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产前保健的种族界限与拉丁裔移民母亲身份

The prenatal care color line and Latina migrant motherhood.

机构信息

Institute for Collaboration on Health, Intervention, and Policy (InCHIP), University of Connecticut.

出版信息

Med Anthropol Q. 2023 Dec;37(4):325-340. doi: 10.1111/maq.12782. Epub 2023 Jun 24.

Abstract

Drawing from ethnographic research with Latin American migrant mothers seeking prenatal care at a safety net clinic in southern Connecticut, I describe the racial dynamics of a medical hierarchy that situates White providers and nurses above Black and Brown medical assistants and patients, terming this the prenatal care color line. I characterize three segments of the prenatal care color line: through (1) onerous enrollment in prenatal care support that strips rights from migrant mothers; (2) differences in racialized embodiment that harden essentialist and stereotyped notions surrounding Latinx reproduction, making the experience of pregnancy and birth a process of race-making; and (3) obstetric racism manifest through both denying or delaying critical medical care to Latinx pregnant patients while also overmedicalizing their uncomplicated births. I argue that the presence of the prenatal care color line-in my study clinic as in other safety net clinics-permits the harsher racialization of Latinx birthers.

摘要

从在康涅狄格州南部的一家医疗服务机构对寻求产前护理的拉丁裔移民母亲进行的民族志研究中,我描述了医疗层级中存在的种族动态,这种层级将白种医护人员和护士置于黑人和棕色人种的医疗助理和患者之上,我将其称为产前护理的种族界限。我将产前护理的种族界限分为三个部分:(1)强制性参与产前护理支持,这剥夺了移民母亲的权利;(2)种族化身体差异,使围绕拉丁裔生育的本质主义和刻板印象观念更加僵化,使怀孕和分娩的经历成为一个制造种族的过程;(3)通过拒绝或延迟为拉丁裔孕妇提供关键医疗护理,同时对她们没有并发症的分娩进行过度医疗化,表现出产科种族主义。我认为,产前护理的种族界限——在我的研究诊所以及其他医疗服务机构中——使得对生育的拉丁裔人进行更严厉的种族化成为可能。

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