pregnancy

New York recently changed their abortion laws to allow late-term abortions when the circumstances put the mother or the fetus at risk. The law has since spurred controversy, causing a backlash in many states to limit abortion access and curb women’s reproductive rights. The law and its political backlash highlight how we often think about pregnancy as a yes-or-no answer, an all-or-nothing commitment. But a recent article in The Upshot emphasizes how this binary view of pregnancies as either “planned” or “unplanned” is inaccurate. Recent research shows that in 9 to 19% of pregnancies the mother was not sure what she wanted at the time. However, most service providers do not account for this kind of ambivalence.

Sociologist Heather Rackin argues that the distinction between  “unintended” vs. “unwanted” pregnancies is important:

“It might not be that unintended pregnancy has all these negative consequences that we think about…for some people, it might have positive consequences.”

However, when pregnancies are unwanted, mothers tend to lack resources needed to raise a child. Family planning services can address this distinction by providing continual care depending on the needs and desires of their patients. To reduce the number of unwanted pregnancies, doctors have been encouraged to ask patients about their desires to become pregnant. For those that may not want to be pregnant, contraceptive methods with more efficiency than birth control may be ideal. On the other hand, doctors can provide prenatal guidance and a contraceptive method that is reversible for patients who are uncertain.

In short, pregnancy and parenthood are complex — decisions to raise a child cannot be reduced to whether a pregnancy is planned or unplanned.

Pregnancy can be risky and expensive at any age.  But for those who can afford the costs, holding off until an older age can be advantageous. A recent article in The Atlantic describes how first-time moms over 40 tend to have greater education and financial stability. Drawing from a national fertility study, sociologist Karina Shreffler finds that half of women over 40 had to pursue expensive treatments like in vitro fertilization (IVF) in order to get pregnant. Older women are also at higher risk for various medical conditions. However, more affluent women have the financial ability to bear these expenses. Shreffler discusses numerous advantages that accompany this choice:

“People who are pursuing college are more likely to create this broader life plan: when to time their education, when to form their families, when to go for the promotion…We just don’t see that to that extent with women who don’t have college degrees.”

Waiting to have children can lead to more financial success and additional career opportunities, benefiting the children of older moms. Sociologist Karen Guzzo explains,

“These women are aware that, the longer they work before having kids, the more established they’ll be when they need to take time off — and the more valuable they’ll be to their companies.”

But again, these benefits are contingent upon the economic ability to bear the added costs that come with waiting to have children. As long as affluent, educated women are better equipped to benefit from late motherhood than women without college degrees, these benefits will perpetuate inequality.

Pregnancy can be stressful. Friends and family may have good intentions, giving informal support to expecting mothers, but their helpful hints sometimes come across as critical. A doula, however, provides emotional support before, during, and after birth, and helps women make informed health decisions.

Sociologist Lisa Hall talked to Missouri State News about her research on doula services and how these workers’ contribute women’s well-being. Hall reflected on one interview:

The client’s words were, “if it had not been for my doula, I think I might have just left my baby with my husband and moved away.” She had no confidence that she could be a good mom—especially in the midst of criticism—and the doula empowered her.

Many doula clients receive WIC (Women, Infants, and Children) services and lack access to adequate healthcare due poverty or homelessness. Furthermore, lack of education and connections (part of what social scientists call “social capital”) prevents many low-income and young women from asking questions or expressing health concerns. And, for all women, a doula can serve as a liaison to health service providers. Hall elaborates, “It’s a major view shift for some of these [expectant mothers] who haven’t been taken seriously or hadn’t been treated like an adult …”.

Taking a client’s physical and emotional needs seriously is just one aspect of doula services. The Doula Foundation teaches effective parenting, helps with healthcare access, and encourages breastfeeding, all of which benefit mothers and their children by providing a tool kit of positive health practices. Other groups, like the Isis Rising Prison Doula Project, bring doula services into spaces where birth may have even further complications.

In this era of social media, increasingly, our lives are being lived on the internet. Advertisers are taking note and mining our status updates and internet searches for information about our personal lives, targeting online advertising to our interests and identities.

Janet Vertesi, an assistant sociology professor at Princeton, has attempted the impossible: she tried to hide her pregnancy from the internet. It’s a lot harder than it sounds. Jezebel.com details her attempt to keep information out of the hands of advertisers while also explaining how this phenomenon is affecting women.

The tiniest bits of information, an Amazon order or an internet search, contribute to the web of data that companies are buying to target individuals. Data about pregnant women is fifteen times more valuable to companies than information about the average person, as parenting has increasingly become a consumer market. (See previous Citings about the economic investments of parenting and the luxury market for baby goods.)

In order to keep her pregnancy a secret, Vertesi and her husband paid for everything in cash or gift cards, asked their friends and family to keep all news off social media, and even searched for baby products using private browsing. The steps they took to avoid discovery could be seen as ‘suspicious.’ They even ended up paying cash for gift cards to spend online, a strategy that can trigger alarms when the prices get higher.

Jezebel.com discusses her experience saying, “In short, if you want to hide your pregnancy from big data, you’ve got to operate like a drug dealer.”

One concerning factor is what this means for pregnant women. Pregnancy status can be very personal and women can choose not to divulge their pregnancy for a wide range of reasons. If pregnancy is no longer private, what is?