for theory and policy. First, although the different dimensions of women's autonomy influence the outcome variables differently in terms of magnitude and statistical significance, most of them have a strong connection; in particular, women's final say in decisions regarding day-to-day household purchases and spousal communication are significant explanatory variables in fertility preferences and ever-use of modern contraception. Second, many background (proxy) variables, particularly household economic condition and employment, exert a strong and independent influence over fertility preferences and ever-use of contraception regardless of a woman's autonomy. In their relationship to reproductive behaviours, therefore, employment and economic status cannot be considered as proxies for women's autonomy in Eritrea. A complete explanation of the relationship between women's autonomy and reproductive preferences must recognize the effects of both the background and direct autonomy indicators. Interventions are needed to improve women's decision-making autonomy and strengthen their negotiating capacity on family planning if an increased desire to limit fertility is to be attained.     

Invoking vali: painful technologies of modern birth in south India

As reproduction becomes increasingly biomedicalized throughout the globe, reproductive technologies are used in unique ways and imbued with different meanings. This article explores why lower-class women in south India in the 1990s were demanding to have childbirth labors induced with oxytocin drugs while rejecting anesthesia. Cultural constructions of women's reproductive power are evoked and reworked in discourses of modernity that explain this preference. Discourses on relationships among gender, pain, and modernity relate to political-economic constraints on hospitals to perpetuate this practice.     

"Interracial" Sex and Racial Democracy in Brazil: Twin Concepts?

Racial democracy is maintained in Brazil through both scholarly and popular discourses that consider "interracial" sex as proof of Brazil's lack of a racial problem. In this article, I scrutinize the discourse that asks, "How can we be racist when so many of us are mixed?" I argue that racial discourses are embedded in everyday interactions, but are often codified or masked. "Race" is especially pertinent to sexuality, yet the two have hardly been analyzed together. In fact, it is not the belief in a racial democracy that is at the heart of Brazilian racial hegemony, but rather the belief that Brazil is a color-blind erotic democracy. Using my ethnographic data, I illustrate that "race" is embodied in everyday valuations of sexual attractiveness that are gendered, racialized, and class-oriented in ways that commodity black female bodies and white male economic, racial, and class privilege. [Brazil, race, sexuality, poverty]     

From Samburu Heirloom to New Age Artifact: The Cross-Cultural Consumption of Mporo Marriage Beads

Antique Venetian trade beads used in Samburu women's marriage necklaces ( mporo ) have recently undergone intense recommodif ication in the transnational trade bead market concurrent with their appropriation by Euro-American women in both religious and secular domains. The article offers duai ethnographies of this mporo bead in order to advance anthropological understandings of precious objects in the context of globalization. Samburu and Euro-American desires for the "same" bead have been both reciprocal and distinct: Whereas Samburu desires for and exchange of mporo beads have been rooted in Samburu cultural forms, Euro-American desires for the same bead are linked to a kind of "fictional inalienability" that is not embedded in Samburu social relations but is instead rich in spiritual associations imagined through Euro-American women's vague understandings of the bead's "original" African owners. [Keywords: material culture, globalization, United States, Kenya, pastoralists]     

Situating Women's Reproductive Activities

In her pathbreaking book, Abortion and Woman's Choice, Rosalind Pollack Petchesky astutely observed that, in many societies, control over the methods and goals of reproduction is a critical site of contest, particularly between women and men. Yet the circumstances under which reproductive relations will be characterized by conflict, consensus, or some of both have seldom been systematically explored. In this paper, I therefore offer three examples of different structural contexts in which either women or men had the preponderance of power to influence key aspects of women's reproductive activities. I argue that while structural factors, notably the distribution of economic, political, and institutional resources, are fundamental, they do not only act directly but are experienced, interpreted, and made meaningful through specific cultural processes, particularly gender ideologies, norms about morality, and beliefs about how women should behave. It is together that these structural factors and cultural processes shape the climates and contexts within which women's reproductive activities are situated and take place, [reproduction, gender politics, Latin America, Mexican Americans]     

IVF and women's interests: an analysis of feminist concerns

Feminist objections to the new reproductive technologies are examined. The author argues that although these technologies entail significant risks and costs to women, help only a small minority, and do not address the underlying social causes of infertility, women's interests do not demand the rejection of research on and use of reproductive technologies. Their potential threat to female reproductive autonomy can be counteracted by protecting individual civil rights. Warren urges that women, as well as members of various racial, ethnic, and socioeconomic groups, be represented in decisions on reproductive technologies, participate in their development and funding, and supervise their provision.     

Epidemiological transitions, reproductive health, and the Flexible Response Model

In concert with improving standards of living since the mid-19th century, chronic and non-infectious diseases replaced infectious diseases as the major causes of mortality in more developed countries. Thus, economic development has been seen as one strategy to improve women's reproductive health. However, rates of two of the major contributors to women's illness, maternal mortality and breast cancer, do not correspond well with the level of economic development. Drawing upon our longitudinal study of reproductive functioning among rural Bolivians (Project Reproduction and Ecology in Provincia Aroma (REPA)), we propose an evolutionary model to explain variation in certain aspects of women's reproductive health. Our findings suggest new avenues of inquiry into the determinants of reproductive health and have implications for improving the well-being of women worldwide.