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Obesity is a rising global health problem. On the one hand a clearly defined medical condition, it is at the same time a corporeal state embedded in the social and cultural perception of fatness, body shape and size. Focusing specifically on the maternal body, contributors to the volume examine how the language and notions of obesity connect with, or stand apart from, wider societal values and moralities to do with the body, fatness, reproduction and what is considered ‘natural’. A focus on fatness in the context of human reproduction and motherhood offers instructive insights into the global circulation and authority of biomedical facts on fatness (as ‘risky’ anti-fit, for example). As with other social and cultural studies critical of health policy discourse, this volume challenges the spontaneous connection being made in scientific and popular understanding between fatness and ill health.
The maternal body is a site of contested dynamics of power, identity, experience, autonomy, occupation, and control. Representations of the maternal body can mis/represent the childbearing and mothering form variously, often as monstrous, idealized, limited, scrutinized, or occupied, whilst dominant discourses limit motherhood through social devaluation. The maternal body has long been a hypervisible artifact: at once bracketed out in the interest of elevating the contributions of sperm-carriers or fetal status; and regarded with hostility and suspicion as out of control. Such arguments are deployed to justify surveillance mechanisms, medical scrutiny, and expectation of self-discipline.This volume helps to develop a more critical understanding of what it means to be an embodied mother. The materiality of maternity and its centrality to family and social life remains too often viewed as a ?fringe? subject, the province of feminists, activists, hysterical women. For too long, the maternal body has been subject to ?expert? advice, guidance, censure, and control. Those of us maternal bodies are at risk of being commodified and diminished, having our bodily realities reduced to mechanistic functions and our lived experience disregarded. From art to medical surveillance, from genetics to radioactivity, goddess to breastfeeding, poetry to Indigenous community, dance to body size, the critical eye of the academic and the lived experience of the mother bring into being in this work a body of understanding, of expression, of knowledge and the power and authority of the lived experience, through and about the embodied mother. This critical-creative work encompasses new insights, new research, and redeveloped perspectives which combine the personal with the pervasive and point to new meaning-making in critical motherhood studies via the medium of the maternal body.
As women of childbearing age have become heavier, the trade-off between maternal and child health created by variation in gestational weight gain has become more difficult to reconcile. Weight Gain During Pregnancy responds to the need for a reexamination of the 1990 Institute of Medicine guidelines for weight gain during pregnancy. It builds on the conceptual framework that underscored the 1990 weight gain guidelines and addresses the need to update them through a comprehensive review of the literature and independent analyses of existing databases. The book explores relationships between weight gain during pregnancy and a variety of factors (e.g., the mother's weight and height before pregnancy) and places this in the context of the health of the infant and the mother, presenting specific, updated target ranges for weight gain during pregnancy and guidelines for proper measurement. New features of this book include a specific range of recommended gain for obese women. Weight Gain During Pregnancy is intended to assist practitioners who care for women of childbearing age, policy makers, educators, researchers, and the pregnant women themselves to understand the role of gestational weight gain and to provide them with the tools needed to promote optimal pregnancy outcomes.
Obesity is a rising global health problem. On the one hand a clearly defined medical condition, it is at the same time a corporeal state embedded in the social and cultural perception of fatness, body shape and size. Focusing specifically on the maternal body, contributors to the volume examine how the language and notions of obesity connect with, or stand apart from, wider societal values and moralities to do with the body, fatness, reproduction and what is considered 'natural'. A focus on fatness in the context of human reproduction and motherhood offers instructive insights into the global circulation and authority of biomedical facts on fatness (as 'risky' anti-fit, for example). As with other social and cultural studies critical of health policy discourse, this volume challenges the spontaneous connection being made in scientific and popular understanding between fatness and ill health.
The increasing prevalence of preterm birth in the United States is a complex public health problem that requires multifaceted solutions. Preterm birth is a cluster of problems with a set of overlapping factors of influence. Its causes may include individual-level behavioral and psychosocial factors, sociodemographic and neighborhood characteristics, environmental exposure, medical conditions, infertility treatments, and biological factors. Many of these factors co-occur, particularly in those who are socioeconomically disadvantaged or who are members of racial and ethnic minority groups. While advances in perinatal and neonatal care have improved survival for preterm infants, those infants who do survive have a greater risk than infants born at term for developmental disabilities, health problems, and poor growth. The birth of a preterm infant can also bring considerable emotional and economic costs to families and have implications for public-sector services, such as health insurance, educational, and other social support systems. Preterm Birth assesses the problem with respect to both its causes and outcomes. This book addresses the need for research involving clinical, basic, behavioral, and social science disciplines. By defining and addressing the health and economic consequences of premature birth, this book will be of particular interest to health care professionals, public health officials, policy makers, professional associations and clinical, basic, behavioral, and social science researchers.
Protecting Infants through Human Milk: Advancing the Scientific Evidence provides a forum in which basic scientists, clinicians, epidemiologists, and policy makers exchange the latest findings regarding the effects of human milk and breastfeeding on infant and maternal health, thereby fostering new and promising collaborations. This volume also integrates data from animal and in vitro laboratory studies with clinical and population studies to examine human milk production and composition, the mechanisms of infant protection and/or risk from human milk feeding, and proposed interventions related to infant feeding practices. Additionally, it stimulates critical evaluation of, and advances in, the scientific evidence base and research methods, and identifies the research priorities in various areas.
Recent years have seen many changes in human reproduction resulting from state and medical interventions in childbearing processes. Based on empirical work in a variety of societies and countries, this volume considers the relationship between reproductive processes (of fertility, pregnancy, childbirth and the postpartum period) on the one hand and attitudes, medical technologies and state health policies in diverse cultural contexts on the other. Maya Unnithan-Kumar is Senior Lecturer in Anthropology at the University of Sussex. Her research in the early 1990s focused on kinship and gender relations in northwest India and appeared as Identity, Gender and Poverty (Berghahn Books 1997).
Maternal-fetal medicine has evolved over the last three decades to become a well-established discipline. The current understanding of maternal physiology and pathophysiology has allowed us to obtain more accurate diagnoses and to provide more effective treatments of medical, surgical, and obstetrical maternal complications. More importantly, the fetus has become a distinct individual whose in utero environment has become much more accessible to study, diagnose, and treatment. Clinical Maternal-Fetal Medicine addresses the pathophysiology, diagnosis, and treatment of common medical and obstetrical maternal complications and fetal complications. It provides a concise and timely review of clinically relevant topics in this discipline. The textbook is a comprehensive reference covering the wide range of disciplines that make up maternal-fetal medicine.
Teen-aged girls hate their bodies and diet obsessively, or so we hear. News stories and reports of survey research often claim that as many as three girls in five are on a diet at any given time, and they grimly suggest that many are “at risk” for eating disorders. But how much can we believe these frightening stories? What do teenagers mean when they say they are dieting? Anthropologist Mimi Nichter spent three years interviewing middle school and high school girls—lower-middle to middle class, white, black, and Latina—about their feelings concerning appearance, their eating habits, and dieting. In Fat Talk, she tells us what the girls told her, and explores the influence of peers, family, and the media on girls’ sense of self. Letting girls speak for themselves, she gives us the human side of survey statistics. Most of the white girls in her study disliked something about their bodies and knew all too well that they did not look like the envied, hated “perfect girl.” But they did not diet so much as talk about dieting. Nichter wryly argues—in fact some of the girls as much as tell her—that “fat talk” is a kind of social ritual among friends, a way of being, or creating solidarity. It allows the girls to show that they are concerned about their weight, but it lessens the urgency to do anything about it, other than diet from breakfast to lunch. Nichter concludes that if anything, girls are watching their weight and what they eat, as well as trying to get some exercise and eat “healthfully” in a way that sounds much less disturbing than stories about the epidemic of eating disorders among American girls. Black girls, Nichter learned, escape the weight obsession and the “fat talk” that is so pervasive among white girls. The African-American girls she talked with were much more satisfied with their bodies than were the white girls. For them, beauty was a matter of projecting attitude (“’tude”) and moving with confidence and style. Fat Talk takes the reader into the lives of girls as daughters, providing insights into how parents talk to their teenagers about their changing bodies. The black girls admired their mothers’ strength; the white girls described their mothers’ own “fat talk,” their fathers’ uncomfortable teasing, and the way they and their mothers sometimes dieted together to escape the family “curse”—flabby thighs, ample hips. Moving beyond negative stereotypes of mother–daughter relationships, Nichter sensitively examines the issues and struggles that mothers face in bringing up their daughters, particularly in relation to body image, and considers how they can help their daughters move beyond rigid and stereotyped images of ideal beauty.