Good Mothering Before Birth: Measuring Attachment and Ultrasound as an Affective Technology

  • Jennifer Denbow California Polytechnic State University, San Luis Obispo
Keywords: STS, feminist studies, affect theory, reproduction

Abstract

The idea that fetal ultrasound is useful for promoting a pregnant woman’s emotional attachment to her fetus is commonplace in the United States. While STS scholars have examined many facets of ultrasound, scholars have not analyzed the medical construction of ultrasound as an affective technology. This article fills that gap by bringing feminist STS and affect studies together to examine medical understandings of fetal ultrasound’s emotional utility. The project interprets a unique archive of published medical research on measuring maternal-fetal bonding and using ultrasound to promote that bonding. My discourse analysis shows that this medical research defines “optimal bonding” in a way that reflects the norms of intensive mothering. I argue that this medical research contributes to the creation of a new, presumably high-risk population of “sub-optimal bonders.” The research I examine also suggests that medical professionals may be able to use the technological fix of ultrasound to manage this new population’s emotions and behaviors. In the process, medical experts individualize the risks of infant well-being and locate those risks in women’s emotional state.

Author Biography

Jennifer Denbow, California Polytechnic State University, San Luis Obispo

Jennifer Denbow is an Assistant Professor of Political Science at Cal Poly, San Luis Obispo. Her work combines critical theory and transdisciplinary feminist studies to investigate contemporary reproductive law, technology, and politics. She is the author of Governed through Choice: Autonomy, Technology, and the Politics of Reproduction (NYU Press, 2015). Her work has also appeared in a variety of journals, including Signs, Constellations, and Feminist Legal Studies.

References

Ahmed, S. 2010. The Promise of Happiness. Durham, NC: Duke University Press.

Americans United for Life (AUL). 2011. “Women’s Ultrasound Right to Know Act.” Accessed 20 February 2018: http://www.aul.org/defending-life-2011-model-legislation-abortion/

Armstrong, E. 2008. Conceiving Risk, Bearing Responsibility: Fetal Alcohol Syndrome and the Diagnosis of Moral Disorder. Baltimore, MD: Johns Hopkins University Press.

Boukydis, C.F.Z., M.C. Treadwell, V. Delaney-Black, et al. 2006. “Women’s Responses to Ultrasound Examinations During Routine Screens in an Obstetric Clinic.” Journal of Ultrasound in Medicine 25:721-726.

Brandon, A., S. Pitts, W. Denton, et al. 2009. “A history of the theory of prenatal attachment.” Journal of Prenatal and Perinatal Psychology and Health 23(4):201-222.

Campbell, S. 2002. “4D, or not 4D: that is the question.” Ultrasound in Obstetrics and Gynecology 19:1-4.

Campbell, S. 2006a. “4D and prenatal bonding: still more questions than answers.” Ultrasound in Obstetrics and Gynecology 27:243-44.

Campbell, S. 2006b. “Don’t tear a smiling fetus from the womb.” The Telegraph. Accessed 20 February 2018. http://www.telegraph.co.uk/comment/personal-view/3632855/Dont-tear-a-smiling-foetus-from-the-womb.html

Casper, M. 1998. The Making of the Unborn Patient: A Social Anatomy of Fetal Surgery. New Brunswick, NJ: Rutgers University Press.

Collins, P. 1990. Black Feminist Thought. New York: Routledge.

Colucciello, M. L. 1998. “Pregnant Adolescents’ Perceptions of their Babies before and after Realtime Ultrasound.” Journal of Psychosocial Nursing and Mental Health Services 36(11): 12-19.

Condon, J. 1993. “The assessment of antenatal emotional attachment: Development of a questionnaire instrument.” British Journal of Medical Psychology 66:167-83.

Cott, N. 1977. The Bonds of Womanhood. New Haven, CT: Yale University Press.

Cranley, M. S. 1981. “Development of a Tool for the Measurement of Maternal Attachment During Pregnancy.” Nursing Research 30(5):281-84.

Cunen, N., J. Jomeen, R. Xuereb, et al. 2016. “A narrative review of interventions addressing the parental-fetal relationship.” Women and Birth.

http://dx.doi.org/10.1016/j.wombi.2016.11.005

Degler, C. 1984. At Odds: Women and Family from the Revolution to the Present. New York: Oxford University Press.

Denbow, J. 2015. Governed through Choice: Autonomy, Technology, and the Politics of Reproduction. New York: NYU Press.

Duden, B. 1993. Disembodying Women: Perspectives on Pregnancy and the Unborn. Cambridge, MA: Harvard University Press.

Epstein, S. 2007. Inclusion: The Politics of Difference in Medical Research. Chicago, IL: University of Chicago Press.

Eyer, D. 1992. Mother-infant bonding: A scientific fiction. New Haven, CT: Yale University Press.

Foucault, M. 1978. The History of Sexuality: Volume I. New York: Vintage.

Foucault, M. 1990. “On power.” In: Politics, philosophy, culture: Interviews and other writings, 1977-1984. New York: Routledge.

Fujimura, J. 2006. “Sex Genes: A Critical Sociomaterial Approach to the Politics and Molecular Genetics of Sex Determination.” Signs: Journal of Women in Culture and Society 32(1):49-82.

Franklin, S. 1991. “Fetal fascinations: New dimensions to the medical-scientific construction of fetal personhood.” In: Off-Centre: Feminism and Cultural Studies, edited by S. Franklin C. Lury, and J. Stacey, 190-205. New York: Harpercollins Academic.

Glenn, E. 1994. “Social Constructions of Mothering.” In: Mothering: Ideology, Experience, and Agency, edited by E. Glenn, G. Chang, and L. Forcey. New York: Routledge.

Guttmacher Institute. 2018. “State Laws and Policies: Requirements for Ultrasound.” Accessed 20 February 2018. https://www.guttmacher.org/state-policy/explore/requirements-ultrasound

Hacking, I. 1986. “Making Up People.” In: Reconstructing Individualism: Automony, Individuality, and the Self in Western Thought, edited by T. Heller, M. Sosna, and D. Wellberg. Stanford, CA: Stanford University Press.

Haraway, D. 1988. “Situated Knowledges: The Science Question in Feminism and the Privilege of Partial Perspective.” Feminist Studies 14(3):575.

Hays, S. 1998. The Cultural Contradictions of Mothering. New Haven, CT: Yale University Press.

hooks, b. 1984. Feminist Theory: From Margin to Center. Boston, MA: South End Press.

Ji, E., D. Pretorius, R. Newton, et al. 2005. “Effects of ultrasound on maternal-fetal bonding: a comparison of two- and three-dimensional imaging.” Ultrasound in Obstetrics & Gynecology 25(5):473-477. doi:10.1002/uog.1896.

Joyce, K. 2005. “Appealing Images: Magnetic Resonance Imaging and the Production of Authoritative Knowledge.” Social Studies of Science 35(3):437–462.

Kukla, R. 2008. “Measuring Mothering.” International Journal of Feminist Approaches to Bioethics 1(1):67-90.

Lappé, M. 2016. “The maternal body as environment in autism science.” Social Studies of Science 46(5):675-700.

Lumley, J. 1990. “Through a Glass Darkly: Ultrasound and Prenatal Bonding.” Birth 17(4):214-217.

Mitchell, L. 2001. Baby’s First Picture. Toronto: University of Toronto Press.

Morgan, L. 2009. Icons of Life: A Cultural History of Human Embryos. Berkeley, CA: University of California Press.

Newman, K. 1996. Fetal positions: Individualism, science, visuality. Stanford, CA: Stanford University Press.

Oakley, A. 1984. The Captured Womb: A history of the medical care of pregnant women. Oxford, UK: Blackwell Publisher.

Oaks, L. 2000. “Smoke-filled wombs and fragile fetuses: The social politics of fetal representation.” Signs: Journal of Women in Culture and Society 26(1):63-108.

Palmer, J. 2009. “The placental body in 4D: Everyday practices of non-diagnostic sonography.” Feminist Review 93(1):64–80.

Petchesky, R. 1987. “Fetal Images: The Power of Visual Culture in the Politics of Reproduction.” Feminist Studies 13(2):263.

Pretorius, D., et al. 2006. “Preexamination and postexamination assessment of parental-fetal bonding in patients undergoing 3-/4-dimensional obstetric ultrasonography.” The Journal of Ultrasound in Medicine 25:1411-1421.

Rapp, R. 2000. Testing Women, Testing the Fetus: The Social Impact of Amniocentesis in America. New York: Routledge.

Reading, A. E., et al. 1984. “Psychological Changes Over the Course of Pregnancy: A Study of Attitudes Toward the Fetus/Neonate.” Health Psychology 3(3):211-221.

Reardon, J. 2013. “On the Emergence of Science and Justice.” Science, Technology, and Human Values 38(2):176-200.

Richardson, S. 2015. “Maternal Bodies in the Postgenomic Order: Gender and the Explanatory Landscape of Epigenetics.” In: Postgenomics: Perspectives on Biology after the Genome, edited by S. Richardson and H. Stevens. Durham, NC: Duke University Press.

Roberts, D. 1998. Killing the black body: Race, reproduction, and the meaning of liberty. New York: Vintage.

Roberts, J. 2016. The Visualised Foetus. New York: Routledge.

Roberts, J., F.E. Griffiths, A. Verran, and C. Ayre. 2015. “Why do women seek ultrasound scans from commercial providers during pregnancy?” Sociology of Health and Illness 37(4):594-609.

Rodrigues, S. 2014. “A Woman’s ‘Right to Know’? Forced Ultrasound Measures as an Intervention of Biopower.” International Journal of Feminist Approaches to Bioethics. 7(1):51-73.

Rothman, B.K. 2000. Recreating Motherhood. New Brunswick, NJ: Rutgers University Press.

Rubin, R. 1967a. “Attainment of the Maternal Role. Part I. Processes.” Nursing Research. 16(3): 237-245.

Rubin, R. 1967b. “Attainment of the Maternal Role. Part II. Models and Referrants.” Nursing Research. 16(4):342-346.

Rubin, R. 1976. “Maternal Tasks in Pregnancy.” Journal of Advanced Nursing. 1(5):367-376.

Ruhl, L. 2002. “Dilemmas of the Will: Uncertainty, Reproduction, and the Rhetoric of Control.” Signs: Journal of Women in Culture and Society 27(3):641-663.

Rustico, M.A., C. Mastromatteo, M. Grigio, et al. 2005. “Two-dimensional vs. two- plus four-dimensional ultrasound in pregnancy and the effect on maternal emotional status: A randomized study.” Ultrasound in Obstetrics and Gynecology 25:468-472.

Sedgmen, B., M. McMahon, D. Cairns, et al. 2006. “The impact of two-dimensional versus three-dimensional ultrasound exposure on maternal-fetal attachment and maternal health behavior in pregnancy.” Ultrasound in Obstetrics & Gynecology 27(3):245-251. doi:10.1002/uog.2703.

Shrage, L. 2002. “From Reproductive Rights to Reproductive Barbie: Post-Porn Modernism and Abortion.” Feminist Studies 28(1):61-93.

Sioda, T. 1984. “Psychological effects of cardiotocographic and ultrasonographic examinations in pregnancy and labour on the mother. Part 1. The significance of cardiotocographic and ultrasonographic examinations for the development of maternal bonding.” Ginekologia Polska 55(9):653-660.

Stack, C.B. and L.M. Burton. 1994. “Kinscripts: Reflections on Family, Generation, and Culture.” In Mothering: Ideology, Experience, and Agency, edited by E.N. Glenn, G. Chang, and L.R. Forcey. New York: Routledge.

Taylor, J. 2002. “A Fetish is Born: Sonographers and the Making of the Public Fetus.” In: Consuming Motherhood, edited by J. Taylor, L. Layne, and D. Wozniak. New Brunswick, NJ: Rutgers University Press.

Taylor, J. 2008. The Public Life of the Fetal Sonogram: Technology, Consumption, and the Politics of Reproduction. Brunswick, NJ: Rutgers University Press.

Vicedo, M. 2013. The nature and nurture of love: From imprinting to attachment in cold war America. Chicago, IL: Chicago University Press.

Waggoner, M.R. 2013. “Motherhood Preconceived: The Emergence of the Preconception Health and Health Care Initiative.” Journal of Health Politics, Policy and Law 38(2):345-371.

Waggoner, M.R. 2015. “Cultivating the Maternal Future: Public Health and the Pre-Pregnant Self.” Signs: Journal of Women in Culture and Society 40(4):939–962.

West, R. 1988. “Jurisprudence and Gender.” University of Chicago Law Review. 55(1):1-72.

Wolf, J.B. 2011. Is Breast Best? Taking on the Breastfeeding Experts and the New High Stakes of Motherhood. New York: NYU Press.

Published
23 Mar 2019
Section
Research Articles