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Chapter Three Medical maternity cases

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The Ann Oakley reader
This chapter is in the book The Ann Oakley reader

Abstract

Childbirth stands uncomfortably at the junction of the two worlds of nature and culture. Like death and disease, it is a biological event, but the defining feature of biological events in human life is their social character. The way people are born and die, their assignations with illness and health, cannot be explained and predicted purely on the basis of knowledge about the biological functioning of the human organism. Bodies function in a social world and the parameters of this world supply an influence of their own.

But the components of nature and culture are more potently and ambiguously mixed in the case of reproduction than in other physiological states. Having babies must be deeply natural, since the architecture of the female body fits women for this role, the production of children follows naturally from that other human occupation, heterosexual congress, and the replacement of the population is necessary for human survival. Yet, at the same time, and because of these features, reproduction is a cultural activity: it has far-reaching consequences for the life of a society. Particular childbirths create or break families, establish the ownership of property and entitlements to poverty or privilege; they may alter the statuses, rights and responsibilities of persons, communities and nations.

The other paradox is that only women are the true dramatis personae of childbirth. They thus personify the union of nature (biological reproducer) and culture (social person) directly. The association between a biological emptying of the uterus and the social character of its product, a child, poses a cultural dilemma, but so also does the very existence of women.

Abstract

Childbirth stands uncomfortably at the junction of the two worlds of nature and culture. Like death and disease, it is a biological event, but the defining feature of biological events in human life is their social character. The way people are born and die, their assignations with illness and health, cannot be explained and predicted purely on the basis of knowledge about the biological functioning of the human organism. Bodies function in a social world and the parameters of this world supply an influence of their own.

But the components of nature and culture are more potently and ambiguously mixed in the case of reproduction than in other physiological states. Having babies must be deeply natural, since the architecture of the female body fits women for this role, the production of children follows naturally from that other human occupation, heterosexual congress, and the replacement of the population is necessary for human survival. Yet, at the same time, and because of these features, reproduction is a cultural activity: it has far-reaching consequences for the life of a society. Particular childbirths create or break families, establish the ownership of property and entitlements to poverty or privilege; they may alter the statuses, rights and responsibilities of persons, communities and nations.

The other paradox is that only women are the true dramatis personae of childbirth. They thus personify the union of nature (biological reproducer) and culture (social person) directly. The association between a biological emptying of the uterus and the social character of its product, a child, poses a cultural dilemma, but so also does the very existence of women.

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