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Planning parenthood: Health care providers' perspectives on pregnancy intention, readiness, and family planning

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  • Stevens, Lindsay M.

Abstract

A major health care goal in the United States is increasing the proportion of pregnancies that are planned. While many studies examine family planning from the perspective of individual women or couples, few investigate the perceptions and practices of health care providers, who are gatekeepers to medicalized fertility control. In this paper, I draw on 24 in-depth interviews with providers to investigate how they interpret and enact the objective to “plan parenthood” and analyze their perspectives in the context of broader discourses about reproduction, family planning, and motherhood. Interviews reveal two central discourses: one defines pregnancy planning as an individual choice, that is as patients setting their own pregnancy intentions; the second incorporates normative expectations about what it means to be ready to have a baby that exclude poor, single, and young women. In the latter discourse, planning is a broader process of achieving middle-class life markers like a long-term relationship, a good job, and financial stability, before having children. Especially illuminating are cases where a patient's pregnancy intention and the normative expectations of “readiness” do not align. With these, I demonstrate that providers may prioritize normative notions of readiness over a patient's own intentions. I argue that these negotiations of intention and readiness reflect broader tensions in family planning and demonstrate that at times the seemingly neutral notion of “planned parenthood” can mask a source of stratification in reproductive health care.

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  • Stevens, Lindsay M., 2015. "Planning parenthood: Health care providers' perspectives on pregnancy intention, readiness, and family planning," Social Science & Medicine, Elsevier, vol. 139(C), pages 44-52.
  • Handle: RePEc:eee:socmed:v:139:y:2015:i:c:p:44-52
    DOI: 10.1016/j.socscimed.2015.06.027
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    References listed on IDEAS

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    1. Downing, R.A. & LaVeist, T.A. & Bullock, H.E., 2007. "Intersections of ethnicity and social class in provider advice regarding reproductive health," American Journal of Public Health, American Public Health Association, vol. 97(10), pages 1803-1807.
    2. Kendall, Carl & Afable-Munsuz, Aimee & Speizer, Ilene & Avery, Alexis & Schmidt, Norine & Santelli, John, 2005. "Understanding pregnancy in a population of inner-city women in New Orleans--results of qualitative research," Social Science & Medicine, Elsevier, vol. 60(2), pages 297-311, January.
    3. van Ryn, Michelle & Burke, Jane, 2000. "The effect of patient race and socio-economic status on physicians' perceptions of patients," Social Science & Medicine, Elsevier, vol. 50(6), pages 813-828, March.
    4. Barrett, Geraldine & Wellings, Kaye, 2002. "What is a 'planned' pregnancy? empirical data from a British study," Social Science & Medicine, Elsevier, vol. 55(4), pages 545-557, August.
    5. Breheny, Mary & Stephens, Christine, 2007. "Irreconcilable differences: Health professionals' constructions of adolescence and motherhood," Social Science & Medicine, Elsevier, vol. 64(1), pages 112-124, January.
    6. Geronimus, Arline T., 2003. "Damned if you do: culture, identity, privilege, and teenage childbearing in the United States," Social Science & Medicine, Elsevier, vol. 57(5), pages 881-893, September.
    7. Katz, Arlene M. & Alegría, Margarita, 2009. "The clinical encounter as local moral world: Shifts of assumptions and transformation in relational context," Social Science & Medicine, Elsevier, vol. 68(7), pages 1238-1246, April.
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    Cited by:

    1. Wright, Kelsey Q., 2020. "Contraceptive selection and practice: Associations with self-identified race and socioeconomic disadvantage," Social Science & Medicine, Elsevier, vol. 266(C).
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    6. Manzer, Jamie L. & Bell, Ann V., 2022. "The limitations of patient-centered care: The case of early long-acting reversible contraception (LARC) removal," Social Science & Medicine, Elsevier, vol. 292(C).

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