Kimport Katrina, Weitz Tracy A
Advancing New Standards in Reproductive Health, University of California, San Francisco, USA.
Sociol Health Illn. 2015 Jul;37(6):856-69. doi: 10.1111/1467-9566.12237. Epub 2015 Feb 16.
As ultrasound scanning becomes increasingly routine in abortion care, scholars and activists have forwarded claims about how viewing the ultrasound image will affect pregnant women seeking abortion, speculating that it will dissuade them from abortion. These accounts, however, fail to appreciate how viewing is a social process. Little research has investigated how ultrasound workers navigate viewing in abortion care. We draw on interviews with twenty-six ultrasound workers in abortion care for their impressions and practices around ultrasound viewing. Respondents reported few experiences of viewing dissuading women from abortion, but did report that it had an emotional effect on patients that they believed was associated with gestational age. These impressions informed their practices, leading many to manage patient viewing based on the patient's gestational age. Other aspects of their accounts, however, undercut the assertion that the meaning of ultrasound images is associated with gestation and show the pervasiveness of cultural ideas associating developing foetal personhood with increasing gestational age. Findings demonstrate the social construction of ultrasound viewing, with implications in the ongoing contestation over abortion rights in the US.
随着超声扫描在堕胎护理中越来越常规化,学者和活动家们提出了关于观看超声图像将如何影响寻求堕胎的孕妇的说法,推测这会劝阻她们放弃堕胎。然而,这些说法没有认识到观看是一个社会过程。很少有研究调查超声工作者在堕胎护理中如何进行观看操作。我们通过对26名从事堕胎护理的超声工作者的访谈,了解他们对超声观看的印象和做法。受访者报告说,很少有观看行为会劝阻女性放弃堕胎,但确实报告说这对患者有情感影响,他们认为这种影响与孕周有关。这些印象影响了他们的做法,导致许多人根据患者的孕周来管理患者的观看。然而,他们描述的其他方面削弱了超声图像的意义与孕周相关的说法,并显示出将发育中的胎儿人格与孕周增加联系起来的文化观念的普遍性。研究结果表明了超声观看的社会建构性,这对美国正在进行的堕胎权争议有影响。