The Reproduction of Shame: Pregnancy, Nutrition and Body Weight in the Translation of Developmental Origins of Adult Disease

Author:

Moore Vivienne123,Warin Megan234ORCID

Affiliation:

1. Life Course & Intergenerational Health Research Group, Discipline of Public Health, School of Public Health, University of Adelaide, South Australia, Australia

2. Robinson Research Institute, University of Adelaide, South Australia, Australia

3. The Fay Gale Centre for Research on Gender, University of Adelaide, South Australia, Australia

4. Department of Sociology, Criminology and Gender Studies, School of Social Sciences, University of Adelaide, South Australia, Australia

Abstract

Developmental origins of health and disease (DOHaD) and epigenetics have expanded understanding of how the environment affects the health of women before and during pregnancy—with lifelong health consequences for the fetus. This has translated to a narrow focus on women’s lifestyle during pregnancy, especially for women classified as obese. In this study, we show that psychosocial harms such as distress or shame felt by pregnant women are rarely countenanced in these endeavors. To demonstrate this, we examine published documents about a large set of trials of lifestyle interventions united through an international consortium. Yet there is now a literature in which pregnant women with large bodies report feeling humiliated and a wider literature on the stigma of obesity. We argue that shame is produced and reproduced through the discursive and material knowledge-making scientific practices of DOHaD translation. Interventions that intensify the shame of large body size in pregnancy may be stressful, and neurophysiological stress pathways are well-known within DOHaD to have consequences for fetal development, so these interventions potentially undermine the very processes they set out to protect. A feminist response may protect women from shame and redirect attention to the social and structural determinants of health.

Publisher

SAGE Publications

Subject

Human-Computer Interaction,Economics and Econometrics,Sociology and Political Science,Philosophy,Social Sciences (miscellaneous),Anthropology

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