Hostname: page-component-78c5997874-dh8gc Total loading time: 0 Render date: 2024-11-19T23:25:36.788Z Has data issue: false hasContentIssue false

Reproductive policy and the social construction of motherhood

Published online by Cambridge University Press:  23 November 2016

Bonnie Stabile*
Affiliation:
Schar School of Policy and Government, George Mason University
*
Correspondence: Bonnie Stabile, Schar School of Policy and Government, George Mason University, 3351 Fairfax Drive, MS3B1, Arlington, VA 22201. Email: [email protected]
Get access

Abstract

Background. Reproductive technologies allow women to embrace or forgo motherhood, but a woman’s ability to make autonomous reproductive choices depends on access to these technologies. In the United States, public policies — laws, regulations, appropriations, and rulings — have either broadened or narrowed this access.

Question. Have U.S. public policies affecting reproductive choices conformed to attitudinal distinctions about motherhood itself?

Methods. I identified policies covering infertility, contraception, and abortion and examined them contextually within the Ingram-Schneider social construction framework.

Findings. Women’s choices fell within social construction quadrants as being positively portrayed and powerful; negatively portrayed but powerful; positively portrayed but powerless; and negatively portrayed and powerless. Married heterosexual women embracing motherhood were likely to be viewed positively and to reap benefits. Women forgoing motherhood, poor women, and women seeking to form nontraditional families were likely to be viewed negatively and to bear burdens; critical among these burdens was restriction of access to technologies that could be used to support a decision to avoid motherhood or to achieve motherhood through nontraditional methods.

Conclusion. Yes, U.S. public policies affecting reproductive choices have conformed to attitudinal distinctions about motherhood itself. These policies may also have altered those choices.

Type
Articles
Copyright
© Association for Politics and the Life Sciences 2016 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Baird, Karen, Beyond Reproduction; Women’s Health, Activism and Public Policy (Madison, NJ: Farleigh Dickinson University Press, 2009).Google Scholar
United Nations, International Conference on Population and Development Program of Action — Twentieth Anniversary Edition(New York: United Nations Population Fund, 2014).Google Scholar
Pew Research Center, “Women and leadership: Public says women are equally qualified, but barriers persist,” January 2015, http://www.pewsocialtrends.org/2015/01/14/women-and-leadership, accessed October 9, 2016.Google Scholar
Baird, p. 11.Google Scholar
Schneider, Anne L., Ingram, Helen, and deLeon, Peter, “Democratic policy design: Social construction of target populations,” Theories of the Policy Process, 3rd ed., Sabatier, Paul A. and Weible, Christopher M., eds. (Boulder, CO: Westview Press, 2014), p. 129.Google Scholar
Almeling, Rene, Sex Cells: The Medical Market for Eggs and Sperm (Berkeley: University of California Press, 2011).Google Scholar
Berger, Peter L. and Luckmann, Thomas, The Social Construction of Reality: A Treatise in the Sociology of Knowledge (London: Penguin Books, 1966).Google Scholar
Burr, Vivien, Social Constructionism, 3rd ed. (New York: Routledge, 2015), pp. 25.CrossRefGoogle Scholar
Schneider, Anne and Ingram, Helen, “Systematically pinching ideas: A comparative approach to policy design,” Journal of Public Policy , 1988, 8(1): 6180.Google Scholar
Schneider, Anne and Ingram, Helen, “Social construction of target populations: Implications for politics and policy,” American Political Science Review , 1993, 87(2): 334347.CrossRefGoogle Scholar
Ingram, Helen and Schneider, Anne L., “Improving implementation through framing smarter statutes,” Journal of Public Policy , 1990, 10(1): 6687.Google Scholar
Ingram, Helen, Schneider, Anne L., and deLeon, Peter, “Social construction and policy design,” in Theories of the Policy Process, Sabatier, Paul A., ed. (Boulder, CO: Westview Press, 2007), pp. 93128.Google Scholar
Schneider, Anne L., Ingram, Helen, and deLeon, Peter, “Democratic policy design: Social construction of target populations,” in Theories of the Policy Process, 3rd ed., Sabatier, Paul A. and Weible, Christopher M., eds. (Boulder, CO: Westview Press, 2014), pp. 105150.Google Scholar
Schneider, Ingram, and deLeon, p. 136.Google Scholar
Sabatier, Paul A. and Weible, Christopher M., eds., Theories of the Policy Process, 3rd ed (Boulder, CO: Westview Press, 2014).Google Scholar
Hacking, Ian, The Social Construction of What? (Cambridge, MA: Harvard University Press, 1999), pp. 2, 35.Google Scholar
Lieberman, Robert C., “Social construction (continued) — comment/reply,” American Political Science Review , 1995, 89(2): 437.Google Scholar
Schneider, Ingram, and deLeon, p. 129.Google Scholar
Schneider, Ingram, and deLeon, p. 112.Google Scholar
Schneider and Ingram, 1993, p. 338.Google Scholar
Ingram, Schneider, and deLeon, p. 102.Google Scholar
Schneider, Ingram, and deLeon, p. 111.Google Scholar
Waggoner, Miranda R., “Motherhood preconceived: The emergence of the preconception health and healthcare initiative,” Journal of Health Politics, Policy, and Law , 2013, 38(2): 346347.Google Scholar
Ingram, Schneider, and deLeon, p. 103.Google Scholar
Hayghe, Howard and Johnson, Beverly, Perspectives on Working Women: A Databook (Washington, DC: Bureau of Labor Statistics, 1980), http://www.eric.ed.gov/PDFS/ED198299.pdf, accessed March 12, 2012.Google Scholar
U.S. Department of Labor, “Latest annual data: Women of working age,” 2014, http://www.dol.gov/wb/stats/latest_annual_data.htm, accessed April 16, 2016.Google Scholar
Mulligan, Casey B., “When will women become a work-force majority?” New York Times, May 6, 2009, http://economix.blogs.nytimes.com/2009/05/06/when-will-women-become-a-majority-of-the-workforce, accessed March 6, 2012.Google Scholar
U.S. Bureau of Labor Statistics, “Highlights of women’s earnings in 2014,” report 1058, November 2014, http://www.bls.gov/opub/reports/womens-earnings/archive/highlights-of-womens-earnings-in-2014.pdf, accessed April 16, 2016.Google Scholar
U.S. Bureau of Labor Statistics, 2014.Google Scholar
U.S. Bureau of Labor Statistics. 2013, “Women’s earnings: 1979–2012,” November 4, 2013, http://www.bls.gov/opub/ted/2013/ted_20131104.htm, accessed October 11, 2016.Google Scholar
Ingram, Schneider, and deLeon, p. 101.Google Scholar
Center for American Women and Politics, Eagleton Institute of Politics, Rutgers, the State University of New Jersey, “Fact sheet: Women in state legislatures 2015,” http://www.cawp.rutgers.edu/women-state-legislature-2015, accessed April 16, 2016.Google Scholar
U.S. Census Bureau, “State and county quick facts,” http://www.census.gov/quickfacts/table/PST045215/00, accessed April 16, 2016.Google Scholar
U.S. Department of Agriculture, Food and Nutrition Service, “About WIC,” http://www.fns.usda.gov/wic/aboutwic/mission.htm, accessed May 18, 2012.Google Scholar
U.S. Department of Agriculture, Food and Nutrition Service. “WIC program participation and costs,” http://www.fns.usda.gov/pd/wisummary.htm, accessed May 21, 2012.Google Scholar
U.S. Department of Agriculture, Food and Nutrition Service. “WIC fact sheet,” April 2014, http://www.fns.usda.gov/sites/default/files/WIC-Fact-Sheet.pdf, accessed April 16, 2016.Google Scholar
Blake, John, “Return of the welfare queen,” CNN, January 23, 2012, http://www.cnn.com/2012/01/23/politics/weflare-queen, accessed March 14, 2013.Google Scholar
Association of Reproductive Health Professionals, “Reproductive health topics,” http://www.arhp.org/Topics, accessed October 7, 2016.Google Scholar
World Health Organization, “Sexual and reproductive health: Policy,” http://www.euro.who.int/en/health-topics/Life-stages/sexual-and-reproductive-health/policy, accessed October 7, 2016.Google Scholar
Gillian B. White, “All the single ladies,” New York Times, March 1, 2016, http://www.nytimes.com/2016/03/06/books/review/all-the-single-ladies-by-rebecca-traister.html, accessed October 6, 2016.Google Scholar
National Conference of State Legislatures, “State laws related to insurance coverage for infertility treatment,” June 1, 2014, http://www.ncsl.org/issues-research/health/insurance-coverage-for-infertility-laws.aspx, accessed April 16, 2016.Google Scholar
National Conference of State Legislatures, 2014.Google Scholar
Hawaii Revised Statutes 431: 10A-116.5, “In vitro fertilization procedure coverage,” http://www.capitol.hawaii.gov/hrs2002/vol09_ch0431-0435e/hrs0431/hrs_0431-0010a-0116_0005.htm, accessed February 23, 2013.Google Scholar
Rhode Island General Laws 27-18-30, “Health insurance contracts — infertility,” http://webserver.rilin.state.ri.us/Statutes/TITLE27/27-18/27-18-30.HTM, accessed February 23, 2013.Google Scholar
Schneider, Ingram, and deLeon, p. 101.Google Scholar
Markens, Susan, Surrogate Motherhood and the Politics of Reproduction (Berkeley: University of California Press, 2007).Google Scholar
Adam Liptak, “Supreme Court ruling makes same-sex marriage a right nationwide,” New York Times, June 26, 2015, http://www.nytimes.com/2015/06/27/us/supreme-court-same-sex-marriage.html, accessed October 3, 2016.Google Scholar
Resolve (The National Infertility Association), “Insurance coverage in your state,” http://www.resolve.org/family-building-options/insurance_coverage/state-coverage.html?referrer=https://www.google.com, accessed October 11, 2016.Google Scholar
Leonard, Kimberly, “Who has the right to build a family?” US News and World Report, August 15, 2016, http://www.usnews.com/news/articles/2016-08-15/same-sex-infertility-case-exposes-lack-of-access-to-reproductive-treatment, accessed October 3, 2016.Google Scholar
Adashi, Eli Y., “JAMA forum: A same-sex infertility health insurance mandate in Maryland?” news@JAMA, May 20, 2015, https://newsatjama.jama.com/2015/05/20/jama-forum-a-same-sex-infertility-health-insurance-mandate-in-maryland, accessed October 24, 2016.Google Scholar
Schneider and Ingram, 1993, p. 338.Google Scholar
Greil, Arthur L., McQuillan, Julia, Scheffler, Karinna M., Johnson, Katherine M., and Slausen-Blevins, Kathleen S., “Race-ethnicity and medical services for infertility: Stratified reproduction in a population-based sample of US women,” Journal of Health and Social Behavior , 2011, 52(4): 117.CrossRefGoogle Scholar
Loftus, Jeni and Namaste, Paul, “Expectant mothers: Women’s infertility and the potential identity of biological motherhood,” Qualitative Social Review, 2011, 7(1): 36–54, http://www.qualitativesociologyreview.org/ENG/Volume18/QSR_7_1_Loftus_Namaste.pdf, accessed May 15, 2013.Google Scholar
Watkins, Kathryn J. and Baldo, Tracy D., “The infertility experience: Biopsychosocial effects and suggestions for counselors,” Journal of Counseling and Development: JCD , 2004, 82(4): 394402.Google Scholar
Centers for Disease Control and Prevention, “Infertility FAQs,” http://www.cdc.gov/reproductivehealth/Infertility/index.htm, accessed October 15, 2016.Google Scholar
Guttmacher Institute, “Insurance coverage of contraceptives,” http://www.guttmacher.org/statecenter/spibs/spib_ICC.pdf, accessed October 11, 2016.Google Scholar
National Conference of State Legislatures, “Insurance coverage for contraception laws,” February 2012, http://www.ncsl.org/issues-research/health/insurance-coverage-for-contraception-state-laws.aspx, accessed April 16, 2016.Google Scholar
Mosher, W. D. and Jones, Jo, “Use of contraception in the United States: 1982–2008,” Vital Health Statistics, 2010, 23(29), http://www.cdc.gov/NCHS/data/series/sr_23/sr23_029.pdf, accessed March 11, 2013.Google Scholar
Sonfield, Adam and Gold, Rachel Benson, “New study documents major strides in drive for contraceptive coverage,” Guttmacher Report on Public Policy , 2004, 7(2):, http://www.guttmacher.org/pubs/tgr/07/2/gr070204.html, accessed March 11, 2013.Google Scholar
Schneider, Ingram, and deLeon, p. 105.Google Scholar
Goldberg, Carey, “Insurance for Viagra spurs coverage for birth control,” New York Times, June 30, 1999, http://www.nytimes.com/1999/06/30/us/insurance-for-viagra-spurs-coverage-for-birth-control.html?pagewanted=all&src=pm, accessed March 11, 2013.Google Scholar
Henig, Jess, “McCain’s Viagra moment,” FactCheck.Org, June 24, 2008, http://www.factcheck.org/2008/07/mccains-viagra-moment, accessed March 11, 2013.Google Scholar
Ingram, Schneider, and deLeon, p. 99.Google Scholar
“Limbaugh slut slur student Sandra Fluke gets Obama call,” BBC News, March 2, 2012, http://www.bbc.co.uk/news/world-us-canada-17241803, accessed March 12, 2013.Google Scholar
Ingram, Schneider, and deLeon, p. 108.Google Scholar
Eisenstadt v. Baird, 2011, The Oyez Project at IIT Chicago-Kent College of Law, http://www.oyez.org/cases/1970-1979/1971/1971_70_17, accessed March 12, 2013.Google Scholar
Sarah Kliff, “All states except Oregon now limit abortion access,” Washington Post, January 31, 2013, http://www.washingtonpost.com/blogs/wonkblog/wp/2013/01/31/all-states-except-oregon-now-limit-abortion-access, accessed March 13, 2013.Google Scholar
Schneider and Ingram, 1993.Google Scholar
Ingram, Schneider, and deLeon, p. 112.Google Scholar
Mike Alberti, “Dozens of new state limits on abortions added in 2012,” Remapping Debate, January 30, 2013, http://www.remappingdebate.org/map-data-tool/dozens-new-state-limits-abortions-added-2012, accessed March 13, 2013.Google Scholar
Guttmacher Institute, “2012 saw second highest number of abortion restrictions ever,” January 2, 2013, http://www.guttmacher.org/media/inthenews/2013/01/02/index.html, accessed March 13, 2013.Google Scholar
Guttmacher Institute, “State policies in brief: An overview of abortion laws,” April 1, 2016, https://www.guttmacher.org/state-policy/explore/overview-abortion-laws, accessed April 16, 2016.Google Scholar
Schneider, Anne Larason and Ingram, Helen, Policy Design for Democracy (Lawrence: University Press of Kansas, 1997), p. 112.Google Scholar
Schneider and Ingram, 1997, p. 113 (Figure 5.3).Google Scholar
Guttmacher Institute, 2016.Google Scholar
Schneider and Ingram, 1993, p. 335.Google Scholar
Boonstra, Heather D., “The heart of the matter: Public funding of abortion for poor women in the United States,” Guttmacher Policy Review , 2007, 10(1):, http://www.guttmacher.org/pubs/gpr/10/1/gpr100112.html, accessed March 13, 2013.Google Scholar
Jones, Rachel K., Upadhyay, Ushma D., and Weitz, Tracy A., “At what cost? Payment for abortion care by US women,” Women’s Health Issues , 2013, 23(3): e173e178.Google Scholar
Hankivsky, Olena, An Intersectionality-Based Policy Analysis Framework (Vancouver, BC: Institute for Intersectionality Research and Policy, Simon Fraser University, 2012), http://www.sfu.ca/iirp/ibpa.html, accessed April 16, 2016.Google Scholar
Luckey, Cara, “Commercial surrogacy: Is regulation necessary to manage the industry?,” Wisconsin Journal of Law, Gender and Society , 2012, 26(2): 213234.Google Scholar
Ingram, Schneider, and deLeon, p. 121.Google Scholar