Lisa H Harris1, Taida Wolfe. 1. aDepartment of Obstetrics and Gynecology bDepartment of Women's Studies cProgram in Sexual Rights and Reproductive Justice, University of Michigan, Ann Arbor, Michigan dDepartment of Women's and Gender Studies, Rutgers University, New Brunswick, New Jersey, USA.
Abstract
PURPOSE OF REVIEW: There is a growing clinical consensus that Medicaid sterilization consent protections should be revisited because they impede desired care for many women. Here, we consider the broad social and ideological contexts for past sterilization abuses, beyond informed consent. RECENT FINDINGS: Throughout the US history, the fertility and childbearing of poor women and women of color were not valued equally to those of affluent white women. This is evident in a range of practices and policies, including black women's treatment during slavery, removal of Native children to off-reservation boarding schools and coercive sterilizations of poor white women and women of color. Thus, reproductive experiences throughout the US history were stratified. This ideology of stratified reproduction persists today in social welfare programs, drug policy and programs promoting long-acting reversible contraception. SUMMARY: At their core, sterilization abuses reflected an ideology of stratified reproduction, in which some women's fertility was devalued compared to other women's fertility. Revisiting Medicaid sterilization regulations must therefore put issues of race, ethnicity, class, power and resources - not just informed consent - at the center of analyses.
PURPOSE OF REVIEW: There is a growing clinical consensus that Medicaid sterilization consent protections should be revisited because they impede desired care for many women. Here, we consider the broad social and ideological contexts for past sterilization abuses, beyond informed consent. RECENT FINDINGS: Throughout the US history, the fertility and childbearing of poor women and women of color were not valued equally to those of affluent white women. This is evident in a range of practices and policies, including black women's treatment during slavery, removal of Native children to off-reservation boarding schools and coercive sterilizations of poor white women and women of color. Thus, reproductive experiences throughout the US history were stratified. This ideology of stratified reproduction persists today in social welfare programs, drug policy and programs promoting long-acting reversible contraception. SUMMARY: At their core, sterilization abuses reflected an ideology of stratified reproduction, in which some women's fertility was devalued compared to other women's fertility. Revisiting Medicaid sterilization regulations must therefore put issues of race, ethnicity, class, power and resources - not just informed consent - at the center of analyses.
Authors: Michelle H Moniz; Vanessa K Dalton; Roger D Smith; Lauren E Owens; Zach Landis-Lewis; Alex F Peahl; Barbara Van Kainen; Margaret R Punch; Marisa K Wetmore; Kirsten Bonawitz; Giselle E Kolenic; Christine Dehlendorf; Michele Heisler Journal: Am J Obstet Gynecol Date: 2021-10-13 Impact factor: 8.661
Authors: Kavita Shah Arora; Roselle Ponsaran; Laura Morello; Leila Katabi; Rosemary T Behmer Hansen; Nikki Zite; Kari White Journal: Contraception Date: 2020-08-25 Impact factor: 3.375