Abstract
Background
Pregnant women find themselves subject to comments and questions from people in public
areas. Normally, becoming ‘public property’ is considered friendly and is relatively
easy for pregnant women to deal with. However, following diagnosis of a foetal anomaly,
the experience of being public property can exacerbate the emotional turmoil experienced
by couples. Original research question: What is the experience of couples who continue
pregnancy following the diagnosis of a foetal anomaly?
Method
The study used an interpretive design informed by Merleau-Ponty and this paper reports
on a subset of findings. Thirty-one interviews with pregnant women and their partners
were undertaken following the diagnosis of a serious or lethal foetal anomaly. Women
were between 25 and 38 weeks gestation at the time of their first interview. The non-directive
interviews were audio-taped, transcribed verbatim and the transcripts were thematically
analysed.
Findings
A prominent theme that emerged during data analysis was that pregnancy is embodied
therefore physically evident and ‘public’. Women found it difficult to deal with being
public property when the foetus had a serious or lethal anomaly. Some women avoided
social situations; others did not disclose the foetal condition but gave minimal or
avoidant answers to minimise distress to themselves and others. The male participants
were not visibly pregnant and they could continue life in public without being subject
to the public's gaze, but they were very aware and concerned about its impact on their
partner.
Conclusion
The public tend to assume that pregnancy is normal and will produce a healthy baby.
This becomes problematic for women who have a foetus with an anomaly. Women use strategies
to help them cope with becoming public property during pregnancy. Midwives can play
an important role in reducing the negative consequences of a woman becoming public
property following the diagnosis of a foetal anomaly.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Women and BirthAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- The integrative review: updated methodology.Journal of Advanced Nursing. 2005; 52: 546-553
- Gender shows: first-time mothers and embodied selves.Gender and Society. 2001; 15: 110-129
- Caregiving and female embodiment: scrutinizing (professional) female bodies in media, academe, and the neighbourhood bar.Women and Language. 2010; 33: 29-52
- The material given: bodies, pregnant bodies and earth.Australian Feminist Studies. 2003; 18: 199-209
- ‘I don’t think it was such an issue back then’: changing experiences of pregnancy across two generations of women in south-east England.Gender, Place and Culture. 2009; 16: 553-568
- ‘Corporeographies’ of pregnancy: ‘bikini babes’.Environment and Planning D: Society and Space. 2000; 18: 453-472
- Watching over baby: expectant parenthood and the duty to be well.Sociological Inquiry. 2011; 81: 285-309
- Self-objectification and pregnancy: are body functionality dimensions protective?.Sex Roles. 2011; 65: 606-618
- Gender performances during labour and birth in the midwives model of care.Gend Issues. 2009; 26: 205-223
- Making mothers: the advice genre and the domestic ideal 1760–1830.Journal of Family History. 2004; 29: 339-350
- Unsolicited advice: a rite of passage through your first pregnancy.British Journal of Midwifery. 2006; 14: 265
- Perinatal hospice.Newborn and Infant Nursing Reviews. 2007; 7: 216-221
- Continuing with pregnancy after a diagnosis of lethal abnormality: experience of five couples and recommendations for management.British Medical Journal. 1996; 313: 478-480
- The parents’ journey: continuing a pregnancy after a diagnosis of Patau's syndrome.British Medical Journal. 2005; 331: 1186-1189
- A perinatal hospice for an unborn child with a life-limiting condition.International Journal of Palliative Nursing. 2005; 11: 274-276
Merleau-Ponty M. Phenomenology of perception [Smith C, Trans.]. London: Routledge and Kegan Paul, 1945/1962.
- Critical appraisal of rigour in interpretive phenomenological nursing research.Journal of Advanced Nursing. 2006; 55: 215-229
- Descriptive versus interpretive phenomenology: their contributions to nursing knowledge.Qualitative Health Research. 2004; 14: 726-735
- Through the lens of Merleau-Ponty: advancing the phenomenological approach to nursing research.Nursing Philosophy. 2005; 6: 63-76
- Understanding phenomenology: the lived experience.British Journal of Midwifery. 2008; 16: 308-311
- Merleau-Ponty's philosophy.Indiana University Press, Bloomington2008
QSR NVivo 7. QSR NVivo 7. 2006.
- Perinatal loss: a qualitative study in Northern Ireland.Omega: Journal of Death and Dying. 2008; 57: 1-19
- Windows in space and time: a personal perspective on birth and death.Birth. 2003; 30: 272-277
- Performing motherhood in a disablist world: dilemmas of motherhood, femininity and disability.International Journal of Qualitative Studies in Education. 2009; 22: 99-117
- Invisible mothers: a content analysis of motherhood ideologies and myths in magazines.Sex Roles. 2003; 49: 21-33
- The psychophysiology of the maternal–fetal relationship.Psychophysiology. 2004; 41: 510-520
- Seeing baby: women's experience of prenatal ultrasound examination and unexpected fetal diagnosis.Journal of Perinatology. 2006; 26: 403-408
- Birth centres and the national maternity services review: response to consumer demand or compromise?.Women and Birth. 2011; 24: 165-172
- Fathers’ birth experience in relation to midwifery care.Women and Birth. 2011; 24: 129-136
- Both empowered and powerless: mothers’ experiences of professional care when their newborn dies.Birth. 2002; 29: 192-199
- Providing perinatal loss care: satisfying and dissatisfying aspects for midwives.Women and Birth. 2007; 20: 153-160
- Unexpected diagnosis of fetal abnormality: women's encounters with caregivers.Birth. 2007; 34: 80-88
Article info
Publication history
Published online: June 25, 2012
Accepted:
May 26,
2012
Received in revised form:
May 25,
2012
Received:
March 20,
2012
Identification
Copyright
© 2012 Australian College of Midwives. Published by Elsevier Inc. All rights reserved.