Health Justice and Maternity Care: Recognizing Social Suffering during Pregnancy, Childbirth and Early Parenthood

该项目将调查怀孕少女这一类别是如何构成的，如何产生有关这一类别的知识，以及年轻孕妇如何体验旨在减少少女怀孕和支持少女母亲的服务。借鉴福柯的著作，它将考察权力是如何通过行为管理产生有效作用的。该项目将查明旨在最大限度提高人口健康和个人福祉的做法可能造成的边缘化影响。最初，该项目将审查康沃尔郡有关少女怀孕的现有政策框架。通过对国家和国际政策和学术文献的调查，这将在历史和地理上定位。其次，将对康沃尔郡的怀孕少女进行访谈。重点是年轻女性的观点和经历，探索青少年怀孕是如何被女性同化和/或抵制的，作为她们身份的一部分。第三，将与康沃尔的政策行为者以及保健和社会专业人员进行面谈。通过这些访谈，该项目将检查服务提供者如何看待少女怀孕的“问题”以及他们如何看待用户群体。它将探讨如何对青少年怀孕和母亲支持的社会规范措施进行评估和监督。它将探讨围绕少女怀孕的监管做法是如何变得可以想象的，这些做法是如何复制的，以及服务提供者和政策行为者如何反思减少少女怀孕战略的潜在边缘化影响。该项目将结合对访谈的解读、对政策网络的观察和对哲学文本的阅读，以发展一种灵活的治理批判理论（包括家谱学、日常生活现象学和解释性公共政策）。治理方法通过作为自我行为的面对面接触，促进了对日常政府技术和实践层面上的权力关系的分析。这种方法认识到，作为知识的专业知识是如何使特定的实践和对真理的主张合法化的，通过这些实践和主张，可以说和做的事情变得有意义。该项目将根据妇女的经验提出改进服务提供和政策制定的建议，并借鉴目前发展起来的治理批判理论。作为项目合作伙伴，康沃尔健康观察将在研究的各个阶段发挥重要作用，包括研究设计、结果解释、建议制定和传播。

The project will investigate how the category of pregnant teenager is constituted, how the knowledges surrounding it are produced and how young pregnant women experience the provision of services aimed at reducing teenage pregnancy and supporting teenage mothers. Drawing on the work of Foucault, it will examine how power works productively through the government of conduct. The project will identify the potentially marginalizing effects of practices aimed at maximizing the health of the population and well-being of individuals.Initially, the project will examine the existing policy framework within Cornwall in relation to teenage pregnancy. This will be situated historically and geographically through a survey of national and international policy and the academic literature. Second, interviews will be conducted with teenage pregnant women in Cornwall. The focus is the perspective and experience of the young women, exploring how teenage pregnancy is assimilated and/or resisted by women as part of their identity. Third, interviews will be conducted with policy actors and health care and social professionals in Cornwall. Through these interviews the project will examine how service providers view the 'problem' of teenage pregnancy and how they view the user-group. It will inquire into how the social norms surrounding teenage pregnancy and mothering support measures of assessment and surveillance. It will explore how regulatory practices surrounding teenage pregnancy become thinkable, how these practices are reproduced and how reflective service providers and policy actors are concerning the potentially marginalizing effects of teenage pregnancy reduction strategies.The project will combine the interpretation of interviews, observations of policy network and reading of philosophical texts to develop a flexible critical theory of governmentality (which includes genealogy, phenomenology of everyday life and interpretive public policy). The governmentality approach facilitates an analysis of the relations of power at the level of the technologies and practices of everyday government through face to face encounters as the conduct of self. This approach recognizes how expertise as knowledge works to legitimize particular practices and claims to truth through which what can be said and done come to appear meaningful.The project will recommend improvements to service delivery and policy making driven by the experience of the women and informed by the critical theory of governmentality that is developed. As the Project partner, Healthwatch Cornwall will play an essential part in all stages of the research, including the research design, interpretation of findings, development of recommendations and dissemination.