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01-12-2018 | Original Research

Vulnerability, Harm, and Compromised Ethics Revealed by the Experiences of Queer Birthing Women in Rural Healthcare

Authors: Sylvia Burrow, Lisa Goldberg, Jennifer Searle, Megan Aston

Published in: Journal of Bioethical Inquiry | Issue 4/2018

Abstract

Phenomenological interviews with queer women in rural Nova Scotia reveal significant forms of trauma experienced during labour and birth. Situating the accounts of participants within both phenomenological and intersectional analyses reveals harms enabled by structurally embedded heteronormative and homophobic healthcare practices and policies. Our account illustrates the breadth and depth of harm experienced and outlines how these violate core ethical principles and values in healthcare.

Ahmed, S., 2017. Living a feminist life. Durham, NC: Duke University Press.

Beagan, B., E. Fredericks, and Goldberg L. 2012. Nurses’ work with LGBTQ patients: They’re just like everybody else, so what’s the difference? The Canadian Journal of Nursing Research 44(2): 44–63.PubMed

Belu, D. 2012. Nature and technology in modern childbirth: A phenomenological interpretation. Techné: Research in Philosophy and Technology 16(1): 3–15.

Bohren, M., E. Hunter, H. Munthe-Kaas, J. Paulo Souza, J. Vogel, and A. Gülmezoglu. 2014. Facilitators and barriers to facility-based delivery in low- and middle-income countries: A qualitative evidence synthesis. Reproductive Health 11(1): 71.CrossRef

Bowser, D., and K. Hill. 2010. Exploring evidence for disrespect and abuse in facility-based childbirth: Report of a landscape analysis. Harvard School of Public Health: USAID / TRAction Project.

Brown, L., and D. Pantalone. 2011. Lesbian, gay, bisexual, and transgender issues in trauma psychology: A topic comes out of the closet. Traumatology 17(2): 1–3.CrossRef

Burghardt, M. 2013. Common frailty, constructed oppression: Tensions and debates on the subject of vulnerability. Disability & Society 28(4): 556–568.CrossRef

Burrow, S. 2012a. On the cutting edge: Ethical responsiveness to cesarean rates. The American Journal of Bioethics 12(7): 44–52.CrossRef

———. 2012b. Reproductive autonomy and reproductive technology. Techné: Research in Philosophy and Technology 16(1): 31–45.

Cohen, J., and G. Weiss. 2003. Thinking the limits of the body. Albany: State University of New York Press.

Crenshaw, K. 1991. Mapping the margins: Identity politics, intersectionality, and violence against women. Stanford Law Review 43(6): 1241–1299.

Crispin, T. 2001. Naming the outsider within: Homophobic pejoratives and the verbal abuse of lesbian, gay and bisexual high-school pupils. Journal of Adolescence (24)1: 25–38.

Fish, J. 2008. Navigating queer street: Researching the intersections of lesbian, gay, bisexual and trans (LGBT) identities in health research. Sociological Research Online 13(1): 1–12.CrossRef

Gilson, E. 2013. The ethics of vulnerability: A feminist analysis of social life and practice, vol 26. New York: Routledge.CrossRef

Goldberg, L. 2005. Introductory engagement within the perinatal nursing relationship. Nursing Ethics 12(4): 401–313.CrossRef

Goldberg, L., A. Ryan, and J. Sawchyn. 2009. Feminist and queer phenomenology: A framework for perinatal nursing practices, research, and education for advancing lesbian health. Health Care for Women International 30(6): 536–549.CrossRef

Goldberg, L., A. Harbin, and S. Campbell. 2011. Queering the birthing space: Phenomenological interpretations of the relationships between lesbian couples and perinatal nurses in the context of birthing care. Sexualities 14(2): 173–192.CrossRef

Halberstam, J. 2005. In a queer time and place: Transgender bodies, subcultural lives. New York University Press.

Harbin, A., B. Beagan, and L. Goldberg. 2012. Discomfort, judgment, and health care for queers. Journal of Bioethical Inquiry 9(2): 149–160.CrossRef

Hart, L., E. Salsberg, D. Phillips, and D. Lishner. 2002. Rural health care providers in the United States. The Journal of Rural Health 18(5): 211–231.CrossRef

Hayman, B., L. Wilkes, E. Halcomb, and D. Jackson. 2015. Lesbian women choosing motherhood: The journey to conception. Journal of GLBT Family Studies 11(4): 395–409.CrossRef

Irwin, L. 2007. Homophobia and heterosexism: Implications for nursing and nursing practice. Australian Journal of Advanced Nursing 25(1): 70–76.

King, S., and H. Dabelko-Schoeny. 2009. “Quite frankly, I have doubts about remaining”: Aging-in-place and health care access for rural midlife and older lesbian, gay, and bisexual individuals. Journal of LGBT Health Research 5(1-2): 10–21.CrossRef

MacKenzie, C., and N. Stoljar, eds. 2000. Relational autonomy: Feminist perspectives on autonomy, agency and the social self. New York: Oxford University Press.

Mackenzie, C., W. Rogers, and S. Dodds. 2014. Vulnerability: New essays in ethics and feminist philosophy. New York: Oxford University Press.

Rogers, W., C. Mackenzie, and S. Dodds. 2012. Why bioethics needs a concept of vulnerability. IJFAB: International Journal of Feminist Approaches to Bioethics 5(2): 11–38.

Ryan-Flood, R. 2009. Lesbian motherhood: Gender, families and sexual citizenship. New York: Palgrave Macmillan.CrossRef

Salamon, G. 2009. The sexual schema: Transposition and transgenderism in phenomenology of perception. In You’ve changed: Sex reassignment and personal identity, edited by L. Shrage, 81–79. New York: Oxford University Press.

Searle, J., L. Goldberg, M. Aston, and S. Burrow. 2017. Accessing new understandings of trauma-informed care with queer birthing women in a rural context. Journal of Clinical Nursing 26: 21–22.CrossRef

Soliday, E. 2012. Autonomy in maternal accounts of birth after Cesarean. Techné: Research in Philosophy and Technology 16(1): 62–70.

Spelman, E. 1988. Inessential woman: Problems of exclusion in feminist thought. Boston: Beacon Press.

Sullivan, S. 2015. The physiology of sexist and racist oppression. Oxford: Oxford University Press.CrossRef

Valanis, B., D. Bowen, T. Bassford, E. Whitlock, P. Charney, and R.A. Carter. 2000. Sexual orientation and health: Comparisons in the women’s health initiative sample. Archives of Family Medicine 9(9): 843–853.

Van Manen, M. 2016. Phenomenology of practice: Meaning-giving methods in phenomenological research and writing. New York: Routledge.CrossRef

Vogel, J., M. Bohren, O. Tuncalp, et al. 2015. How women are treated during facility-based childbirth: Development and validation of measurement tools in four countries—Phase 1 formative research study protocol. Reproductive Health 12(60).

Weiss, G. 1994. Creative agency and fluid images: A review of Iris Young’s throwing like a girl and other essays in feminist philosophy and social theory. Human Studies 17(4): 471–478.CrossRef

Whitehead, J., J. Shaver, and R. Stephenson. 2016. Outness, stigma, and primary health care utilization among rural LGBT populations. PLOS One 11(1), e0146139.CrossRef

Young, I.M. 2005. On female body experience: Throwing like a girl and other essays. Oxford: Oxford University Press.CrossRef

Title: Vulnerability, Harm, and Compromised Ethics Revealed by the Experiences of Queer Birthing Women in Rural Healthcare
Authors: Sylvia Burrow
Lisa Goldberg
Jennifer Searle
Megan Aston
Publication date: 01-12-2018
Publisher: Springer Singapore
Published in: Journal of Bioethical Inquiry / Issue 4/2018
Print ISSN: 1176-7529
Electronic ISSN: 1872-4353
DOI: https://doi.org/10.1007/s11673-018-9882-5

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Vulnerability, Harm, and Compromised Ethics Revealed by the Experiences of Queer Birthing Women in Rural Healthcare

Abstract

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