Purvi Patel is an Indian American woman who, in 2015, was the first U.S. citizen to be convicted under feticide statutes for allegedly attempting her own abortion. Though her 2015 conviction was overturned the same year, the feticide conviction was significant as a legal precedent as well as part of a larger trend criminalizing pregnant women of color. With an eye towards the greater pattern of the criminalization of other pregnant women of color (Boyd, 1999; Faludi, 1991; Humphries, 1999; Mahan, 1996; Roberts, 1997), in this thesis I employ a feminist legal studies methodology and the theoretical frameworks of intersectionality (Crenshaw, 1989, 1991) and Reproductive Justice (Ross and Solinger, 2017; Silliman et al., 2004) to analyze five pro-Patel briefs, two from Patel’s appellate lawyers and three from amici curiae. The four themes present are: fetal personhood; racialized gender; medical privacy and trust; and surveillance, knowledge, and legitimacy. I argue these briefs were not always consistent with the tenets of intersectionality and Reproductive Justice, even as the briefs may have been effective in convincing the Court of Appeals to overturn Patel’s conviction. I conclude with a discussion of the implications of Patel’s case for public health and law. I suggest that criminalization of abortion is harmful to public health and that the feticide mandate as it stands now does not do what it was intended to do, which is to protect the pregnant woman from harm.

Essa tese trata da prática de parteiras na cidade de Melgaço, na região marajoara e fluvial do estado do Pará, no contexto globalizado entre 2004 e 2006. Seguindo uma abordagem antropológica, minha proposta foi me aproximar da “visão nativa”, integrando a prática de parteiras dentro da análise do modo de vida “local”. Optei por centrar a discussão na etnografia pormenorizada da vida cotidiana (práticas e conhecimentos) das parteiras, sem, no entanto, cair no erro de monografias anteriores, isto é, sem me limitar a uma “história natural” do grupo, como se fosse “exótico” e “isolado”. A importância que estas mulheres conferem à atenção da saúde gineco-obstétrica envolveu analisar elementos tão diversos quanto a massagem abdominal empregada (conhecida localmente como puxação), as relações conjugais e de parentesco, a interação com o sistema de saúde institucional e os cursos de treinamento organizados por ONGs. A originalidade dessa pesquisa é pretender suplantar as dicotomias usuais (tradição/modernidade, biológico/cultural etc.), além da preocupação funcionalista (como modificar as práticas locais), para ressaltar a dimensão social (redes familiares etc.) e simbólica (saberes locais, hierarquias de prestígio) que englobam os elementos que vêm “de fora”, conferindo um sentido à prática atual das parteiras. / This thesis addresses the practice of midwives in the city of Melgaço, in the fluvial region of the Marajó, State of Pará, in the globalized context from 2004 to 2006. Following an anthropological approach, my intention was to become closer to the “native view”, integrating midwives’ practice within the analysis of the “local” way of life. I chose to center this discussion on a detailed ethnography of the midwives’ daily life (practices and knowledge) without, although, committing the mistake of previous monographies, that is, without limiting myself to a “natural history” of the group, as if they were “exotic” and “isolated”. The importance that these women confer to gynecological and obstetrical health issues involved the analysis of elements as diverse as the abdominal massage (known locally as puxação), the kinship and marital relations, the interaction with the institutional health system and the training courses organized by NGOs. The originality of this research is to intend to overcome usual dichotomies (e.g. tradition/modernity, biological/cultural etc.), beyond the functionalist worries (how to modify the local practices), in order to enhance the social (family networks etc.) and symbolic (local knowledge, prestige hierarchies etc.) dimensions that involve the elements coming “from outside” and that confer a meaning to the current practice of these midwives.

This thesis focused on monitoring and analysing selected parameters of assessing the level of zoohygiene, comfort and welfare of breeding dairy cows housed in four monitored stable obejct. Survey, evaluation and registracion of data related to the following indicators; health status of hooves, the incidence of mastititis and reproductive performance, were performed. A reference group, wich was appropriately prepared by a local zootechnician, who knows the farm enviroment, was set to find the meeded data and they were then monitored with the help of evidence of zootechnical and veterinary records. The research has confirmed that problems with hooves and consequent lameness occours when several factors are not kept. Conversely, compliance and respecting the needs of diary cown bring very positive results. The claim that there is an increased incidence of mastitis in the grate, litter housing has been disproved.

E-&ndashcadherin (CDH1) is a cell adhesion molecule that coordinates key morphogenetic processes regulating cell growth, cell proliferation and apoptosis. Loss of CDH1 is a trademark of the cellular event epithelial to mesenchymal transition (EMT), which increases the metastatic potential of malignant cells. PTEN is a tumor suppressor gene commonly mutated in many human cancers, including endometrial cancer. In the mouse uterus, ablation of Pten induces epithelial hyperplasia, leading to endometrial carcinomas. However, loss of Pten alone does not affect longevity until around 5 months. Similarly, conditional ablation of Cdh1 alone does not predispose mice to cancer. We characterized the impact of dual Cdh1 and Pten ablation using Pgr-Cre (Cdh1d/d Ptend/d) in the mouse uterus. We observed that Cdh1d/d Ptend/d mice died at postnatal day 15-&ndash19 with massive blood loss from their reproductive tract (abnormal metrorrhagia) with prevalent vascularization in both the endometrium and myometrium. Their uteri were abnormally structured with curly horns, disorganized epithelial structure, and increased cell proliferation. Co-&ndashimmunostaining of KRT8 and ACTA2 showed invasion of epithelial cells into the myometrium. Further, the uteri of Cdh1d/d Ptend/d mice had prevalent vascularization in both the endometrium and myometrium. We also observed reduced expression of estrogen and progesterone receptors, loss of cell adherens and tight junction molecules (CTNNB1 and claudin), as well as activation of AKT in the uteri of Cdh1d/d Ptend/d mice. However, complex hyperplasia was not found in the uteri of Cdh1d/d Ptend/d. Collectively, these findings suggest that ablation of Pten with Cdh1 in the uterus accelerates cellular invasiveness and angiogenesis, and causes early death. Thus, this model does not allow sufficient time for the emergence of advanced, clinically over aggressive endometrial tumorigenesis and metastasis. Additionally, we looked at a new Cre system to ablate Pten and Cdh1 only in the epithelial cells of the uterus. Sprr2f, an estrogen dependent gene that is found highly expressed in the uterus, helps with structure and barrier function of epithelial cells. Prg-Cre turns on at postnatal day 3-5 before development of the uterus; whereas, Sprr2f-Cre is active around 3 weeks which is after uterine development. We have driven the ablation of Cdh1d/d Ptend/d using the Sprr2f-Cre. The Sprr2f-Cre Cdh1d/d Ptend/d mice successfully lived to 2 months. The Sprr2f-Cre Ptend/d mice displayed hyperplastic epithelial cells, most prominently in the glandular like structures of the uterus. Lack of cellular structure was observed in the Sprr2f-Cre Cdh1d/d Ptend/d mice. We also developed a model of orthotopic tumor transplantation to study further tumor development including cell invasion, dissemination and metastasis. The uteri of control, Cdhd/d, Ptend/d and Cdhd/d Ptend/d mice were collected and dissected to approximately ~1 mm in diameter. Then, the tissue fragments were orthotopically implanted into the uterine wall (endometrium) of wild-type syngeneic host mice. We have observed successful implantation and sustainability of the tissue through this technique. The tissue viability was successfully verified by implanting donor uterine pieces under the kidney capsule of recipient wild type mice. This study has shown that the ablation of Cdh1 and Pten in the mouse uterus initiates a more aggressive form of type I endometrial carcinoma when using Pgr-Cre as well as Sprr2f-Cre. However, neither conditional ablation approaches allowed us to fully observe the progression of the carcinoma to a metastatic disease. Our intrauterine endometrial/myometrial implantation technique proved to be an incomplete method to further study the metastatic potential of the PgrCre/+ Cdh1f/f Ptenf/f mice.

The Sultanate of Oman’s health system has developed rapidly since 1970, with the discovery of oil as well as the strong central government of Sultan Qaboos bin Said. However, despite its investment and dedication to improving the health care available to its citizens, Oman has just begun to address concerns linked to cultural beliefs and social perceptions, including mental health and reproductive health. This study examines how the government has addressed mental and reproductive health, the realities on the ground, and the ways in which cultural perceptions and recent social change influence these health challenges. This study is based on semi-structured interviews with Omani health professionals that have been used to identify hurdles as well as opportunities that exist to strengthen the quality of care in these newly emerging fields in the Omani public health system.

This dissertation focuses on the cultural representations of the one-child policy ever since 1978. The artistic discourses about the one-child policy provide a fantastic space to explore China’s post-socialist society and contending ideologies. It also sheds light on the intricate relation between aesthetics and politics and these among the state, family and individual. Moreover, as discourses, artistic narratives and images also participate in the redefining of reproduction/one-child policy. Therefore, inquiries into the interaction between aesthetics and politics enrich our understanding of how reproductive ideals are constructed, negotiated and transformed. This dissertation can be divided into five parts. In the introduction part, I introduce issues related to the one-child policy, materials which I use and my main approaches to interpret them. Chapter Two explores how post-1978 family planning films and novel envision the ideal reproductive lives of peasants through the construction of ideal reproductive subjects, especially ideal female models. These artistic works also show changed representations of the ideal role models. Chapter Three looks into the patriarchal reproductive subject in Mo Yan’s Frog which centers on the conflict between state power and traditional male-centric reproductive culture. Although there are ambiguities, the novel demonstrates that the state has failed to transform peasants’ traditional reproductive ideas. Chapter Four deals with women’s exploration of reproduction from the 1980s on. The writings of some female authors demonstrate a consciousness of independent female reproductive desire. In some works, we can even see the emergence of a new kind of female reproductive privacy. In these works, reproduction becomes the female protagonists’ personal, private matter and women’s subjectivity is seen in their ability to make reproductive decisions according to their own interests. In the Coda, I talk about my future research plans. Overall, in this dissertation, I trace the political, economic, cultural, and technical factors that contribute to the gradual emergence of pluralism in reproductive ideas and practices. My dissertation demonstrates the dynamic interaction among different forces affecting reproduction, one of the most strictly controlled realms in Chinese life. Although reproduction is still mainly dictated by the state current two-child policy, a push towards greater individual autonomy is starting to gain momentum. / 10000-01-01

Although a history of childhood maltreatment is widely considered to be a risk factor for the perpetration of abuse or neglect in successive generations, the intergenerational transmission theory of child maltreatment has demonstrated mixed support over more than three decades of research. Using a prospective, longitudinal design, this study sought to investigate adolescent, young adult, and reproductive risk factors for the intergenerational continuity of child maltreatment, analyzing data from a sample of 147 women with a history of childhood maltreatment and child welfare services involvement (CWS), juvenile justice system (JJS) involvement, and out-of-home placements. The participants were originally recruited in adolescence for a randomized control trial (RCT) assessing the impact of the Treatment Foster Care Oregon (TFCO) intervention. Maltreatment continuity was measured using both official CWS records and participant self-report of contact with CWS. More than half the sample (n = 79, 53.7%) demonstrated maltreatment discontinuity (MD), indicating no evidence of maltreatment of offspring, and under half demonstrated maltreatment continuity (MC; n = 68, 46.3%). Using separate logistic regression analyses to test three models, results indicated that higher levels of hard drug use in adolescence increased the likelihood of maltreatment continuity at young adult follow-up by 47%. Partner risk in young adulthood was a strong predictor of maltreatment continuity, increasing the likelihood of maltreatment of offspring by over 2 times, or 103%. Marijuana use in young adulthood also emerged as strong predictor of MC, but not in the expected direction: higher levels of marijuana use were associated with a 56% decreased likelihood of MC. An older age at first birth significantly predicted a 52% decreased likelihood of maltreating offspring. Study limitations, future directions, and implications for interventions are discussed.

For every method, there's a story - the IUD that almost killed her, the male birth control that almost happened, the weight gained and the moods changed. Whether a narrative of personal experience or one heard through the grapevine, stories about contraception illuminate critical issues in reproductive health today. Using ethnographic data deeply colored by ongoing partisan rhetoric around reproductive rights and the body, I discuss the dynamics of power at play in patient experience, the performance of social complaint and institutional critique, and vernacular conceptualizations of health and embodiment in the contraceptive regimen.

Doctor of Philosophy / Department of Kinesiology / Katie M. Heinrich / Tactical athletes (e.g., law enforcement, military, firefighters) require a proportionate fitness level, along with specific technical and tactical skills, to achieve short-term objectives and disable various threats. Although these professions have unique job duties and workplace exposures, tactical athletes share many commonalities. A tactical athlete’s occupation requires her to be physically prepared for the unknown to protect the public. So what happens when the tactical athlete becomes pregnant? Benefits of physical activity throughout pregnancy for athletes, non-athletes, and baby have been well-documented. However, certain common tactical occupational conditions may result in adverse birth outcomes. These include shift work, high job stress, and exposures such as lead handling or high ambient temperatures. Additionally, extreme physical exertion around the implantation period may harm the developing embryo. In an unpredictable, potentially extremely physically demanding and stressful job environment, the pregnant tactical athlete may have higher risk for adverse birth outcomes compared to other women. The purpose of this dissertation was to examine the reproductive health of physically active females with specific focus on tactical athletes. First, we wanted to determine any exercise limits for pregnant athletes. We were also interested whether reproductive health was an important concern for this population, and if their adverse birth outcomes were higher compared to the United States national average. Chapter one reviews the literature, examining the female athlete and tactical athlete, the physical and occupational demands of tactical professions, and the reproductive health concerns among law enforcement officers (LEOs) and firefighters. Chapter two is a comprehensive review on prenatal exercise. It highlights the lack of scientific rigor presented in earlier guidelines, and states the need for more research on the upper limits of exercise intensity for athletes. Female athletes can usually maintain regular exercise training during pregnancy. Chapter three uses grounded-theory to investigate reproductive health concerns among firefighters. Results indicate that reproductive health is unquestionably a large concern, with four resulting themes (i.e., decision-making, recruitment and retention, policy variation, and lack of research). Chapter four investigates adverse reproductive health outcomes in female LEOs. Miscarriage rates are compared with a large prospective linkage study, preterm birth rates are compared to a large systematic US review study, and links are explored between specific job exposures and pregnancy loss. Miscarriage rate for our population are 19.1%, and preterm birth rates are 16.4%, both significantly higher than US averages. Physical activity, including strenuous occupational demands during pregnancy, is not associated with pregnancy loss among female LEOs. Chapter five presents a findings summary and future research directions. Miscarriage and preterm birth appear to be higher than average for both female firefighters and LEOs. Exercise did not play a large role in the concerns of female firefighters, or findings from female LEOs. Future research should be conducted specifically on females working in tactical occupations, with an emphasis on reproductive health concerns. More education should be provided at the organization level on the potential occupational exposures that can cause increased risk of adverse birth outcomes in female tactical athletes.

The topic of the diploma thesis is the determination of parenthood in the light of the current status of reproductive medicine. The importance of reproductive medicine is increasing in contemporary society in connection with the growing number of people suffering from infertility. Many infertile couples who have undergone reproductive medicine treatment have become parents through these methods. The question of legal parenthood in connection with the issue of assisted reproduction is the core part of the diploma thesis. The diploma thesis aims to perform a legal analysis of the determination of parenthood to a child born through assisted conception, to point out possible shortcomings in legal regulation and to recommend legislative amendments from the perspective of de lege ferenda. The first chapter explores effective legal regulation of maternity and paternity determination, defining the fundamental kinds of parenthood, because biological, genetic, social and legal parenthood should not be confused. The second chapter deals with assisted reproduction, which specifically manipulates human gametes. Attention is drawn to international and national legal regulation, including the question of legal parenthood of a child that has been conceived in this way. The next part of the thesis deals with...