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Updated: Feb 13, 2026
07:04
A Novel Use of Three-dimensional High-frequency Ultrasonography for Early Pregnancy Characterization in the Mouse
Published on: October 24, 2017
9.0K
When Should Screening and Surveillance Be Used during Pregnancy?
1A professor of science and technology studies at Rensselaer Polytechnic Institute in Troy, New York.
AMA Journal of Ethics
|March 16, 2018
Summary
Medicalization and criminalization increase surveillance of pregnant women, impacting reproductive justice. The carceral system must prioritize drug treatment and women's rights over punishment.
Area of Science:
- Public Health
- Sociology
- Legal Studies
Background:
- Medicalization and criminalization of pregnancy and parenting are increasing surveillance of women.
- The carceral system's expansion has not prioritized drug treatment or reproductive justice for pregnant and postpartum individuals.
- Child protection is used to justify intensified scrutiny of women's lives.
Purpose of the Study:
- To investigate the ethical and historical dimensions of screening and surveillance practices for pregnant and postpartum individuals.
- To examine how medicalization and criminalization intersect to increase control over women's lives.
- To determine principles for harm reduction, safeguarding rights, and ensuring least-coercive treatment settings.
Main Methods:
- Ethical analysis of shared responsibility in childbirth.
- Historical and social contextualization of surveillance practices.
- Review of legal frameworks and their impact on reproductive autonomy.
Main Results:
- The current system intensifies scrutiny of women, particularly those who are pregnant, postpartum, or parenting.
- Medication-assisted treatment (MAT) is underutilized due to the carceral system's focus.
- Existing practices often conflict with safeguarding civil and human rights, including reproductive autonomy.
Conclusions:
- Screening and surveillance must be ethically grounded to protect rights and minimize coercion.
- Prioritizing reproductive justice and accessible treatment is crucial.
- A shift towards least-coercive settings is necessary for effective care and support.
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