"A Résumé for the Baby": Biosocial Precarity and Care of Substance-Using, Pregnant Women in San Francisco.

In the United States, the historical condemnation and punitive legal consequences of substance use during pregnancy-ranging from incarceration to termination of parental custody of a newborn-render pregnant women in state of biosocial precarity. Yet pregnant women who use illicit substances who desi...

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Publicado en:Culture, Medicine & Psychiatry Vol. 44; no. 1; pp. 35 - 56
Autores principales: Premkumar, Ashish, Kerns, Jennifer, Huchko, Megan J.
Formato: Journal Article
Publicado: Springer Nature Mar2020
Acceso en línea:Ver este registro en EBSCOhost
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        atl: "A Résumé for the Baby": Biosocial Precarity and Care of Substance-Using, Pregnant Women in San Francisco.
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          Premkumar, Ashish
          Kerns, Jennifer
          Huchko, Megan J.
        affil: Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA
      sug:
        subj:
          Patient Attitudes
          Substance Use Disorders Psychosocial Factors
          Pregnancy Complications Psychosocial Factors
          Qualitative Studies
          Young Adult
          Prospective Studies
          Adult
          California
          Female
          Substance Use Disorders Therapy
          Pregnancy Complications Therapy
          Adolescence
          Pregnancy
          Adult: 19-44 years
          Adolescent: 13-18 years
          Female
      ab: In the United States, the historical condemnation and punitive legal consequences of substance use during pregnancy-ranging from incarceration to termination of parental custody of a newborn-render pregnant women in state of biosocial precarity. Yet pregnant women who use illicit substances who desire to parent must generate a legible narrative for bureaucratic groups, such as Child Protective Services, through engagement with biomedical care in order to demonstrate parental capacity. Based on longitudinal interviews with pregnant women who were actively using illicit substances and attempting to parent after delivery, we posit that the relationship between biosocial precarity and biomedical care is a procedural interaction that is rooted in the potential to parent, described as the ability to have a "take-home baby." In order to achieve this goal, the need for engagement in biomedical care and the creation of a biomedical narrative, described as a "résumé for the baby" is required. The relationship between care and biosocial precarity is a unique, underdeveloped concept within medical anthropology and has important consequences not only for the ethical turn within anthropology, but also how applied researchers consider engagement with this highly marginalized, vulnerable population.
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    language: English
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