title: The Stratified Legitimacy of Abortions.
abstract: Roe v. Wade was heralded as an end to unequal access to abortion care in the United States. However, today, despite being common and safe, abortion is performed only selectively in hospitals and private practices. Drawing on 61 interviews with obstetrician-gynecologists in these settings, we examine how they determine which abortions to perform. We find that they distinguish between more and less legitimate abortions, producing a narrative of stratified legitimacy that privileges abortions for intended pregnancies, when the fetus is unhealthy, and when women perform normative gendered sexuality, including distress about the abortion, guilt about failure to contracept, and desire for motherhood. This stratified legitimacy can perpetuate socially-inflected inequality of access and normative gendered sexuality. Additionally, we argue that the practice by physicians of distinguishing among abortions can legitimate legislative practices that regulate and restrict some kinds of abortion, further constraining abortion access.
authors.affiliation: University of California, San Francisco, Oakland, CA, USA katrina.kimport@ucsf.edu.
authors.forename: Katrina
authors.initials: K
authors.lastname: Kimport
authors.affiliation: University of California, San Francisco, Oakland, CA, USA.
authors.forename: Tracy A
authors.initials: TA
authors.lastname: Weitz
authors.affiliation: University of California, San Francisco, Oakland, CA, USA.
authors.forename: Lori
authors.initials: L
authors.lastname: Freedman
mesh_terms: D000028:Abortion, Induced; D005260:Female; D006297:Health Services Accessibility; D006761:Hospitals; D006801:Humans; D011247:Pregnancy; D012959:Socioeconomic Factors; D014481:United States
keywords: abortion; gender; physician; qualitative research; sexuality