자료유형  

 학위논문

Control Number  

0016933288

International Standard Book Number  

9798379703509

Dewey Decimal Classification Number  

301

Main Entry-Personal Name  

Skaperdas, Eleni.

Publication, Distribution, etc. (Imprint  

[S.l.] : University of California, Los Angeles., 2023

Publication, Distribution, etc. (Imprint  

Ann Arbor : ProQuest Dissertations & Theses, 2023

Physical Description  

1 online resource(127 p.)

General Note  

Source: Dissertations Abstracts International, Volume: 84-12, Section: B.

General Note  

Advisor: Landecker, Hannah Louis;Timmermans, Stefan.

Dissertation Note  

Thesis (Ph.D.)--University of California, Los Angeles, 2023.

Restrictions on Access Note  

This item must not be sold to any third party vendors.

Summary, Etc.  

요약This dissertation is a comparative ethnography of the life and worlds of the high-risk pregnancy when wealthy and poor in Los Angeles, California. The study design is a case comparison of high-risk pregnancy and prenatal care at the extreme ends of the socioeconomic hierarchy: my field sites are "the Boutique," a private high-risk prenatal treatment center catering to upper and upper middle-class clientele, and "the Satellite," providing a "one-stop shop" for publicly insured pregnant women. The comparison controls for health care provider orientation and training, as a rotating cast of physicians practice at both field sites. I find the biomedical classification of the high-risk pregnancy hangs together through a disparate web of risk for the wealthy and poor, attended through different forms of care delivered across settings. Empirical findings examine the divergent ways risk is constructed or produced in clinic, the differing temporal natures of the high-risk pregnancy for the wealthy and poor, and the unintended consequences of cutting-edge technology within the setting of elite prenatal care. Although the base assumption is that privately purchased care means better care, I uncover a surprising finding-poor women receive comprehensive, holistic care that surpasses the sometimes fragmented and overmedicalized prenatal care wealthy women receive. Yet this better care also has a punitive aspect: poor women do not receive care that respects their privacy and always attends to how the broader socioeconomic landscape, rather than how individual behaviors, influences outcomes. Furthermore, the Satellite represents an island of comprehensive care within a treatment landscape defined by a lack of access and availability to high-risk prenatal care for the publicly insured. This study reveals that socioeconomic stratification produces distinct forms and procedures of the high-risk pregnancy, occupying differing realms of the biological and biomedical, economic, political, and social -and thus make up "two Americas." 

Subject Added Entry-Topical Term  

Sociology.

Subject Added Entry-Topical Term  

Medicine.

Subject Added Entry-Topical Term  

Obstetrics.

Subject Added Entry-Topical Term  

Social structure.

Index Term-Uncontrolled  

Ethnography

Index Term-Uncontrolled  

Inequality

Index Term-Uncontrolled  

Pregnancy

Index Term-Uncontrolled  

Reproduction

Index Term-Uncontrolled  

Pregnant women

Added Entry-Corporate Name  

University of California, Los Angeles Sociology 0867

Host Item Entry  

Dissertations Abstracts International. 84-12B.

Host Item Entry  

Dissertation Abstract International

Electronic Location and Access  

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Control Number  

joongbu:639749