IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v272y2021ics027795362100068x.html
   My bibliography  Save this article

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

Author

Listed:
  • 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
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S027795362100068X
    Download Restriction: Full text for ScienceDirect subscribers only

    File URL: https://libkey.io/10.1016/j.socscimed.2021.113736?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. 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.
    2. 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.
    3. 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.
    4. 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.
    5. Williams, Clare, 2005. "Framing the fetus in medical work: rituals and practices," Social Science & Medicine, Elsevier, vol. 60(9), pages 2085-2095, May.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Mills, Lisa & Watermeyer, Jennifer, 2023. "A meta-ethnography on the experience and psychosocial implications of providing abortion care," Social Science & Medicine, Elsevier, vol. 328(C).
    2. Marianne Kjelsvik & Ragnhild J. Tveit Sekse & Asgjerd Litleré Moi & Elin M. Aasen & Eva Gjengedal, 2018. "Walking on a tightrope—Caring for ambivalent women considering abortions in the first trimester," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(21-22), pages 4192-4202, November.
    3. 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.
    4. Williams, Clare & Ehrich, Kathryn & Farsides, Bobbie & Scott, Rosamund, 2007. "Facilitating choice, framing choice: Staff views on widening the scope of preimplantation genetic diagnosis in the UK," Social Science & Medicine, Elsevier, vol. 65(6), pages 1094-1105, September.
    5. Beynon-Jones, Siân M., 2013. "‘We view that as contraceptive failure’: Containing the ‘multiplicity’ of contraception and abortion within Scottish reproductive healthcare," Social Science & Medicine, Elsevier, vol. 80(C), pages 105-112.
    6. Goldblatt Hyatt, E & Wilpers, Abigail & Bahtiyar, Mert Ozan & Hu, Yunzhe & Leon-Martinez, Daisy & Chervenak, Frank A. & McCoyd, Judith L.M., 2024. ""I don't have a telephone to the fetus": Clinicians' conceptions of fetal patienthood in maternal-fetal surgery counseling," Social Science & Medicine, Elsevier, vol. 342(C).
    7. Broussard, Kathleen, 2020. "The changing landscape of abortion care: Embodied experiences of structural stigma in the Republic of Ireland and Northern Ireland," Social Science & Medicine, Elsevier, vol. 245(C).
    8. 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.
    9. Andaya, Elise & Campo-Engelstein, Lisa, 2021. "Conceptualizing Pain and Personhood in the Periviable Period: Perspectives from Reproductive Health and Neonatal Intensive Care Unit Clinicians," Social Science & Medicine, Elsevier, vol. 269(C).
    10. Tiziana Ramaci & Massimiliano Barattucci & Caterina Ledda & Venerando Rapisarda, 2020. "Social Stigma during COVID-19 and its Impact on HCWs Outcomes," Sustainability, MDPI, vol. 12(9), pages 1-13, May.
    11. Mirlesse, Véronique & Ville, Isabelle, 2013. "The uses of ultrasonography in relation to foetal malformations in Rio de Janeiro, Brazil," Social Science & Medicine, Elsevier, vol. 87(C), pages 168-175.
    12. Kent, Julie, 2008. "The fetal tissue economy: From the abortion clinic to the stem cell laboratory," Social Science & Medicine, Elsevier, vol. 67(11), pages 1747-1756, December.
    13. Heinsen, Laura Louise & Bruheim, Camilla & Adrian, Stine Willum, 2023. "Orchestrating moral bearability in the clinical management of second-trimester selective abortion," Social Science & Medicine, Elsevier, vol. 338(C).
    14. Miner, Skye A., 2019. "Demarcating the dirty work: Canadian Fertility professionals’ use of boundary-work in contentious egg donation," Social Science & Medicine, Elsevier, vol. 221(C), pages 19-26.
    15. Pfeffer, Naomi, 2008. "What British women say matters to them about donating an aborted fetus to stem cell research: A focus group study," Social Science & Medicine, Elsevier, vol. 66(12), pages 2544-2554, June.
    16. Steinberg, Julia R. & Tschann, Jeanne M. & Furgerson, Dorothy & Harper, Cynthia C., 2016. "Psychosocial factors and pre-abortion psychological health: The significance of stigma," Social Science & Medicine, Elsevier, vol. 150(C), pages 67-75.
    17. Graham, Ruth H. & Robson, Stephen C. & Rankin, Judith M., 2008. "Understanding feticide: An analytic review," Social Science & Medicine, Elsevier, vol. 66(2), pages 289-300, January.
    18. Czarnecki, Danielle & Anspach, Renee R. & De Vries, Raymond G. & Dunn, Mercedez D. & Hauschildt, Katrina & Harris, Lisa H., 2019. "Conscience reconsidered: The moral work of navigating participation in abortion care on labor and delivery," Social Science & Medicine, Elsevier, vol. 232(C), pages 181-189.
    19. Suh, Siri, 2014. "Rewriting abortion: Deploying medical records in jurisdictional negotiation over a forbidden practice in Senegal," Social Science & Medicine, Elsevier, vol. 108(C), pages 20-33.
    20. Williams, Clare & Sandall, Jane & Lewando-Hundt, Gillian & Heyman, Bob & Spencer, Kevin & Grellier, Rachel, 2005. "Women as moral pioneers? Experiences of first trimester antenatal screening," Social Science & Medicine, Elsevier, vol. 61(9), pages 1983-1992, November.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:272:y:2021:i:c:s027795362100068x. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.