The High-Risk Pregnancy in Two Americas: A Comparative Ethnography- [electronic resource]
The High-Risk Pregnancy in Two Americas: A Comparative Ethnography- [electronic resource]
- 자료유형
- 학위논문파일 국외
- 최종처리일시
- 20240214101228
- ISBN
- 9798379703509
- DDC
- 301
- 서명/저자
- The High-Risk Pregnancy in Two Americas: A Comparative Ethnography - [electronic resource]
- 발행사항
- [S.l.]: : University of California, Los Angeles., 2023
- 발행사항
- Ann Arbor : : ProQuest Dissertations & Theses,, 2023
- 형태사항
- 1 online resource(127 p.)
- 주기사항
- Source: Dissertations Abstracts International, Volume: 84-12, Section: B.
- 주기사항
- Advisor: Landecker, Hannah Louis;Timmermans, Stefan.
- 학위논문주기
- Thesis (Ph.D.)--University of California, Los Angeles, 2023.
- 사용제한주기
- This item must not be sold to any third party vendors.
- 초록/해제
- 요약This dissertation is a comparative ethnography of the life and worlds of the high-risk pregnancy when wealthy and poor in Los Angeles, California. The study design is a case comparison of high-risk pregnancy and prenatal care at the extreme ends of the socioeconomic hierarchy: my field sites are "the Boutique," a private high-risk prenatal treatment center catering to upper and upper middle-class clientele, and "the Satellite," providing a "one-stop shop" for publicly insured pregnant women. The comparison controls for health care provider orientation and training, as a rotating cast of physicians practice at both field sites. I find the biomedical classification of the high-risk pregnancy hangs together through a disparate web of risk for the wealthy and poor, attended through different forms of care delivered across settings. Empirical findings examine the divergent ways risk is constructed or produced in clinic, the differing temporal natures of the high-risk pregnancy for the wealthy and poor, and the unintended consequences of cutting-edge technology within the setting of elite prenatal care. Although the base assumption is that privately purchased care means better care, I uncover a surprising finding-poor women receive comprehensive, holistic care that surpasses the sometimes fragmented and overmedicalized prenatal care wealthy women receive. Yet this better care also has a punitive aspect: poor women do not receive care that respects their privacy and always attends to how the broader socioeconomic landscape, rather than how individual behaviors, influences outcomes. Furthermore, the Satellite represents an island of comprehensive care within a treatment landscape defined by a lack of access and availability to high-risk prenatal care for the publicly insured. This study reveals that socioeconomic stratification produces distinct forms and procedures of the high-risk pregnancy, occupying differing realms of the biological and biomedical, economic, political, and social -and thus make up "two Americas."
- 일반주제명
- Sociology.
- 일반주제명
- Medicine.
- 일반주제명
- Obstetrics.
- 일반주제명
- Social structure.
- 키워드
- Ethnography
- 키워드
- Inequality
- 키워드
- Pregnancy
- 키워드
- Reproduction
- 키워드
- Pregnant women
- 기타저자
- University of California, Los Angeles Sociology 0867
- 기본자료저록
- Dissertations Abstracts International. 84-12B.
- 기본자료저록
- Dissertation Abstract International
- 전자적 위치 및 접속
- 로그인 후 원문을 볼 수 있습니다.