Doctoral Dissertation Research: The Emergence of Preconception Care: 1980-2010

SES-1029087Peter ConradMiranda WaggonerBrandeis University这项研究考察了自20世纪80年代以来，孕前护理在妇幼保健领域的出现、发展轨迹和社会影响，这是这一概念在美国卫生领域找到牵引力的十年。CDC(疾病控制中心)将孕前护理确定为一项关键的公共卫生措施，并将其定义为一套针对不良妊娠结局的战略，而这是产前干预无法预防的。前概念健康战略标志着与生殖和妇女-S健康服务有关的医学知识和医学类别的潜在重新表述和重组。本文探讨了先入为主的健康策略是如何和为什么出现的，医疗管辖权是如何在先入为主的护理议程的构建中体现出来的，以及先入为主的护理如何转变和塑造了医疗干预、女性、S身体和医疗风险的社会意义。为了回答这些问题，将对参加孕前护理专家小组的妇幼保健专业人员进行深入访谈。此外，还将分析有关孕前护理的档案数据、文件和文献。这一方法将阐明特定的健康战略随着时间的推移而产生的过程及其对女性生殖生活的医学化理论、职业边界和概念化的意义。S生育生活。广泛的影响本论文将有助于更好地理解当代女性？S健康保健和健康政策的变化动态。它将描述医疗和公共卫生专业人员如何考虑他们的工作对女性的影响-S的生殖行为、身体和社会角色。这项研究的结果还将涉及围绕政策制定和生殖保健的更广泛的社会和伦理问题。最后，通过阐明针对美国婴儿死亡率、早产和低出生体重问题的成见策略的潜在社会影响，这项工作将解决与人口健康差距有关的成见健康策略。

SES-1029087Peter ConradMiranda WaggonerBrandeis UniversityThis study examines the emergence, trajectory, and social implications of preconception care within the maternal and child health field since the 1980s, the decade in which the concept found traction in the American health arena. The CDC (Centers for Disease Control) identifies preconception care as a critical public health measure and defines it as a set of strategies that target adverse pregnancy outcomes not preventable by prenatal interventions. Preconception health strategies signal a potential reformulation and reorganization of medical knowledge and medical categories related to reproduction and women?s health services. This dissertation addresses the questions of how and why preconception health strategies emerged when they did, how medical jurisdiction was characterized in the construction of the preconception care agenda, and how preconception care shifts and shapes social meanings of medical intervention, women?s bodies, and medical risk. To answer these questions, in-depth interviews will be conducted with a purposive sample of maternal and child health professionals involved in select expert panels on preconception care. Additionally, archival data, documents, and literature on preconception care will be analyzed. This approach will elucidate the process by which a particular health strategy emerges over time and its significance for medicalization theory, occupational boundaries, and conceptualizations of women?s reproductive lives.Broader ImpactsThis dissertation will contribute to a better understanding of the changing dynamics of contemporary women?s health care and health policy. It will describe how medical and public health professionals think through the implications of their work for women?s reproductive behaviors, bodies, and social roles. This study's findings will also engage broader social and ethical concerns around policymaking and reproductive care. Finally, by illuminating the potential social impact of preconception strategies that target problems of infant mortality, preterm birth, and low birthweight in the U.S., this work will address preconception health strategies in relation to population health disparities.