Translating epigenetics into antenatal care in Australia: communicating risk and intergenerational health in practice.

The scientific field of epigenetics – and its social and ethical repercussions – has been met with a mixture of cautious optimism and scepticism from social scientists. While acknowledging the possibilities of contributing to a more biosocial account of health, critical scholars are concerned about...

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Publicado en:Health, Risk & Society Vol. 27; no. 7/8; pp. 332 - 349
Autores principales: Williamson, Rebecca, Roberts, Celia, Valentine, Kylie, Leach Scully, Jackie, Mills, Catherine, Boyle, Jacqueline
Formato: research Journal Article
Publicado: Taylor & Francis Ltd Oct/Nov2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct/Nov2025
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        atl: Translating epigenetics into antenatal care in Australia: communicating risk and intergenerational health in practice.
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          Williamson, Rebecca
          Roberts, Celia
          Valentine, Kylie
          Leach Scully, Jackie
          Mills, Catherine
          Boyle, Jacqueline
        affil: Monash Bioethics Centre, SOPHIS, Monash University, Melbourne, Australia
      sug:
        subj:
          Prenatal Care New South Wales
          Epigenomics
          Prenatal Diagnosis
          Risk Assessment
          Program Implementation
          Attitude of Health Personnel Evaluation
          Human
          Female
          Funding Source
          New South Wales
          Qualitative Studies
          Semi-Structured Interview
          Thematic Analysis
          Maternal-Child Health
          Patient Attitudes
          Communication
          Stigma
          Social Determinants of Health
          Anxiety
          Patient Compliance
          Guilt
          Health Literacy
          Female
      ab: The scientific field of epigenetics – and its social and ethical repercussions – has been met with a mixture of cautious optimism and scepticism from social scientists. While acknowledging the possibilities of contributing to a more biosocial account of health, critical scholars are concerned about how this knowledge could be used to intensify risk narratives for certain groups, particularly pregnant people. Drawing on in-depth qualitative interviews with 32 pregnancy-related healthcare professionals, this article addresses a gap in knowledge about how epigenetics is translated into antenatal care in practice. We found that although healthcare professionals were very attuned to ideas about the transmission of health and reducing risk exposures, epigenetics was not explicitly discussed with pregnant people. Given this finding, we explore practitioners' reflections on how the concept of 'epigenetic risk' – as a still-nascent way of scientising future risk for maternal and child health – might fit into existing pregnancy care frameworks and the management of risk. We consider how it might contribute to discussions of health and risk more generally, particularly for reframing ideas of reproduction, responsibility and future health. We suggest any future translation should be attuned to the complex navigations of risk as practiced in pregnancy care.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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