SOMEBODIES OR NOBODY’S PATIENT: THE IMPORTANCE OF SOCIAL POSITIONING AND INFORMAL RELATIONS DURING CHILDBIRTH IN SERBIA
DOI:
https://doi.org/10.2298/GEI2101205PKeywords:
childbirth, Serbia, informal relations, technocratic model of birth, social positioningAbstract
Anthropological research on post-socialism points to the need for informal relations when navigating social and health care systems, while feminist research on childbirth points out the negative consequences of the dominant medicalized model of childbirth on women’s experience. This paper combines these two types of research and points to the role of informal relations in negotiating childbirth in Serbia and the role of peoples social positioning influencing the possibilities of using these relations. Based on eighteen months of ethnographic fieldwork on the practices of providing maternal health care in Serbia, the aim of this paper is to show how a woman's social position affects her ability to establish a relationship within the state health care system, and to reconsider the claim that informal relationships can protect women from interventionism during childbirth in Serbia. Using informal relations (veze) in order to have your doctor during childbirth is a key concern for women in Serbia. Informal relations transform women from (no)bodies into somebodies, someone’s patient. Women of poorer economic status, women from rural areas, and often women of Roma ethnic origin have limited opportunities to establish informal relations in state maternity hospitals. Informal relations do not fully protect women from interventions but affect the type and timing of interventions.
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References
Alexander, Catherine. 2002. Personal states: making connections between people and bureaucracy in Turkey. New York: Oxford University Press.
Arsenijevic, Jelena, Milena Pavlova & Wim Groot. 2014. “Shortcomings in Maternity Care in Serbia.” Birth-Issues in Perinatal Care 41: 14–25.
Baji, Petra, Nicholas Rubashkin, Imre Szebik, Kathrin Stoll & Vedam Sarawathi. 2017. “Informal cash payments for birth in Hungary: Are women paying to secure a known provider, respect, or quality of care?”. Social Science and Medicine 189: 86–95.
Bandić, Dušan. 1991. Narodna religija Srba u 100 pojmova. Beograd: Nolit.
Bernard, H. Russell & Clarence C. Gravlee. 20142. Handbook of methods in cultural anthropology. Lanham, Md: Rowman & Littlefield.
Brković, Čarna. 2012. “Potraga za vezama kao konstitutivni element biološkog aspekta državljanstva u bosanskom gradu na granici”. Antropologija 12: 123–144.
Brković, Čarna. 2017a. “Flexibility of Veze/Štele: Negotiating Social Protection in Bijeljina”. In Negotiating social relations in Bosnia and Herzegovina: semiperipheral entanglements, eds. Stef Jansen, Čarna Brković & Vanja Čelebičić, 94–108. New York: Routledge.
Brković, Čarna 2017b. Managing ambiguity: how clientelism, citizenship and power shapes personhood in Bosnia and Herzegovina. New York: Berghahn Books.
Brotherton, Pierre Sean. 2012. Revolutionary medicine: health and the body in postSoviet Cuba. Durham: Duke University Press.
Cheyney, Melissa. 2011. “Reinscribing the Birthing Body: Homebirth as Ritual Performance”. Medical Anthropology Quarterly 25: 519–542.
Coe, Kathryn & Jelena Čvorović. 2017. “The health of Romanian Gypsy women in Serbia”. Health Care for Women International 38: 409–422.
Davis-Floyd, Robbie. ed. 2009. Birth models that work. Berkeley CA: University of California Press.
Davis-Floyd, Robbie & Melissa Cheyney, eds. 2019. Birth in eight cultures: Brazil, Greece, Japan, Mexico, the Netherlands, New Zealand, Tanzania, United States. Long Grove, Illinois: Waveland Press.
Davis-Floyd, Robbie & Carolyn Sargent, eds. 1997. Childbirth and authoritative knowledge cross-cultural perspectives. Berkeley, CA: University of California Press.
Davis-Floyd, Robbie. 2001. “The technocratic, humanistic, and holistic paradigms of childbirth”. International journal of gynecology and obstetrics 75: 5–23.
Drezgić, Rada. 2008. „Od planiranja porodice do populacione politike – promena vladajuće paradigme u srpskoj demografiji krajem 20. veka“. Filozofija i društvo 37: 181–217.
Fuko, Mišel. 2009. Rađanje klinike. Arheologija medicinskog opažanja. Beograd: Mediterran publishing.
Ginsburg, Faye D. & Rayna R. Rapp, eds. 1995. Conceiving the new world order: the global politics of reproduction. Berkeley, CA: University of California Press.
Ginsburg, Faye & Rayna Rapp. 1991. “The Politics of Reproduction”. Annual Review of Anthropology 20: 311–343.
Hazen, Helen. 2017. “The First Intervention Is Leaving Home: Reasons for Electing an Out‐of‐hospital Birth among Minnesotan Mothers”. Medical Anthropology Quarterly 31: 555–571.
Janević, Teresa, Pooja Sripad, Elizabeth Bradley & Vera Dimitrievska. 2011. “Thereʼs no kind of respect here. A qualitative study of racism and access to maternal health care among Romani women in the Balkans”. International Journal for Equity in Health 10: 1–12.
Jerinić, Jelena & Jelena Simić. 2014. „Pravo na porođaj kod kuće – izbor, a ne slučajnost i neke pravne posledice“. Pravni zapisi V (1): 120–160.
Jordan, Brigitte, eds. 1978. Birth in four cultures: a crosscultural investigation of childbirth in Yucatan, Holland, Sweden, and the United States. Montreal: Eden Press Womenʼs Publications.
Kitzinger, Sheila. 1979. Birth at home. Oxford University Press.
Lazarus, Ellen S. 1994. “What Do Women Want?: Issues of Choice, Control, and Class in Pregnancy and Childbirth”. Medical Anthropology Quarterly 8: 25–46.
Marjanović, Vesna. 2010. „Običaji vezani za rođenje deteta kod stanovništva u naseljima opštine Pirot“. Glasnik Etnografskog muzeja 2: 115–132.
Martin, Emily. 1987. The woman in the body: a cultural analysis of reproduction. Boston: Beacon Press.
Matejić, Bojana, Milena Šantrić Milićević, Vladimir Vasić & Bosiljka Djikanović. 2014. “Maternal satisfaction with organized perinatal care in Serbian public hospitals”. BMC pregnancy and childbirth 14: 1–9.
McClain, Carol Shepherd. 1975. “Ethno-Obstetrics in Ajijic”. Anthropological Quarterly 48: 38–56.
McClain, Carol Shepherd. 1989. Women as healers: cross-cultural perspectives. New Brunswick: Rutgers University Press.
Miller, Suellen, Edgardo Abalos, Monica Chamillard, Agustin Ciapponi, Daniela Colaci, Daniel Comandé, Virginia Diaz, Stacie Geller, Claudia Hanson, Ana Langer, Victoria Manuelli, Kathryn Millar, Imran Morhason-Bello, Cynthia Pileggi Castro, Vicky Nogueira Pileggi, Nuriya Robinson, Michelle Skaer, João Paulo Souza, Joshua P. Vogel & Fernando Althabe. 2016. “Beyond too little, too late and too much, too soon: a pathway towards evidence-based, respectful maternity care worldwide”. The Lancet (British edition) 388: 2176–2192.
Misago, Roxana Behruzi, Hatem Marie, Goulet Lise, Fraser William & Chizuru. 2013. “Understanding childbirth practices as an organizational cultural phenomenon: a conceptual framework”. BMC Pregnancy Childbirth 13: 1– 10.
Mitchell, Lisa M. 2016. Babyʼs First Picture: Ultrasound and the Politics of Fetal Subjects. Toronto: University of Toronto Press.
Musante, Kathleen & Billie R. DeWalt. 2011. Participant observation: a guide for fieldworkers. Lanham, Md: Rowman & Littlefield.
Odent, Michel 1984. Birth Reborn. New York: Pantheon.
Pantović, Ljiljana. 2016. “Buying a connection. Private practice in public health care – the case of a Serbian maternity hospital”. Anthropology of Eastern Europe Review 34: 25–38.
Pantović, Ljiljana. 2018. “Not-So-Informal Relationships. Selective Unbundling of Maternal Care and the Reconfigurations of Patient–Provider Relations in Serbia”. Südosteuropa. Journal of Politics and Society 66 (3): 371–391.
Pincus, Jane. 2013. “Childbirth in a Technocratic Age: The Documentation of Womenʼs Expectations and Experiences”. Birth 40: 150–151.
Raikhel, Eugene A. 2016. Governing habits: treating alcoholism in the post-Soviet clinic. Ithaca: Cornell University Press.
Rivkin-Fish, Michele R. 2005a. “Bribes, Gifts and Unofficial Payments: Rethinking Corruption in Post-Soviet Russian Health Care”. In Corruption: Anthropological Perspectives, eds. Dieter Haller & Cris Shore, 47–65. London: Pluto Press.
Rivkin-Fish, Michele R. 2005b. Womenʼs health in post-Soviet Russia: the politics of intervention. Bloomington: Indiana University Press.
Sedlecky, Katarina & Mirjana Rašević. 2015. “Challenges in sexual and reproductive health of Roma people who live in settlements in Serbia”. The European Journal of Contraception & Reproductive Health Care 20: 101–109.
Sekulić, Nada. 2016. „O kulturi rađanja – istraživanje o problemu nasilja nad ženama tokom porođaja“. Sociologija 58: 259–286.
Stambolović, Vuk 1996. Porođaj. Beograd: Elit–Medica.
Stan, Sabina. 2012. “Neither commodities nor gifts: post-socialist informal exchanges in the Romanian healthcare system”. The Journal of the Royal Anthropological Institute 18: 65–82.
Stanković, Biljana. 2014. “Woman as a subject of childbirth: Physical, technological and institutional aspects”. Sociologija 56: 524–544.
Stanković, Biljana. 2017a. “Situated technology in reproductive health care: Do we need a new theory of the subject to promote person‐centred care?” Nursing Philosophy 18: 1–8.
Stanković, Biljana. 2017b. “Women’s Experiences of Childbirth in Serbian Public Healthcare Institutions: a Qualitative Study”. International Journal of Behavioral Medicine 24: 803– 814.
Stanković, Biljana, Milica Skočajić & Ana Đorđević. 2017. „Upravljanje porođajem u Srbiji: Medicinske intervencije i porođajna iskustva“. Limes Plus. Journal of Social Science and Humanities XIV: 197–225.
Stanojević, Dragan, Dragana Gundogan & Marija Babović. 2016. “Clientalistic relations between political elite and entrepreneurs in Serbia”. Sociologija 58: 220–238.
Wilson, Jason, Roberta D. Baer & Seiichi Villalona. 2019. “Patient Shadowing: A Useful Research Method, Teaching Tool, and Approach to Student Professional Development for Premedical Undergraduates”. Academic medicine 94: 1722–1727.
Wind, Gitte. 2008. “Negotiated interactive observation: Doing fieldwork in hospital settings”. Anthropology & Medicine 15: 79–89.
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