Publication details

Work, marriage and premature birth : the socio-medicalisation of pregnancy in state socialist East-Central Europe

Authors

LIŠKOVÁ Kateřina JARSKA Natalia GAGYIOVA Annina LOPEZ-BARAJAS Jose Luis Aguilar RÁBOVÁ Šárka Caitlín

Year of publication 2023
Type Article in Periodical
Magazine / Source Medical History
MU Faculty or unit

Faculty of Social Studies

Citation
Web article - open access
Doi http://dx.doi.org/10.1017/mdh.2023.28
Keywords medical expertise; medicalisation; childbirth; reproductive health; gender; comparative history
Attached files
Description Reproductive health in state socialism is usually viewed as an area in which the broader contexts of women's lives were disregarded. Focusing on expert efforts to reduce premature births, we show that the social aspects of women's lives received the most attention. In contrast to typical descriptions emphasising technological medicalisation and pharmaceuticalisation, we show that expertise in early socialism was concerned with socio-medical causes of prematurity, particularly work and marriage. The interest in physical work in the 1950s evolved towards a focus on psychological factors in the 1960s and on broader socio-economic conditions in the 1970s. Experts highlighted marital happiness as conducive to healthy birth and considered unwed women more prone to prematurity. By the 1980s, social factors had faded from interest in favour of a bio-medicalised view. Our findings are based on a rigorous comparative analysis of medical journals from Hungary, Poland, Czechoslovakia and East Germany.

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