Reproductive health care appointments: How the institutional organization of obstetric/gynecological work shapes the experiences of women with female genital cutting in Toronto, Canada
We investigated the social relations shaping the reproductive health care experiences of women with female genital cutting (FGC) in Toronto, Canada. Using Institutional Ethnography, we interviewed eight women with FGC and seven obstetrician/gynecologists (OB/GYN). We found a disjuncture between wome...
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| Veröffentlicht in: | PloS one 2023-01, Vol.18 (1), p.e0279867-e0279867 |
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| creator | Jacobson, Danielle Grace, Daniel Boddy, Janice Einstein, Gillian |
| description | We investigated the social relations shaping the reproductive health care experiences of women with female genital cutting (FGC) in Toronto, Canada. Using Institutional Ethnography, we interviewed eight women with FGC and seven obstetrician/gynecologists (OB/GYN). We found a disjuncture between women's needs during appointments that extended beyond the reproductive body and range of care that doctors were able to provide. Women engaged in emotional healthwork during appointments by explaining FGC to doctors, reading doctors' body language, and getting through vulvar/vaginal examinations. Women reported that if they had emotional reactions during appointments, they were often referred to a mental health specialist, a referral on which they did not act. OB/GYNs described their specialty as "surgical"-training centered around treating reproductive abnormalities and not mental health issues. Therefore, the disjuncture between women's needs and OB/GYNs' institutional training highlights the difficulties inherent when bodies of "difference" encounter the reproductive health care system. |
| doi_str_mv | 10.1371/journal.pone.0279867 |
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Using Institutional Ethnography, we interviewed eight women with FGC and seven obstetrician/gynecologists (OB/GYN). We found a disjuncture between women's needs during appointments that extended beyond the reproductive body and range of care that doctors were able to provide. Women engaged in emotional healthwork during appointments by explaining FGC to doctors, reading doctors' body language, and getting through vulvar/vaginal examinations. Women reported that if they had emotional reactions during appointments, they were often referred to a mental health specialist, a referral on which they did not act. OB/GYNs described their specialty as "surgical"-training centered around treating reproductive abnormalities and not mental health issues. Therefore, the disjuncture between women's needs and OB/GYNs' institutional training highlights the difficulties inherent when bodies of "difference" encounter the reproductive health care system.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0279867</identifier><identifier>PMID: 36656810</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Abnormalities ; Analysis ; Appointments, resignations and dismissals ; Beliefs, opinions and attitudes ; Biology and Life Sciences ; Canada ; Care and treatment ; Circumcision, Female ; Emotions ; Ethnography ; Female ; Female circumcision ; Gynecologists ; Gynecology ; Health aspects ; Health care ; Health care policy ; Humans ; Medical personnel ; Medicine ; Medicine and Health Sciences ; Mental disorders ; Mental health ; Obstetricians ; Obstetrics ; People and Places ; Physician and patient ; Pregnancy ; Professionals ; Psychological aspects ; Qualitative research ; Reproduction ; Reproductive Health ; Reproductive systems ; Social aspects ; Social Sciences ; Society ; Stigma ; Training ; Women ; Women patients ; Women's health services</subject><ispartof>PloS one, 2023-01, Vol.18 (1), p.e0279867-e0279867</ispartof><rights>Copyright: © 2023 Jacobson et al. 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This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. 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reproductive health care experiences of women with female genital cutting (FGC) in Toronto, Canada. Using Institutional Ethnography, we interviewed eight women with FGC and seven obstetrician/gynecologists (OB/GYN). We found a disjuncture between women's needs during appointments that extended beyond the reproductive body and range of care that doctors were able to provide. Women engaged in emotional healthwork during appointments by explaining FGC to doctors, reading doctors' body language, and getting through vulvar/vaginal examinations. Women reported that if they had emotional reactions during appointments, they were often referred to a mental health specialist, a referral on which they did not act. OB/GYNs described their specialty as "surgical"-training centered around treating reproductive abnormalities and not mental health issues. Therefore, the disjuncture between women's needs and OB/GYNs' institutional training highlights the difficulties inherent when bodies of "difference" encounter the reproductive health care system.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>36656810</pmid><doi>10.1371/journal.pone.0279867</doi><tpages>e0279867</tpages><orcidid>https://orcid.org/0000-0002-7792-8099</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Abnormalities Analysis Appointments, resignations and dismissals Beliefs, opinions and attitudes Biology and Life Sciences Canada Care and treatment Circumcision, Female Emotions Ethnography Female Female circumcision Gynecologists Gynecology Health aspects Health care Health care policy Humans Medical personnel Medicine Medicine and Health Sciences Mental disorders Mental health Obstetricians Obstetrics People and Places Physician and patient Pregnancy Professionals Psychological aspects Qualitative research Reproduction Reproductive Health Reproductive systems Social aspects Social Sciences Society Stigma Training Women Women patients Women's health services |
| title | Reproductive health care appointments: How the institutional organization of obstetric/gynecological work shapes the experiences of women with female genital cutting in Toronto, Canada |
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