title: Postnatal reproductive autonomy: promoting relational autonomy and self-trust in new parents.
abstract: New parents suddenly come face to face with myriad issues that demand careful attention but appear in a context unlikely to provide opportunities for extended or clear-headed critical reflection, whether at home with a new baby or in the neonatal intensive care unit. As such, their capacity for autonomy may be compromised. Attending to new parental autonomy as an extension of reproductive autonomy, and as a complicated phenomenon in its own right rather than simply as a matter to be balanced against other autonomy rights, can help us to see how new parents might be aided in their quest for competency and good decision making. In this paper I show how a relational view of autonomy--attentive to the coercive effects of oppressive social norms and to the importance of developing autonomy competency, especially as related to self-trust--can improve our understanding of the situation of new parents and signal ways to cultivate and to better respect their autonomy.
authors.affiliation: Department of Philosophy and Program on Values in Society, Box 3533501, University of Washington, Seattle, WA 98195, USA. sgoering@u.washington.edu
authors.forename: Sara
authors.initials: S
authors.lastname: Goering
mesh_terms: D001294:Attitude to Health; D003657:Decision Making; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion; D006301:Health Services Needs and Demand; D006801:Humans; D007258:Informed Consent; D007398:Interpersonal Relations; D008960:Models, Psychological; D010290:Parents / Q000193:education / Q000523:psychology*; D010353:Patient Education as Topic; D026684:Personal Autonomy; D010819:Physician's Role / Q000523:psychology; D011181:Postnatal Care / Q000941:ethics / Q000379:methods / Q000523:psychology; D011369:Professional-Patient Relations / Q000941:ethics; D046269:Reproductive Rights / Q000941:ethics / Q000523:psychology; D020377:Self Efficacy; D012944:Social Support; D035502:Trust