The prenatal care color line and Latina migrant motherhood

Author:

Cerdeña Jessica P.1ORCID

Affiliation:

1. Institute for Collaboration on Health, Intervention, and Policy (InCHIP) University of Connecticut

Abstract

AbstractDrawing from ethnographic research with Latin American migrant mothers seeking prenatal care at a safety net clinic in southern Connecticut, I describe the racial dynamics of a medical hierarchy that situates White providers and nurses above Black and Brown medical assistants and patients, terming this the prenatal care color line. I characterize three segments of the prenatal care color line: through (1) onerous enrollment in prenatal care support that strips rights from migrant mothers; (2) differences in racialized embodiment that harden essentialist and stereotyped notions surrounding Latinx reproduction, making the experience of pregnancy and birth a process of race‐making; and (3) obstetric racism manifest through both denying or delaying critical medical care to Latinx pregnant patients while also overmedicalizing their uncomplicated births. I argue that the presence of the prenatal care color line—in my study clinic as in other safety net clinics—permits the harsher racialization of Latinx birthers.

Funder

Wenner-Gren Foundation

Foundation for the National Institutes of Health

National Science Foundation

Robert Wood Johnson Foundation

Publisher

Wiley

Subject

Anthropology,General Medicine

Reference51 articles.

1. American College of Obstetricians and Gynecologists.2019. “Obstetric Analgesia and Anesthesia.” Practice Bulletin no. 29 March 2019.https://www.acog.org/en/clinical/clinical‐guidance/practice‐bulletin/articles/2019/03/obstetric‐analgesia‐and‐anesthesia.

2. American College of Obstetricians and Gynecologists and Society for Maternal‐Fetal Medicine.2014. “Safe Prevention of the Primary Cesarean Delivery.” Obstetric Care Consensus no. 1 March 2014.https://www.acog.org/en/clinical/clinical‐guidance/obstetric‐care‐consensus/articles/2014/03/safe‐prevention‐of‐the‐primary‐cesarean‐delivery.

3. “The White Space”

4. Racial and Ethnic Disparities in Pain: Causes and Consequences of Unequal Care

5. Reproducing Race

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