The Fixed Childfree Subjectivity: Performing Meta-Facework about Sterilization on Reddit.

Although sterilization is the most common and effective form of birth control available, childfree individuals often report difficulty actually obtaining the procedure. The ideological and material constraints that impede access have been well documented, including physicians' pronatalist perceptions that childless women will regret sterilization when they mature or meet the right partner. However, researchers have demonstrated that childfree women experience low levels of regret after sterilization, indicating that physicians' reluctance is empirically unfounded. In order to mitigate physicians' hesitancy, childfree individuals organize and communicate online in order to share health-related information, seek support, and engage in identity work to more effectively procure the procedure. The current study contributes to critical health, interpersonal, and family communication conversations by employing performative face theory to study online interactions on the childfree subreddit, the largest and most active online forum dedicated to child freedom. Through critical-qualitative analysis of a cross-section of subreddit posts about sterilization, this study demonstrates how subreddit discourse draws upon ideological and metaphorical associations to articulate the fixed childfree subjectivity, which rejects negative significations of regret in favor of positive notions of repair and permanence. Users further engage in subversive meta-facework, or facework presented online about facework users engaged in offline, which maintains shared face and denaturalizes taken-for-granted linkages between gender, identity, and parenthood. Implications for health activism across individual, relational, communal, and cultural levels are discussed.