Reproductive Coercion and Abortion Care: Care and Surveillance in Abortion Decision-Making in North Carolina, USA

In this article, I explore connections of reproductive coercion and surveillance care through ethnographic research conducted at two independent abortion clinics in North Carolina from 2018 to 2019. Examining the lived experiences of those who seek abortion care shows how patients navigate surveillance during the clinical encounter to receive care. Patients experiencing reproductive coercion often need to maintain existing social ties, involving the providers as mediators to ensure their preferred outcome. Because patients may only receive care if they express an autonomous decision for abortion, providers often observe and negotiate specific social-relational cues, draw-specific ethical conclusions about patient autonomy, and act accordingly.