规范妊娠晚期堕胎:以胎儿为中心的法律和对妇女主体性的抹杀。

IF 3.3 3区 医学 Q1 HEALTH CARE SCIENCES & SERVICES Journal of Health Politics Policy and Law Pub Date : 2024-08-09 DOI:10.1215/03616878-11516772
Katrina Kimport, Tracy Weitz
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引用次数: 0

摘要

背景:在美国,胎儿发育的标志,包括 "存活率 "和胎儿能够 "感觉到疼痛 "的时间点,已经渗透到堕胎的社会想象中,影响到公众的支持以及医疗的合法性和可用性,但这些标志在多大程度上描述和引导了妊娠晚期的堕胎经历还不清楚:方法:通过对美国 30 名在怀孕 24 周后堕胎的顺性别女性进行访谈,我们调查了胎儿存活率和/或疼痛的概念是否以及如何在她们的怀孕和堕胎生活经历中发挥作用:根据受访者的描述,基于胎儿发育的法律以所谓的胎儿发育点为基础限制堕胎,将胎儿的存活能力和疼痛状况置于未来新生儿的存活能力和疼痛状况之上,并且没有考虑到孕妇的存活能力和疼痛状况:以胎儿发育为中心来规范堕胎准入的话语实践,在概念上--甚至在受精时--就使因胎儿的状况而拒绝堕胎护理成为可能,并使抹杀妇女和其他可能怀孕者的主体性自然化。
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Regulating Abortion Later in Pregnancy: Fetal-Centric Laws and the Erasure of Women's Subjectivity.

Context: In the United States, fetal development markers, including "viability" and the point when a fetus can "feel pain", have permeated the social imaginary of abortion, affecting public support and the legality and availability of care, but the extent to which they describe and orient the experience of abortion at later gestations is unclear.

Methods: Using interviews with 30 cisgender women in the U.S. who obtained an abortion after 24 weeks of pregnancy, we investigate whether and how notions of fetal viability and/or pain operated in their lived experiences of pregnancy and abortion.

Findings: By respondents' accounts, fetal development-based laws restricting abortion based in purported points of fetal development operated as gestational limits, privileged the viability and pain status of the fetus over that of the prospective neonate, and failed to account for the viability and pain of the pregnant person.

Conclusions: The discursive practice of centering fetal development in regulating abortion access makes denial of abortion care because of the status of the fetus conceptually available-even at the point of fertilization-and naturalizes the erasure of the subjectivity of women and others who can become pregnant.

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来源期刊
CiteScore
7.30
自引率
7.10%
发文量
46
审稿时长
>12 weeks
期刊介绍: A leading journal in its field, and the primary source of communication across the many disciplines it serves, the Journal of Health Politics, Policy and Law focuses on the initiation, formulation, and implementation of health policy and analyzes the relations between government and health—past, present, and future.
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