Women's experiences of preterm labor: a feminist critique

Using a feminist perspective, women's experiences of preterm labor (PTL) were critiqued and compared with the medical establishment's perspective on PTL as described in the medical literature. Interview data from 29 women who participated in a larger study on the PTL experience were revisited and examined based on principles of feminist theory. The persistent "medicalization" of women's bodies was discussed and used as a framework to explore several issues: (a) the diagnosis of PTL and what it means to be at risk for this phenomenon; and (b) the treatment of PTL including the role of medications, activity, and home monitoring for uterine contractions. Based on the differences that emerged when PTL--was examined from two divergent standpoints--the women's perspective and the physician's perspective--some alternative approaches to PTL management that place women's lives at the center of the treatment process were suggested.