PAC and Abortion Surveillance

I thought that this ethnography was a perfect example of showing how ethnographic methods can provide information that we would not be able to get from another research method or style. Something from the introduction that particularly stood out to me was the difficulty of determining the statistical significance of PAC. Strict laws, indeterminacy, and underreporting cause abortion mortalities and abortion morbidities to be difficult and near impossible to determine (p. 8). This fact, in my opinion, absolutely highlights how much ethnography can give us on this topic that statistics cannot provide. Some individuals could argue against PAC because of the lack of statistical significance in favor of it without recognizing how important it is as a start to reproductive governance. A statistic that did stand out to me was that “up to 40% of women who experience complications do not receive care” (p. 6). While the numbers may not show a significant connection of PAC with decreasing abortion mortality rates, I think the fact that this piece shows and highlights the stories of those who might have been helped by it shows that even without these exact statistics, PAC can still help people. Unfortunately, Chapter 3 also highlights the imperfect application of PAC by showing the different stakeholders involved: healthcare workers, midwives, police, and the women potentially getting abortions. Specifically, I found it interesting that doctors rewrote the narratives in order to portray these women as “reproductive” bodies to help stifle the suspicion around whether they pursued an abortion. This leads to a huge amount of judgment enacted by these healthcare workers that can change depending on the state of a woman’s body, marital status, socioeconomic status, and more. Suh enlightens this through anecdotes and quotes from her informants. I am curious, from Suh’s perspective, how she was able to separate her emotions from studying this? Many of the stories of these women emotionally impacted me, and I wonder how speaking about them impact Suh.

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