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The High-Risk Pregnancy in Two Americas: A Comparative Ethnography- [electronic resource]
The High-Risk Pregnancy in Two Americas: A Comparative Ethnography - [electronic resource]
The High-Risk Pregnancy in Two Americas: A Comparative Ethnography- [electronic resource]

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자료유형  
 학위논문파일 국외
최종처리일시  
20240214101228
ISBN  
9798379703509
DDC  
301
저자명  
Skaperdas, Eleni.
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.

MARC

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■020    ▼a9798379703509
■035    ▼a(MiAaPQ)AAI30527167
■040    ▼aMiAaPQ▼cMiAaPQ
■0820  ▼a301
■1001  ▼aSkaperdas,  Eleni.
■24510▼aThe  High-Risk  Pregnancy  in  Two  Americas:  A  Comparative  Ethnography▼h[electronic  resource]
■260    ▼a[S.l.]:▼bUniversity  of  California,  Los  Angeles.  ▼c2023
■260  1▼aAnn  Arbor  :▼bProQuest  Dissertations  &  Theses,  ▼c2023
■300    ▼a1  online  resource(127  p.)
■500    ▼aSource:  Dissertations  Abstracts  International,  Volume:  84-12,  Section:  B.
■500    ▼aAdvisor:  Landecker,  Hannah  Louis;Timmermans,  Stefan.
■5021  ▼aThesis  (Ph.D.)--University  of  California,  Los  Angeles,  2023.
■506    ▼aThis  item  must  not  be  sold  to  any  third  party  vendors.
■520    ▼aThis  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." 
■590    ▼aSchool  code:  0031.
■650  4▼aSociology.
■650  4▼aMedicine.
■650  4▼aObstetrics.
■650  4▼aSocial  structure.
■653    ▼aEthnography
■653    ▼aInequality
■653    ▼aPregnancy
■653    ▼aReproduction
■653    ▼aPregnant  women
■690    ▼a0626
■690    ▼a0564
■690    ▼a0380
■690    ▼a0700
■71020▼aUniversity  of  California,  Los  Angeles▼bSociology  0867.
■7730  ▼tDissertations  Abstracts  International▼g84-12B.
■773    ▼tDissertation  Abstract  International
■790    ▼a0031
■791    ▼aPh.D.
■792    ▼a2023
■793    ▼aEnglish
■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T16933288▼nKERIS▼z이  자료의  원문은  한국교육학술정보원에서  제공합니다.
■980    ▼a202402▼f2024

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