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“It makes it more real”: Examining ambiguous fetal meanings in abortion care

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  • Becker, Andréa
  • Hann, Lena R.

Abstract

The role of fetal development in abortion work is unresolved, mirroring a broader cultural ambivalence regarding the fetus. The collective, cultural notion of fetuses tends to lie on a dichotomy between “clump of cells” and “baby,” with little public attention to the realities of fetal development during all stages of pregnancy. This tension is exacerbated by an absence of medically accurate images of aborted fetal tissue available to lay audiences. In this paper, we examine how independent abortion providers manage contradictory messages surrounding the fetus when providing patient-centered pregnancy tissue viewing (PCV). More specifically, we investigate how providers navigate public and private understandings of the fetus in their healthcare provision amidst a void of nuanced fetal imagery. Through interviews with 25 independent abortion providers in the United States, we analyze the discursive framings providers employ to make sense of the fetus and provision of PCV. Using a symbolic interactionism framework, we grouped results into three overarching themes: tensions in language, the impact of gestation as de- or re-stigmatizing, and looking as “making it more real.” Our findings support the notion that the fetus is largely socially constructed, mutable, and variant across individuals, context, and time; our findings also highlight abortion providers' ability to hold nuanced and sometimes conflicting thoughts and feelings about fetuses while providing patient-centered care. This study addresses a largely overlooked practice within medical sociology and furthers our understanding of how cultural narratives shape the provision and meanings of patient-centered care, the professional socialization of healthcare workers, and the patient-provider interaction.

Suggested Citation

  • Becker, Andréa & Hann, Lena R., 2021. "“It makes it more real”: Examining ambiguous fetal meanings in abortion care," Social Science & Medicine, Elsevier, vol. 272(C).
  • Handle: RePEc:eee:socmed:v:272:y:2021:i:c:s027795362100068x
    DOI: 10.1016/j.socscimed.2021.113736
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    References listed on IDEAS

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    1. Williams, Clare, 2005. "Framing the fetus in medical work: rituals and practices," Social Science & Medicine, Elsevier, vol. 60(9), pages 2085-2095, May.
    2. Harris, Lisa Hope & Debbink, Michelle & Martin, Lisa & Hassinger, Jane, 2011. "Dynamics of stigma in abortion work: Findings from a pilot study of the Providers Share Workshop," Social Science & Medicine, Elsevier, vol. 73(7), pages 1062-1070.
    3. Roe, Kathleen M., 1989. "Private troubles and public issues: Providing abortion amid competing definitions," Social Science & Medicine, Elsevier, vol. 29(10), pages 1191-1198, January.
    4. Martin, Lisa A. & Hassinger, Jane A. & Debbink, Michelle & Harris, Lisa H., 2017. "Dangertalk: Voices of abortion providers," Social Science & Medicine, Elsevier, vol. 184(C), pages 75-83.
    5. Hopkins, Nick & Zeedyk, Suzanne & Raitt, Fiona, 2005. "Visualising abortion: emotion discourse and fetal imagery in a contemporary abortion debate," Social Science & Medicine, Elsevier, vol. 61(2), pages 393-403, July.
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