History of Women in Medicine

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Questions and Answers

What career involved hiring someone to nurse children?

  • Child psychology
  • Midwifery
  • Pediatrics
  • Wet nursing (correct)

What did Galen claim was a natural deficiency in women compared to men?

  • Lower fertility rates
  • Inability to produce milk
  • Failure to generate heat for purification (correct)
  • Limited maternal instincts

According to Galen's theories, what was incorrectly theorized about the ovaries?

  • They were essential for male reproduction
  • One ovary produced males and the other produced females (correct)
  • Ovaries were not crucial for reproduction
  • Both ovaries produced only females

What misconception about female and male reproduction was perpetuated by anatomical drawings in the 16th century?

<p>Men's reproductive system is more developed (B)</p> Signup and view all the answers

What aspect of female anatomy did St. Gregory of Nyssa argue was completed by the male?

<p>The completion of the embryo (A)</p> Signup and view all the answers

Which country has the highest number of legal NRT centres?

<p>India (C)</p> Signup and view all the answers

Which of the following countries forbids egg donation and surrogacy?

<p>Italy (A)</p> Signup and view all the answers

What is the implication of greater public funding for NRTs?

<p>Increased demand for NRTs (D)</p> Signup and view all the answers

Which technique has taken longer to master compared to sperm and embryo freezing?

<p>Egg freezing (A)</p> Signup and view all the answers

What does PGS stand for in reproductive technology?

<p>Preimplantation Genetic Screening (A)</p> Signup and view all the answers

Which of the following countries has approved mitochondrial DNA donation?

<p>UK (B)</p> Signup and view all the answers

How many European countries allow access to single women for assisted reproductive technologies?

<p>10 (B)</p> Signup and view all the answers

What does PGD diagnose in embryos?

<p>Known genetic disorders (C)</p> Signup and view all the answers

Which factor contributed to the changes in sexuality during the 1960s before the introduction of the pill?

<p>Women's emancipation and a burgeoning economy (D)</p> Signup and view all the answers

What was a consequence of the Stonewall riot in NYC?

<p>It sparked a movement for gay rights and pride (B)</p> Signup and view all the answers

What was significant about legislation concerning male homosexuality in England from 1533 to 2014?

<p>Male-to-male sexuality was first recognized as a crime and then eventually legalized (B)</p> Signup and view all the answers

What role did access to contraception play in the changes observed in women's participation in the workforce in Canada from 1950 to 2013?

<p>It allowed women to delay childbirth and pursue careers (D)</p> Signup and view all the answers

What was one method through which LGBTQ2S+ individuals initially sought parental rights before legal recognition of same-sex marriage?

<p>Through sham heterosexual marriages (B)</p> Signup and view all the answers

Which event marked a significant moment for the gay rights movement in 2016?

<p>A mass shooting at a gay bar in Orlando (D)</p> Signup and view all the answers

How have fertility clinics adapted to the needs of LGBTQ2S+ families?

<p>By providing access to reproductive technologies for same-sex couples (D)</p> Signup and view all the answers

Despite advancements in legal rights for the LGBTQ2S+ community, what issues still persist?

<p>Harassment and violence against individuals due to their sexuality (D)</p> Signup and view all the answers

What factor greatly contributed to the social acceptance of contraceptives?

<p>They were sold as a medicinal product. (D)</p> Signup and view all the answers

What aspect of reproductive technology challenges traditional views of kinship?

<p>It disconnects kinship from physical genealogical relationships. (C)</p> Signup and view all the answers

What significant law did the Italian government implement in mid-October?

<p>A ban on all international surrogacy. (D)</p> Signup and view all the answers

Which method is primarily used for assisted conception in humans?

<p>In vitro fertilization (IVF). (A)</p> Signup and view all the answers

What medical development addresses men's sexual aging?

<p>Nitric oxide medication. (A)</p> Signup and view all the answers

How has the global market for hormone replacement therapy changed recently?

<p>It is projected to grow significantly, surpassing USD 40 billion by 2032. (D)</p> Signup and view all the answers

What revolutionary area did Walter Heape's experiments in the 1890s focus on?

<p>Transferring rabbit embryos. (C)</p> Signup and view all the answers

How did the medical community respond to menopause in recent years?

<p>By medicalizing it and developing treatment for lifestyle concerns. (D)</p> Signup and view all the answers

What role did the pharmaceutical industry play in contraceptive development?

<p>They helped in creating effective hormonal contraceptives. (A)</p> Signup and view all the answers

What was a key advancement in the 1920s related to reproductive technology?

<p>Successful freezing and transportation of cow semen. (D)</p> Signup and view all the answers

What is a significant societal impact of marketing Seasonable contraceptives?

<p>Normalizing a menstrual-free lifestyle as convenient. (D)</p> Signup and view all the answers

What does in vitro fertilization primarily involve?

<p>Combining eggs and sperm in a laboratory setting. (D)</p> Signup and view all the answers

What aspect of the contraceptive pill was marketed to appeal to users?

<p>It can be used for lifestyle preference. (B)</p> Signup and view all the answers

What defines the current trajectory of the global market for contraceptives?

<p>It is growing significantly, reflecting societal changes. (B)</p> Signup and view all the answers

What legal decision did Wade affirm regarding abortion?

<p>It is a woman's right. (C)</p> Signup and view all the answers

Which drug was approved by the FDA for medical abortions in the year 2000?

<p>Mifepristone (C)</p> Signup and view all the answers

What legislative trend occurred in many states from 1970s to 2020 regarding abortion?

<p>Enacting TRAP laws. (C)</p> Signup and view all the answers

What event in 2021 posed a significant threat to Roe v. Wade?

<p>The death of Justice Ruth Ginsburg. (B)</p> Signup and view all the answers

What restriction did certain states implement regarding abortion in 2021-2022?

<p>Limiting abortions to 6 weeks. (C)</p> Signup and view all the answers

As of 2022, what is the number of states that enacted near-total abortion bans following the overturning of Roe v. Wade?

<p>144 states (A)</p> Signup and view all the answers

How has the legal landscape regarding IVF changed after the overturning of Roe v. Wade?

<p>States can now decide when life begins. (A)</p> Signup and view all the answers

What potential future legislation could outlaw IVF?

<p>Life at Conception Act (A)</p> Signup and view all the answers

What was the first country targeted by population control plans from wealthier nations?

<p>India (A)</p> Signup and view all the answers

What significant event occurred in India in 1975 regarding population control?

<p>A massive sterilization campaign. (B)</p> Signup and view all the answers

Which phenomenon is discussed by Michelle Murphy in relation to population control?

<p>The phantasma of the girl. (A)</p> Signup and view all the answers

How did early family planning advocates perceive reproduction?

<p>A key to poverty alleviation. (C)</p> Signup and view all the answers

What does intra-national reproductive injustice refer to in the US context?

<p>Discriminatory access to health services. (A)</p> Signup and view all the answers

What impact do anti-abortion bills have on reproductive technologies like IVF?

<p>They could outlaw various reproductive technologies. (B)</p> Signup and view all the answers

What did the Offence Against the Person Act of 1861 make illegal for pregnant women in England?

<p>Procuring a miscarriage (D)</p> Signup and view all the answers

Who were the two key women that led the contraception rights movement during the Industrial Revolution?

<p>Marie Stopes and Margaret Sanger (C)</p> Signup and view all the answers

What was one of the implications of the Eugenics Educational Society formed in Britain in 1906?

<p>Advocating for selective breeding based on 'good' genes (B)</p> Signup and view all the answers

What legal measure returned social control over reproductive rights in the US in 2023?

<p>The reversal of Roe v. Wade (B)</p> Signup and view all the answers

Which demographic was notably less represented in the reproductive rights movement during the 1960s?

<p>Black women (D)</p> Signup and view all the answers

What defines 'reproductive justice' compared to 'reproductive rights'?

<p>Emphasis on systemic barriers beyond individual choice (B)</p> Signup and view all the answers

How did the feminist groups in the early 70s respond to the difficulty in accessing safe abortions?

<p>They formed underground networks for support. (B)</p> Signup and view all the answers

What aspect is often tied to the reproductive rights of many marginalized communities?

<p>Access to secure and sustainable communities (A)</p> Signup and view all the answers

What consequence did the eugenics movement have in Canadian provinces like Alberta?

<p>Allowing forced sterilizations of 'unfit' individuals (C)</p> Signup and view all the answers

What challenge do Black and Indigenous women often face in reproductive rights discussions?

<p>Lack of concern for their health needs (B)</p> Signup and view all the answers

What did the 1973 Supreme Court ruling on abortion establish for women?

<p>Abortion was recognized as a right of bodily liberty (A)</p> Signup and view all the answers

What societal factor contributed to the push for contraception in the 1900s?

<p>Poverty among the working class and slums (B)</p> Signup and view all the answers

What did the phrase 'reproductive freedom' encompass when discussed in a broader social justice context?

<p>Freedom from forced sterilization and family planning control (B)</p> Signup and view all the answers

What historical trend does the reproductive rights movement share with the civil rights movement?

<p>Both movements arose from a fight against systemic inequality (C)</p> Signup and view all the answers

Flashcards

Galen's "Natural Deficiency"

The belief that women's reproductive system is inherently deficient compared to men's, stemming from Galen's theory.

Women's Lack of 'Heat' in Reproduction

The idea that a woman's menstrual blood is not properly purified by heat, unlike men's semen, leading to a lack of 'heat' and potential for weaker reproductive capabilities.

The 'Two Ovaries' Theory

The incorrect notion that one ovary produces male offspring (fed by purified blood from the kidneys) and the other produces female offspring (fed by less purified blood).

Male Embryo Dominance

The long-held belief that the male contributes a complete embryo, while the female merely provides a nurturing environment.

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Wet Nursing

The process of a wet nurse breastfeeding another woman's child, a common practice historically.

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Contraception's impact on family structure

The widespread access to safe, effective, and socially accepted contraception, particularly the birth control pill, played a significant role in the changing family dynamics of the 1960s and 2013.

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Social revolutions of the 1960s

A diverse range of social revolutions occurred in the 1960s, often interconnected and driven by human rights concerns. These movements included the fight for women's liberation, civil rights, and gay rights.

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Stonewall riots and gay rights

The Stonewall riots, which began in 1969 at a gay bar in New York City, are considered a turning point in the fight for gay rights. This event marked a shift towards open protest and activism for LGBTQ+ rights.

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Criminalization of male homosexuality

Historically, male homosexuality was criminalized in many countries. England, for example, made male-to-male sexuality a crime punishable by death in 1533, and it was only repealed in 1861. This highlights the long-standing prejudice and legal discrimination against LGBTQ+ individuals.

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Ongoing challenges for LGBTQ+ individuals

While same-sex marriage is now legally recognized in many countries, LGBTQ+ individuals continue to face harassment, discrimination, and violence. This underscores the ongoing challenges and need for greater social acceptance and protection.

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Reproductive rights for LGBTQ2S+ individuals

LGBTQ2S+ individuals have faced obstacles in establishing their reproductive rights, often resorting to discreet, but risky, methods such as sham heterosexual marriages or adoption. As same-sex marriage has become more widely recognized, access to fertility clinics for LGBTQ2S+ families has grown, allowing for greater autonomy in starting families.

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Recreating the nuclear family

The concept of the "nuclear family" is being redefined to encompass LGBTQ2S+ families, challenging traditional notions of family structures and challenging societal norms. This shift reflects the increasing inclusivity and diversity of family forms.

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Assisted reproductive technologies for LGBTQ2S+ families

Assisted reproductive technologies (ART) have played a crucial role in empowering LGBTQ2S+ families. They enable same-sex couples to conceive and raise children, providing greater autonomy and agency in creating families that look like their own.

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Eugenics

The belief that promoting reproduction among those with 'good' genes, and limiting reproduction among those with 'bad' genes, will improve society.

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Contraception Rights Movement

A historical movement that encouraged women to use contraception to limit family size, especially among poor women in the early 1900s.

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Offence Against the Person Act (1861)

A legal act passed in England in 1861 that made it a felony for pregnant women to procure a miscarriage, punishable by life imprisonment.

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Reproductive Rights Movement

A social and legal movement that advocated for women's right to control their own bodies and reproductive choices, specifically access to safe and legal abortion.

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Reproductive Justice

The idea that access to abortion is not just about individual choice, but also about addressing systemic social and economic factors that limit reproductive freedom, such as poverty and racial discrimination.

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Reproductive Freedom

The belief that people should have the freedom to make choices about their own bodies and reproduction without facing social, economic, or political barriers.

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Global Population Control

The practice of controlling population growth through various means, often targeting developing countries and assuming they have a disproportionate impact on the environment.

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Sexual Revolution

The period in the 1960s and 1970s characterized by a shift in social attitudes toward sexuality, leading to a greater acceptance of sex outside of marriage and increased use of contraception.

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Moral Shame

A form of social control that uses morality and shame to pressure women into adhering to traditional expectations regarding reproduction and sexuality.

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Planned Parenthood

An organization founded by Margaret Sanger that provides access to contraception and abortion services.

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The Janes

A group of women in Chicago who provided safe and affordable abortions to women in the 1960s and 1970s.

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Contraceptive Pill Development

The process of using hormones, particularly progesterone, to temporarily prevent ovulation, resulting in the development of the contraceptive pill.

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Unhinged Reproduction from Sexuality

The belief that reproduction should be separated from heterosexual relationships and marriage, allowing women to freely control their own reproductive choices.

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Social Control of Reproduction

The legal and social system that uses laws, policies, and cultural norms to control individuals' reproductive choices and behaviors.

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Involuntary Sterilization

The process of removing a woman's reproductive organs, often without her informed consent, usually targeting marginalized groups such as Indigenous and Black women.

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Medicalization and Gender

A feminist perspective highlighting the interplay between medicine, gender, and power, recognizing how medical practices can be used to control women's bodies.

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Queer Kinship

A concept that acknowledges the diverse ways LGBTQ2S+ communities build families and create kinship, going beyond traditional, biological ties and embracing various forms of family structures, like surrogacy, adoption, and chosen families.

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Recognizing Queer Kinship

The legal and moral recognition of non-traditional family structures, including those created through surrogacy, adoption, and other assisted reproductive technologies, allowing LGBTQ2S+ individuals to build families.

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Surrogacy

The practice of using a surrogate mother to carry a child for another couple or individual, where the child's biological parent may or may not be involved in the pregnancy.

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Birth Mother

The individual who gives birth to a child, even if they are not the child's biological parent, in situations like surrogacy or adoption.

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Contracting Parents

Individuals who agree to financially and emotionally support a child, regardless of their biological relationship, often in legal situations like adoption or surrogacy.

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Donor Eggs, Sperm, and Embryos

The use of donated eggs, sperm, or embryos to achieve pregnancy, helping couples or individuals who cannot conceive naturally to build families.

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Medicalizing Male Sexual Aging

The creation of 'penile dysfunction' as a medical condition, marketed as a lifestyle enhancement and addressed through medication like Viagra. This represents a trend of medicalizing natural aging processes, and the pharmaceutical industry's influence in defining health and well-being.

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Menopause Medication

Hormonal treatments designed to address menopause symptoms. This represents the medicalization of menopause, with the pharmaceutical industry actively promoting these treatments as a solution for a perceived medical issue.

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Commodifying Contraception

The commercialization of contraception, often promoted as medicine or a health benefit. This approach highlights the influence of the pharmaceutical industry in shaping perceptions of reproduction and women's health.

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Seasonale-Type Contraception

A contraceptive hormone that suspends ovulation for three months, resulting in a reduced number of menstrual periods. This highlights the trend of medicalizing and controlling menstruation, promoting a

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Top NRT Countries (2018)

Countries with the most legal NRT centers, based on a 2018 study by the Journal of Assisted Reproduction & Genetics. The numbers represent the approximate amount of centers present in each country.

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IVF and Embryo Research Regulations

International regulations for in vitro fertilization (IVF) and embryo research often mirror those established in the United Kingdom, but local differences may exist due to cultural, religious, or ethical considerations.

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LGBTQ+ Access to NRT

Countries that restrict access based on sexual orientaton. For example, 10 out of 22 European countries allow access to single women. However, only 7 European countries permit access to lesbian couples.

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NRT Demand vs Access

The higher the public funding for NRT, the greater the demand for its services. However, this increased demand can lead to restrictions on access due to limited resources or changing regulations.

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Reproductive Tourism

As restrictions on NRT access rise, individuals may seek treatments elsewhere, leading to a surge in reproductive tourism.

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Berg Brigham et al. (2013) Study

A study conducted by Berg Brigham et al. in 2013 explored the impact of public and private funding (insurance) on NRT access and availability.

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Egg Freezing vs Sperm/Embryo Freezing

The process of freezing and storing eggs has been more complex and challenging to master compared to sperm and embryo freezing. This difference in complexity has resulted in a unique regulatory context for egg storage, due to its advanced medical and scientific requirements.

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Mitochondrial DNA Donation

Mitochondrial DNA donation, a process allowing for genetic material from three individuals, has been approved in the UK and Canada. This technology has the potential to prevent certain genetic diseases.

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Roe v. Wade Overturn

The legal right to terminate a pregnancy, established in the 1973 Supreme Court case Roe v. Wade, was overturned in 2022 by the Supreme Court. This decision allows individual states to regulate or ban abortion, leading to significant regional variations in access.

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TRAP Laws

A set of laws passed in several US states aimed at restricting access to safe abortions. These laws often involve burdensome regulations for abortion providers, creating barriers for women seeking essential healthcare.

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Heartbeat Bills

State laws restricting abortion to a very early stage of pregnancy, typically within the first six weeks, often before many women know they are pregnant. These laws are often framed around detecting a fetal heartbeat.

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Personhood Laws

A legal concept where an embryo or fetus is granted legal personhood rights, potentially impacting reproductive healthcare, including IVF and abortion.

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In Vitro Fertilization (IVF)

The use of assisted reproductive technologies, including IVF, to help people start families. This technology involves fertilizing an egg outside the body and transferring the resulting embryo to the uterus. It is a complex and often expensive treatment that raises ethical and legal considerations, especially in the context of abortion restrictions.

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Life at Conception Act

A national anti-abortion bill that proposes recognizing an embryo as a person from the moment of conception. This could potentially outlaw IVF and other medical procedures related to embryos.

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Forced Sterilization

The practice of forcibly sterilizing individuals, often without their informed consent, to control population growth. This has been used historically in various parts of the world, and is considered a violation of human rights.

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Population Control

A complex and often controversial issue where developing nations are encouraged to limit population growth as a means of achieving economic development. This approach often involves promoting family planning and contraception interventions.

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The Phantasma of the Girl

A term coined by Michelle Murphy, describing the persistent and often exploitative focus on the 'girl' from developing countries as the target of population control measures, often linked to assumptions about her education and agency.

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Intra-national Reproductive Injustice

A specific example of reproductive injustice in the US, where policies and practices have historically targeted marginalized communities, particularly women of color, with forced sterilization and limited access to contraception.

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Racial Intersectional Reproductive Rights

The intersection of race and reproductive rights, highlighting the historical and ongoing biases and discrimination that impact access to healthcare, particularly for women of color.

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Reproductive Autonomy

The legal right of adults to make informed decisions about their own bodies, particularly regarding sexual and reproductive choices. This encompasses access to accurate information, safe and effective contraception, and abortion care.

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Health Equity

A concept that highlights the importance of addressing the underlying social and economic factors that contribute to health disparities, including those related to reproduction. It involves promoting fairness and equity in access to resources and opportunities.

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Study Notes

Reproductive Relations: Historical Context

  • Reproduction's shift from an individual act to a broader social justice issue, with a focus on access to necessary resources.
  • Prehistoric understanding and symbolic representation of the feminine divine connected to fertility and growth.
  • Historical understanding of parenthood and its link to seasonal cycles and reproduction in general.
  • Societal views on reproduction and the evolution of related practices from ancient to feudal times, with the role of midwives as central to childbirth.
  • How factors such as religion and medicine impacted the social framework around reproduction.

Reproductive Theories

  • Prehistoric figures as representations of beliefs about conception and procreation.
  • Interpretations of the Venus of Willendorf as a symbol of fertility and the cycle of life in prehistoric times.
  • Ancient Greek and Roman theories on reproduction
  • Aristotle's impact in understanding human reproduction.
  • Theories of "heat" in the creation and development of beings throughout different cultures.
  • Early modern theories encompassing the rejection of mechanistic views of reproduction, the concept of preformation, and the eventual transition to epigenesis.
  • Theories on human reproduction from ancient times, including the role of "heat" in creation and the impact of cultural norms and practices.

Medicalization of Reproduction and Birth

  • The evolution of the medical view of reproduction, including the historical role of midwives and the professionalization of physicians.
  • Historical focus on pregnancy as a vulnerability and the shift in medical perspective towards modern reproductive medicine and its social implications.
  • Scientific and social advancements in medical approach to reproductive health.
  • The shift from family to hospital birth settings in the 20th century; its significance in society.
  • How the medicalization of pregnancy and childbirth has shifted over time, impacting women's experiences, access to healthcare, and societal views.

Reproductive Justice and Rights

  • The concept of reproductive justice, which expands beyond individual choice to include social, economic, and political factors affecting reproductive health.
  • Historical context of the reproductive rights movement, emphasizing experiences of women of color and other marginalized populations.
  • How the legal and social understanding of reproduction and birth rights have evolved over the centuries.
  • The concept of reproductive justice as an intersectional approach to reproductive health, incorporating factors such as racial equity, economic stability, gender equality.
  • Legal and social aspects of reproductive choices in relation to different communities; how societies regulate and control reproduction.

New Reproductive Technologies (NRTs)

  • The emergence of IVF and other NRTs, including their scientific advancements and ethical considerations.
  • The social implications of NRTs, including implications for family structures, gender roles, and access to reproductive healthcare.
  • The development and use of NRTs in the context of historical and contemporary reproductive rights and justice discussions.
  • How social considerations influence the access to NRTs.
  • The evolution of regulations, ethical debates, and controversies surrounding NRTs as they are being incorporated into healthcare and cultural norms.

Reproduction and Sexuality

  • The relationship between reproduction and sexuality across different cultures and throughout history.
  • How cultural and religious norms and views influence the perceptions and management of reproduction and sexuality.
  • The changing social and legal landscape regarding sexuality and reproductive rights.
  • How different groups view reproduction; the diverse range of perspectives on these issues.
  • Understanding historical and cultural disparities affecting reproductive rights and choices.

Reproductive Justice: Intersectionality

  • The interconnectedness of social issues, like race, class, ability, and gender with reproductive rights.
  • Impact of structural inequities on access to and quality of reproductive healthcare.
  • How policies and systems of power affect various groups.
  • Historical and ongoing challenges and injustices in reproductive health for marginalized groups.
  • The concept of reproductive justice as a collective affirmation of reproductive rights, including the right to have a child, not have a child, and have children under safe conditions.

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