Skip to main content

Policing Women to Protect Fetuses: Coercive Interventions During Pregnancy

  • Chapter
  • First Online:
Analyzing Violence Against Women

Part of the book series: Library of Public Policy and Public Administration ((LPPP,volume 12))

Abstract

Women are routinely subjected to penetrating surveillance during pregnancy. On the surface, this may appear to flow from a cultural commitment to protect babies – a cultural practice of “better safe than sorry” that is particularly vigilant given the vulnerability of fetuses and babies. In reality, pregnancy occasions incursions against human rights and well-being that would be anathema in other contexts. Our cultural practices concerning risk in pregnancy are infused with oppressive norms about women’s responsibility for pregnancy outcomes and the demands of extreme self-sacrifice from women to protect their fetuses. Of particular concern is our culture’s willingness to enforce norms concerning risk during pregnancy using coercive measures including forced cesarean sections and criminal penalties for exposing fetuses to risk. This chapter will consider assaults on self-determination, bodily integrity and privacy inherent in such interventions, as well as the structural violence and “mangled pieties” (Wallace DF. Authority and American usage. In: Consider the lobster and other essays. Little, Brown and Company, New York, 2006, 114) that buttress such practices in our unjust society.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 119.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 159.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Allen, Ann E. 1990. In Re A.C. An affirmation of ACOG committee opinion number 55: Maternal-fetal conflict. Women’s Health Issues 1 (1, Autumn): 37–40.

    Article  Google Scholar 

  • American Civil Liberties Union (ACLU). 2018. Coercive and punitive governmental responses to women’s conduct during pregnancy. Accessed 29 May 2018. https://www.aclu.org/other/coercive-and-punitive-governmental-responses-womens-conduct-during-pregnancy.

  • American College of Obstetricians and Gynecologists (ACOG). 2017. Vaginal birth after caesarean delivery. Obstetrics and Gynecology 130 (5, November): 1167–1169.

    Google Scholar 

  • American College of Obstetricians and Gynecologists (ACOG) and Society for Maternal Fetal Medicine (SMFM). 2014. Obstetric care consensus no. 1: Safe prevention of the primary cesarean delivery. Obstetrics and Gynecology 123 (3, March): 693–711. https://doi.org/10.1097/01.AOG.0000444441.04111.1d.

    Article  Google Scholar 

  • American College of Obstetricians and Gynecologists (ACOG) Committee on Ethics. 2016. Refusal of medically recommended treatment during pregnancy: Committee opinion no. 664 summary. Obstetrics & Gynecology 127 (6, June): E176–E182. https://doi.org/10.1097/aog.0000000000001479.

    Article  Google Scholar 

  • Amnesty International. 2017. Criminalizing pregnancy: Policing pregnant women who use drugs in the USA, Report. Accessed 28 May 2018. https://www.amnesty.org/download/Documents/AMR5162032017ENGLISH.pdf.

  • Bearak, Jonathan M., Kristen Lagasse Burke, and Rachel K. Jones. 2017. Disparities and change over time in distance women would need to travel to have an abortion in the USA: A spatial analysis. The Lancet 2: e493–e500.

    Google Scholar 

  • Beck, Cheryl Tatano. 2011. A metaethnography of traumatic childbirth and its aftermath: Amplifying causal looping. Qualitative Health Research 21 (3): 301–311.

    Article  Google Scholar 

  • Bishop, Darla, Liz Borkowski, Megan Couillard, Amy Allina, Susannah Baruch, and Susan Wood. 2017. Pregnant women and substance use: Overview of research & policy in the United States. In Bridging the divide: A project of the Jacobs Institute of Women’s Health, February 2017. https://publichealth.gwu.edu/sites/default/files/downloads/JIWH/Pregnant_Women_and_Substance_Use_updated.pdf. Accessed 1 June 2018.

  • Blumenshine, Philip, Susan Egerter, Colleen J. Barclay, Catherine Cubbin, and Paula A. Braveman. 2010. Socioeconomic disparities in adverse birth outcomes: A systematic review. American Journal of Preventive Medicine 39 (3): 263–272.

    Article  Google Scholar 

  • Bondurant, Samuel R., Jason M. Lindo, and Isaac D. Swensen. 2018. Access to substance abuse treatment, drug overdose deaths, and crime. EconoFact March 16, 2018. http://econofact.org/access-to-substance-abuse-treatment-drug-overdose-deaths-and-crime. Accessed 1 June 2018.

  • Braveman, Paula. 2014. What is health equity: And how does a life-course approach take us further toward it? Maternal and Child Health Journal 18: 366–372.

    Article  Google Scholar 

  • Braveman, Paula A., Katherine Heck, Susan Egerter, Kristen S. Marchi, Tyan Parker Dominguez, Catherine Cubbin, Kathryn Fingar, Jay A. Pearson, and Michael Curtis. 2015. The role of socioeconomic factors in black–white disparities in preterm birth. American Journal of Public Health 105 (4, April): 694–702.

    Article  Google Scholar 

  • Braveman, Paula, Katherine Heck, Susan Egerter, Tyan Parker Dominguez, Christine Rinki, Kristen S. Marchi, and Michael Curtis. 2017. Worry about racial discrimination: A missing piece of the puzzle of black-white disparities in preterm birth? PLoS One 12 (10, October 11): e0186151.

    Article  Google Scholar 

  • Burton v State of Florida No. 1D09-1958 (Florida District Court of Appeals August 12, 2010).

    Google Scholar 

  • Chambers, Christina D., Janine E. Polifka, and Jan M. Friedman. 2008. Drug safety in pregnant women and their babies: Ignorance not bliss. Clinical Pharmacology & Therapeutics 83 (1): 181–183. https://doi.org/10.1038/sj.clpt.6100448.

  • Creanga, Andrea A., Cynthia Berg, Carla Syverson, Kristi Seed, F. Carol Bruce, and William M. Callaghan. 2012. Race, ethnicity, and nativity differentials in pregnancy-related mortality in the United States. Obstetrics and Gynecology 120 (2): 261–268.

    Article  Google Scholar 

  • DeBruin, Debra, Anne Drapkin Lyerly, Joan Liaschenko, and Mary Faith Marshall. 2016. Chasing virtue, enforcing virtue: Social justice and conceptions of risk in pregnancy. In Understanding health inequalities and justice: New conversations across the disciplines, ed. Mara Buchbinder, Michele R. Rivkin-Fish, and Rebecca L. Walker, 160–184. Chapel Hill: University of North Carolina Press.

    Google Scholar 

  • Diaz-Tello, Farah. 2016. Invisible wounds: Obstetric violence in the United States. Reproductive Health Matters 24: 56–64.

    Article  Google Scholar 

  • Draper, Heather. 1996. Women, forced caesareans and antenatal responsibilities. Journal of Medical Ethics 22: 327–333.

    Article  Google Scholar 

  • Foster, Jason. 2009. Woman faces charge of killing unborn child after suicide attempt. The Herald. http://www.heraldonline/news/local/article12250463.html. (February 21). Accessed 2 June 2018.

  • Foster, Diana Greene, M. Antonia Biggs, Lauren Ralph, Caitlin Gerdts, Sarah Roberts, and M. Maria Glymour. 2018. Socioeconomic outcomes of women who receive and women who are denied wanted abortions in the United States. American Journal of Public Health 108 (3, March): 407–413.

    Google Scholar 

  • Gallagher, Janet. 1987. Prenatal invasions and interventions: What’s wrong with fetal rights. Harvard Women’s Law Journal 10: 9–58.

    Google Scholar 

  • Galtung, Johan. 1969. Violence, peace, and peace research. Journal of Peace Research 6 (3): 167–191. https://doi.org/10.1177/002234336900600301.

    Article  Google Scholar 

  • Gelaye, Bizu, Sandhya Kajeepeta, and Michelle A. Williams. 2016. Suicidal ideation in pregnancy: An epidemiologic review. Archives of Women’s Mental Health 19: 741–751.

    Article  Google Scholar 

  • Gentile, Salvatore. 2011. Suicidal mothers. Journal of Injury and Violence Research 37: 90–97.

    Google Scholar 

  • Gorman, Anna. 2014. Barriers remain despite health law’s push to expand access to substance abuse treatment. Kaiser Health News April 10, 2014. https://khn.org/news/substance-abuse-treatment-access-health-law/ Accessed 1 June 2018.

  • Gray, Simone C., Sharon E. Edwards, Bradley D. Schultz, and Marie Lynn Miranda. 2014. Assessing the impact of race, social factors and air pollution on birth outcomes: A population-based study. Environmental Health 13: 4.

    Article  Google Scholar 

  • Guttmacher Institute. 2018. Substance use during pregnancy. Accessed at https://www.guttmacher.org/state-policy/explore/substance-use-during-pregnancy on 31 May 2018.

  • Harner, Holly M., and Suzanne Riley. 2013. The impact of incarceration on women’s mental health: Responses from women in a maximum-security prison. Qualitative Health Research 23 (1): 26–42.

    Article  Google Scholar 

  • Harris Lisa, H., Neil S. Silverman, and Mary Faith Marshall. 2016. The paradigm of the paradox: Women, pregnant women, and the unequal burdens of the Zika virus pandemic. The American Journal of Bioethics 16 (5): 1–4.

    Article  Google Scholar 

  • Hostetter, Martha, and Sarah Klein. 2017. In focus: Expanding access to addiction treatment through primary care. The Commonwealth Fund transforming care: Reporting on health system improvement, September 28, 2017. http://www.commonwealthfund.org/publications/newsletters/transforming-care/2017/september/in-focus. Accessed 1 June 2018.

  • Ikemoto, Lisa C. 1992. Furthering the inquiry: Race, class, and culture in the forced medical treatment of pregnant women. Tennessee Law Review 59: 487–517.

    Google Scholar 

  • In Re A.C., 573 A.2d 1235 (D.C. Court of Appeals Apr. 26, 1990).

    Google Scholar 

  • Joiner, T., E. Thomas Jr., M. David Rudd, R. Mark, M.R. Rouleau, and Karen Dineen Wagner. 2000. Parameters of suicidal crises vary as a function of previous suicide attempts in youth inpatients. Journal of the American Academy of Child and Adolescent Psychiatry 39: 876–880.

    Article  Google Scholar 

  • Jos, Phillip H., Mary Faith Marshall, and Martin Perlmutter. 1995. The Charleston policy on cocaine use during pregnancy: A cautionary tale. The Journal of Law, Medicine & Ethics 23 (2): 120–128.

    Article  Google Scholar 

  • ———. 2003. Substance abuse during pregnancy: Clinical and public health approaches. The Journal of Law, Medicine & Ethics 31: 340–350.

    Article  Google Scholar 

  • Klein, Michael C., Murray W. Enkin, Andrew Kotaska, and Sara G. Shields. 2007. The patient-centered (R) evolution. Birth 34 (3): 264–266.

    Article  Google Scholar 

  • Kolder, Veronica E.B., Janet Gallagher, and Michael T. Parsons. 1987. Court-ordered obstetrical interventions. New England Journal of Medicine 312 (19, May 7): 1192–1196.

    Article  Google Scholar 

  • Kukla, Rebecca, Miriam Kuppermann, Margaret Little, Anne Drapkin Lyerly, Lisa M. Mitchell, Elizabeth M. Armstrong, and Lisa Harris. 2009. Finding autonomy in birth. Bioethics 23 (1): 1–8. https://doi.org/10.1111/j.1467-8519.2008.00677.x.

    Article  Google Scholar 

  • Lindahl, V., J.L. Pearson, and L.J. Cope. 2005. Prevalence of suicidality during pregnancy and the postpartum. Archives of Women’s Mental Health 8: 77–87.

    Article  Google Scholar 

  • Little, Margaret Olivia. 2011. Treating important medical conditions during pregnancy. In Enrolling pregnant women: Issues in clinical research, 23–26. Bethesda: National Institutes of Health. 2011.

    Google Scholar 

  • Lyerly, Anne Drapkin, Lisa M. Mitchell, Elizabeth M. Armstrong, Lisa H. Harris, Rebecca Kukla, Miriam Kuppermann, and Margaret Olivia Little. 2007. Risks, values, and decision making surrounding pregnancy. Obstetrics & Gynecology 109 (4): 979–984. https://doi.org/10.1097/01.aog.0000258285.43499.4b.

    Article  Google Scholar 

  • Lyerly, Anne Drapkin, Margaret Olivia Little, and Ruth Faden. 2008. The second wave: Toward responsible inclusion of pregnant women in research. International Journal of Feminist Approaches to Bioethics 1 (2): 5–22. https://doi.org/10.2979/fab.2008.1.2.5.

    Article  Google Scholar 

  • Lyerly, Anne Drapkin, Lisa M. Mitchell, Elizabeth Mitchell Armstrong, Lisa H. Harris, Rebecca Kukla, Miriam Kuppermann, and Margaret Olivia Little. 2009. Risk and the pregnant body. Hastings Center Report 39 (6): 34–42. https://doi.org/10.1353/hcr.0.0211.

    Article  Google Scholar 

  • Martin, Nina. 2015. Take a valium, lose your kid, go to Jail. ProPublica. Accessed 29 May 2018. https://www.propublica.org/article/when-the-womb-is-a-crime-scene.

  • McFall v Shimp 10 Pa.D. & C.3d 90 (Allegheny County Ct. 1978).

    Google Scholar 

  • Mental Health America. 2017. 2017 state of mental health in America – Access to care data. Accessed at http://www.mentalhealthamerica.net/issues/2017-state-mental-health-america-access-care-data on 31 May 2018.

  • Minkoff, Howard, and Mary Faith Marshall. 2009. Government-scripted consents: When medical ethics and law collide. Hastings Center Report 39 (5): 21–23.

    Article  Google Scholar 

  • ———. 2016. Fetal risks, relative risks, and relatives’ risks. American Journal of Bioethics 16 (2, February): 3–11.

    Article  Google Scholar 

  • Neergaard, Lauran. 2014. Guidelines to reduce C-section rates urge waiting. Associated Press (AP). https://www.yahoo.com/news/guidelines-reduce-c-section-births-urge-waiting-221058281.html. Accessed 28 May 2018.

  • Nelson, Lawrence J., Brian P. Buggy, and Carol J. Weil. 1986. Forced medical treatment of pregnant women: Compelling each to live as seems good to the rest. Hastings Law Journal 37 (May): 703–763.

    Google Scholar 

  • Nock, Matthew K., Guilherme Borges, Evelyn J. Bromet, Jordi Alonso, Matthias Angermeyer, Annette Beautrais, Ronny Bruffaerts, Wai Tat Chiu, Giovanni de Girolamo, Semyon Gluzman, Ron De Graaf, Oye Gureje, Josep Maria Haro, Yuegin Huang, Elie Karam, Ronald C. Kessler, Jean Pierre Lepine, Daphna Levinson, Maria Elene Medina-Mora, Yutaka Ono, José Posada-Villa, and David R. Williams. 2008. Cross-national prevalence and risk factors for suicidal ideation, plans and attempts. British Journal of Psychiatry 192: 98–105.

    Article  Google Scholar 

  • Pallidino, Christie L., V. Singh, J. Campbell, H. Flynn, and Katherine J. Gold. 2011. Homicide and suicide during the perinatal period: Findings from the national violent death reporting system. Obstetrics and Gynecology 118 (5): 1056–1053.

    Article  Google Scholar 

  • Paltrow, Lynn M., and Jeanne Flavin. 2013. Arrests of and forced interventions on pregnant women in the United States, 1973–2005: Implications for women’s legal status and public health. Journal of Health Politics, Policy and Law 38 (2): 299–343. https://doi.org/10.1215/03616878-1966324.

    Article  Google Scholar 

  • Paltrow, Lynn M., JD, and Lisa K. Sangoi. 2016. The dangerous state laws that are punishing pregnant people. ThinkProgress, September 28, 2016. https://thinkprogress.org/criminalization-pregnancy-us-43e4741bb514/. Accessed 29 May 2018.

  • Paul, Annie Murphy. 2010. Origins: How the nine months before birth shape the rest of our lives. New York: Free Press.

    Google Scholar 

  • Pear, Robert, Rebecca R. Ruiz, and Laurie Goodstein. 2017. Trump administration rolls back birth control mandate. New York Times October 6, 2017.

    Google Scholar 

  • Pemberton v Tallahassee Memorial Regional Medical Center 66F. Supp. 2d 1247 (US District Court for the Northern District of Florida October 13, 1999).

    Google Scholar 

  • Planned Parenthood. 2018. Federal and state bans and restrictions on abortion. https://www.plannedparenthoodaction.org/issues/abortion/federal-and-state-bans-and-restrictions-abortion. Accessed 1 June 2018.

  • Rhoden, Nancy K. 1986. The judge in the delivery room: The emergence of court-ordered cesareans. California Law Review 74 (3): 1951–2030.

    Article  Google Scholar 

  • ———. 1987. Cesareans and Samaritans. Law, Medicine & Health Care 15: 118–125.

    Article  Google Scholar 

  • Rovner, Julie. 2018. What does Trump’s proposal to cut planned parenthood funds mean? NPR News May 18, 2018. https://www.npr.org/sections/health-shots/2018/05/18/612445385/what-does-trumps-proposal-to-cut-planned-parenthood-funds-mean. Accessed 1 June 2018.

  • Rylko-Bauer, Barbara, and Paul Farmer. 2017. Structural violence, poverty, and social suffering. In The Oxford handbook of the social science of poverty, ed. David Brady and Linda M. Burton. New York: Oxford University Press. Accessed on 5/27/18 at http://www.oxfordhandbooks.com/view/10.1093/oxfordhb/9780199914050.001.0001/oxfordhb-9780199914050-e-4.

    Google Scholar 

  • State of Indiana v Bei Bei Shuai. 2011. Marion Superior Court, Criminal Division. Cause No. 49G03-1103-MR-014478.

    Google Scholar 

  • Stone, Rebecca. 2015. Pregnant women and substance use: Fear, stigma, and barriers to care. Health & Justice 3 (1). https://doi.org/10.1186/s40352-015-0015-5.

  • Unchained at Last. 2017. Arranged/forced marriage. http://www.unchainedatlast.org/about-arranged-forced-marriage/. Accessed 1 June 2018.

  • Villa, Manuel. 2017. The mental health crisis facing women in prison. The Marshall Project, June 22, 2017. https://www.themarshallproject.org/2017/06/22/the-mental-health-crisis-facing-women-in-prison. Accessed 1 June 2018.

  • Wallace, David Foster. 2006. Authority and American usage. In Consider the lobster and other essays. New York: Little, Brown and Company.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Debra A. DeBruin .

Editor information

Editors and Affiliations

Additional information

This chapter is dedicated to Nancy Rhoden and Lynn Paltrow, pioneers in reproductive rights and justice. We stand on their shoulders, and those of all pregnant women whose basic human rights have been abridged.

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

DeBruin, D.A., Marshall, M.F. (2019). Policing Women to Protect Fetuses: Coercive Interventions During Pregnancy. In: Teays, W. (eds) Analyzing Violence Against Women. Library of Public Policy and Public Administration, vol 12. Springer, Cham. https://doi.org/10.1007/978-3-030-05989-7_8

Download citation

Publish with us

Policies and ethics