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Article

Fat Shame and Blame in Reproductive Care: Implications for Ethical Health Care Interactions

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Pages 225-241 | Received 08 Oct 2018, Accepted 04 Jan 2019, Published online: 18 Oct 2019

References

  • Abraham, C. (2011). Canadian MDs consider denying fertility treatments to obese women. Globe & Mail. Retrieved from http://www.theglobeandmail.com/life/health-andfitness/canadian-mds-consider-denying-fertility-treatments-to-obesewomen/article595016/
  • Atkinson, L., French, D. P., Ménage, D., & Olander, E. K. (2017). Midwives' experiences of referring obese women to either a community or home-based antenatal weight management service: Implications for service providers and midwifery practice. Midwifery, 49, 102–109. doi:10.1016/j.midw.2016.10.006
  • Bacon, L., & Aphramor, L. (2011). Weight science: Evaluating the evidence for a paradigm shift. Nutrition Journal, 10(1), 1–13. doi:10.1186/1475-2891-10-69
  • Bartels, L. K., & Nordstrom, C. R. (2013). Too big to hire: Factors impacting weight discrimination. Management Research Review, 36(9), 868–881. doi:10.1108/MRR-06-2012-0134
  • Blackwell, T. (2012, April 23). Obesity puts fetus at risk. National Post, A4.
  • Blum, L. M. (2007). Mother-blame in the Prozac nation: Raising kids with invisible disabilities. Gender & Society, 21(2), 202–226. doi:10.1177/0891243206298178
  • Boero, N. (2009). Killer fat: Media, medicine, and morals in the American “obesity epidemic.” New Brunswick, NJ: Rutgers University Press.
  • Bombak, A. E., McPhail, D., & Ward, P. (2016). Reproducing stigma: Interpreting “overweight” and “obese” women's experiences of weight-based discrimination in reproductive healthcare. Social Science & Medicine, 166, 94–101. doi:10.1016/j.socscimed.2016.08.015
  • Brady, J., & Beausoleil, N. (2018). A response to” a critical analysis of obesity prevention policies and strategies. Canadian Journal of Public Health, 108(5–6), e630–632. doi:10.17269/CJPH.108.6520
  • Brown, C. V., Neville, A. L., Salim, A., Rhee, P., Cologne, K., & Demetriades, D. (2006). The impact of obesity on severely injured children and adolescents. Journal of Pediatric Surgery, 41(1), 88–91. doi:10.1016/j.jpedsurg.2005.10.012
  • Cain, R. (2013). This growing genetic disaster’: Obesogenic mothers, the obesity ‘epidemic,’ and the persistence of eugenics. Studies in the Maternal, 5(2), 1–24. doi:10.16995/sim.20
  • Chrisler, J. C., & Barney, A. (2017). Sizeism is a health hazard. Fat Studies, 6(1), 38–53. doi:10.1080/21604851.2016.1213066
  • Csanady, A. (2018). On screen and in real life, we pathologize fatness, even as we pretend to accept it: A B.C. woman's obituary called out fat-shaming in the medical community. Her experience is not unique. Retrieved from https://www.cbc.ca/news/opinion/fatshaming-obit-1.4772033.
  • DeJoy, S. B., Bittner, K., & Mandel, D. (2016). A qualitative study of the maternity care experiences of women with obesity: “More than just a number on the scale. Journal of Midwifery & Women's Health, 61(2), 217–223. doi:10.1111/jmwh.12375
  • Evans, B. (2010). Anticipating fatness: Childhood, affect and the pre‐emptive ‘war on obesity. Transactions of the Institute of British Geographers, 35(1), 21–38. doi:10.1111/j.1475-5661.2009.00363.x
  • Farrell, A. E. (2015). Fat chance: The line between health and shame is becoming increasingly thin. Common Reader, 1, 1–4.
  • Farrell, A. E. (2011). Fat shame: Stigma and the fat body in American culture. New York: New York University Press.
  • Ferrante, J. M., Piasecki, A. K., Ohman‐Strickland, P. A., & Crabtree, B. F. (2009). Family physicians' practices and attitudes regarding care of extremely obese patients. Obesity, 17(9), 1710–1716. doi:10.1038/oby.2009.62
  • Fieldwick, D., Paterson, H., Stephen, M., Cameron, A., Egan, R., McFadden, S., … Watson, C. (2014). Management of excess weight in pregnancy in Otago, New Zealand: A qualitative study with lead maternity carers. New Zealand Medical Journal, 127(1392), 27–37.
  • Fikkan, J. L., & Rothblum, E. D. (2012). Is fat a feminist issue? Exploring the gendered nature of weight bias. Sex Roles, 66(9–10), 575–592. doi:10.1007/s11199-011-0022-5
  • Firth, J. (2012). Health choices and heavy burdens: Race, citizenship and gender in the ‘obesity epidemic. Journal of International Women’s Studies, 13(2), 33–50.
  • Foster, C. E., & Hirst, J. (2014). Midwives' attitudes towards giving weight-related advice to obese pregnant women. British Journal of Midwifery, 22(4), 254–262. doi:10.12968/bjom.2014.22.4.254
  • Friedman, M. (2014). Reproducing fat-phobia. Journal of the Motherhood Initiative for Research & Community Involvement, 5(2), 27–41.
  • Furber, C. M., & McGowan, L. (2011). A qualitative study of the experiences of women who are obese and pregnant in the UK. Midwifery, 27(4), 437–444. doi:10.1016/j.midw.2010.04.001
  • Furness, P. J., McSeveny, K., Arden, M. A., Garland, C., Dearden, A. M., & Soltani, H. (2011). Maternal obesity support services: A qualitative study of the perspectives of women and midwives. BMC Pregnancy and Childbirth, 11(1), 69. doi:10.1186/1471-2393-11-69
  • Galliano, D., & Bellver, J. (2013). Female obesity: Short-and long-term consequences on the offspring. Gynecological Endocrinology, 29(7), 626–631. doi:10.3109/09513590.2013.777420
  • Gard, M., & Wright, J. (2005). The obesity epidemic: Science, morality and ideology. New York, NY: Routledge.
  • Harper, E. A., & Rail, G. (2012). Gaining the right amount for my baby’: Young pregnant women’s discursive constructions of health. Health Sociology Review, 21(1), 69–81. doi:10.5172/hesr.2012.21.1.69
  • Herndon, A. M. (2010). Mommy made me do it: Mothering fat children in the midst of the obesity epidemic. Food, Culture & Society, 13(3), 331–349. doi:10.2752/175174410X12699432700863
  • Heslehurst, N., Moore, H., Rankin, J., Ells, L. J., Wilkinson, J. R., & Summberbell, C. D. (2011). How can maternity services be developed to effectively address maternal obesity? A qualitative study. Midwifery, 27(5), e170–e177. doi:10.1016/j.midw.2010.01.007
  • Hodgkinson, E. L., Smith, D. M., Hare, D. J., & Wittkowski, A. (2017). The attitudes of pregnant women and midwives towards raised BMI in a maternity setting: A discussion of two repertory grid studies. Midwifery, 45, 14–20. doi:10.1016/j.midw.2016.12.004
  • Huizinga, M. M., Cooper, L. A., Bleich, S. N., Clark, J. M., & Beach, M. C. (2009). Physician respect for patients with obesity. Journal of General Internal Medicine, 24(11), 1236–1239. doi:10.1007/s11606-009-1104-8
  • Jette, S., & Rail, G. (2012). Ills from the womb? A critical examination of clinical guidelines for obesity in pregnancy. Health: An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine, 17(4), 407–421. doi:10.1177/1363459312460702
  • Jette, S., & Rail, G. (2014). Resisting, reproducing, resigned? Low‐income pregnant women's discursive constructions and experiences of health and weight gain. Nursing Inquiry, 21(3), 202–211. doi:10.1111/nin.12052
  • Kahan, S., & Puhl, R. M. (2017). The damaging effects of weight bias internalization. Obesity (Silver Spring, Md), 25(2), 280–281. doi:10.1002/oby.21772
  • Knight-Agarwal, C. R., Kaur, M., Williams, L. T., Davey, R., & Davis, D. (2014). The views and attitudes of health professionals providing antenatal care to women with a high BMI: A qualitative research study. Women and Birth, 27(2), 138–144. doi:10.1016/j.wombi.2013.11.002
  • Ladd-Taylor, M., & Umansky, L. (Eds.). (1998). “Bad” mothers: The politics of blame in twentieth- century America. New York, NY: NYU Press.
  • LeBesco, K. (2010). Fat panic and the new morality. In J. M. Metzi & A. Kirkland (Eds.), Against health: How health became the new morality (pp. 72–82). New York, NY: New York University Press.
  • Lindhardt, C. L., Rubak, S., Mogensen, O., Lamont, R. F., & Joergensen, J. S. (2013). The experience of pregnant women with a body mass index >30 kg/m2 of their encounters with healthcare professionals. Acta Obstetricia et Gynecologica Scandinavica, 92(9), 1101–1107. doi:10.1111/aogs.12186
  • Lingetun, L., Fungbrant, M., Claesson, M., & Baggens, C. (2017). I just want to be normal’: A qualitative study of pregnant women's blogs who present themselves as overweight or obese. Midwifery, 49, 65–71. doi:10.1016/j.midw.2017.01.015
  • Lupton, D. (2018). Fat. London, UK: Routledge.
  • McNaughton, D. (2011). From the womb to the tomb: Obesity and maternal responsibility. Critical Public Health, 21(2), 179–190. doi:10.1080/09581596.2010.523680
  • McPhail, D., Bombak, A., Ward, P., & Allison, J. (2016). Wombs at risk, wombs as risk: Fat women’s experiences of reproductive care. Fat Studies, 5(2), 98–115. doi:10.1080/21604851.2016.1143754
  • Merrill, E., & Grassley, J. (2008). Women's stories of their experiences as overweight patients. Journal of Advanced Nursing, 64(2), 139–146. doi:10.1111/j.1365-2648.2008.04794.x
  • Mulherin, K., Miller, Y. D., Barlow, F. K., Diedrichs, P. C., & Thompson, R. (2013). Weight stigma in maternity care: Women’s experiences and care providers’ attitudes. BMC Pregnancy and Childbirth, 13(1), 1–13.
  • Murray, S. (2005). (Un/be) coming out? Rethinking fat politics. Social Semiotics, 15(2), 153–163.
  • Nyman, V. M., Prebensen, Å. K., & Flensner, G. E. (2010). Obese women's experiences of encounters with midwives and physicians during pregnancy and childbirth. Midwifery, 26(4), 424–429. doi:10.1016/j.midw.2008.10.008
  • O’Brien, K. S., Latner, J. D., Puhl, R. M., Vartanian, L. R., Giles, C., Griva, K., & Carter, A. (2016). The relationship between weight stigma and eating behavior is explained by weight bias internalization and psychological distress. Appetite, 102, 70–76. doi:10.1016/j.appet.2016.02.032
  • O’Brien, K. S., Puhl, R. M., Latner, J. D., Mir, A. S., & Hunter, J. A. (2010). Reducing anti‐fat prejudice in preservice health students: A randomized trial. Obesity, 18(11), 2138–2144. doi:10.1038/oby.2010.79
  • Parker, G. (2014). Mothers at large: Responsibilizing the pregnant self for the “obesity epidemic. Fat Studies, 3(2), 101–118. doi:10.1080/21604851.2014.889491
  • Parker, G. (2017). Shamed into health? Fat pregnant women's views on obesity management strategies in maternity care. Women's Studies Journal, 31(1), 22–33.
  • Parker, G., & Pausé, C. (2018). Pregnant with possibility: Negotiating fat maternal subjectivity in the “war on obesity. Fat Studies, 7(2), 124–134. doi:10.1080/21604851.2017.1372990
  • Pasquali, R., Patton, L., & Gambineri, A. (2007). Obesity and infertility. Current Opinion in Endocrinology, Diabetes, & Obesity, 14(6), 482–487.
  • Phelan, S. M., Burgess, D. J., Yeazel, M. W., Hellerstedt, W. L., Griffin, J. M., & van Ryn, M. (2015). Impact of weight bias and stigma on quality of care and outcomes for patients with obesity. Obesity Reviews, 16(4), 319–326. doi:10.1111/obr.12266
  • Phelan, S. M., Dovidio, J. F., Puhl, R. M., Burgess, D. J., Nelson, D. B., Yeazel, M. W., … van Ryn, M. (2014). Implicit and explicit weight bias in a national sample of 4,732 medical students: The medical student CHANGES study. Obesity, 22(4), 1201–1208. doi:10.1002/oby.20687
  • Poon, M. Y., & Tarrant, M. (2009). Obesity: Attitudes of undergraduate student nurses and registered nurses. Journal of Clinical Nursing, 18(16), 2355–2365.
  • Puhl, R. M., Andreyeva, T., & Brownell, K. D. (2008). Perceptions of weight discrimination: Prevalence and comparison to race and gender discrimination in America. International Journal of Obesity, 32(6), 992–1000. doi:10.1038/ijo.2008.22
  • Puhl, R. M., & Heuer, C. A. (2010). Obesity stigma: Important considerations for public health. American Journal of Public Health, 100(6), 1019–1028. doi:10.2105/AJPH.2009.159491
  • Puhl, R. M., & King, K. M. (2013). Weight discrimination and bullying. Best Practice & Research Clinical Endocrinology & Metabolism, 27(2), 117–127. doi:10.1016/j.beem.2012.12.002
  • Puhl, R. M., & Latner, J. D. (2007). Stigma, obesity, and the health of the nation's children. Psychological Bulletin, 133(4), 557–580. doi:10.1037/0033-2909.133.4.557
  • Puhl, R. M., Luedicke, J., & Grilo, C. M. (2014). Obesity bias in training: Attitudes, beliefs, and observations among advanced trainees in professional health disciplines. Obesity, 22(4), 1008–1015. doi:10.1002/oby.20637
  • Puhl, R., Peterson, J. L., & Luedicke, J. (2013). Motivating or stigmatizing? Public perceptions of weight-related language used by health providers. International Journal of Obesity (2005), 37(4), 612. doi:10.1038/ijo.2012.110
  • Sabin, J. A., Marini, M., & Nosek, B. A. (2012). Implicit and explicit anti-fat bias among a large sample of medical doctors by BMI, race/ethnicity and gender. PLoS One, 7(11), e48448. doi:10.1371/journal.pone.0048448
  • Salas, X. R. (2015). The ineffectiveness and unintended consequences of the public health war on obesity. Canadian Journal of Public Health, 106(2), e79–e81.
  • Salas, X. R., Alberga, A. S., Cameron, E., Estey, L., Forhan, M., Kirk, S. F. L., … Sharma, A. M. (2017). Addressing weight bias and discrimination: Moving beyond raising awareness to creating change. Obesity Reviews, 18(11), 1323–1335. doi:10.1111/obr.12592
  • Salmon, A. (2011). Aboriginal mothering, FASD prevention and the contestations of neo-liberal citizenship. Critical Public Health, 21(2), 165–178. doi:10.1080/09581596.2010.530643
  • Schafer, M. H., & Ferraro, K. F. (2011). The stigma of obesity: Does perceived weight discrimination affect identity and physical health? Social Psychology Quarterly, 74(1), 76–97. doi:10.1177/0190272511398197
  • Schmied, V. A., Duff, M., Dahlen, H. G., Mills, A. E., & Kolt, G. S. (2011). Not waving but drowning’: A study of the experiences and concerns of midwives and other health professionals caring for obese childbearing women. Midwifery, 27(4), 424–430.
  • Schwartz, M. B., Chambliss, H. O. N., Brownell, K. D., Blair, S. N., & Billington, C. (2003). Weight bias among health professionals specializing in obesity. Obesity Research, 11(9), 1033–1039. doi:10.1038/oby.2003.142
  • Singh, I. (2004). Doing their jobs: Mothering with Ritalin in a culture of mother-blame. Social Science & Medicine, 59(6), 1193–1205. doi:10.1016/j.socscimed.2004.01.011
  • Singleton, G., & Furber, C. (2014). The experiences of midwives when caring for obese women in labour, a qualitative study. Midwifery, 30(1), 103–111. doi:10.1016/j.midw.2013.02.008
  • Smith, D. M., Cooke, A., & Lavender, T. (2012). Maternal obesity is the new challenge: A qualitative study of health professionals’ views towards suitable care for pregnant women with a body mass index (BMI) ≥30 kg/m2. BMC Pregnancy and Childbirth, 12(1), 157. doi:10.1186/1471-2393-12-157
  • Snyder, B. (2018). Fat-shaming the pregnant: How the medical community fails overweight moms. Retrieved from https://www.huffingtonpost.ca/entry/fat-shaming-pregnantoverweight-moms_us_5b89a872e4b0511db3d872a9
  • Stotland, N. E., Gilbert, P., Bogetz, A., Harper, C. C., Abrams, B., & Gerbert, B. (2010). Preventing excessive weight gain in pregnancy: How do prenatal care providers approach counseling? Journal of Women's Health (2002), 19(4), 807–814. doi:10.1089/jwh.2009.1462
  • Swift, J. A., Hanlon, S., El‐Redy, L., Puhl, R. M., & Glazebrook, C. (2013). Weight bias among UK trainee dietitians, doctors, nurses, and nutritionists. Journal of Human Nutrition and Dietetics, 26(4), 395–402. doi:10.1111/jhn.12019
  • Tomiyama, A. J. (2014). Weight stigma is stressful. A review of evidence for the Cyclic Obesity/Weight-Based Stigma model. Appetite, 82, 8–15. doi:10.1016/j.appet.2014.06.108
  • Ward, P. (2016). Obesity, risk and responsibility: The discursive production of the “ultimate at risk child. In J. Ellison, D. McPhail, & W. Mitchinson (Eds.), Obesity in Canada: Historical and critical perspectives (pp. 218–244). Toronto, Canada: University of Toronto Press.
  • Warin, M., Turner, K., Moore, V., & Davies, M. (2008). Bodies, mothers, and identities: Rethinking obesity and the BMI. Sociology of Health & Illness, 30(1), 97–111. doi:10.1111/j.1467-9566.2007.01029.x
  • Warin, M., Zivkovic, T., Moore, V., & Davies, M. (2012). Mothers as smoking guns: Fetal overnutrition and the reproduction of obesity. Feminism & Psychology, 22(3), 360–375. doi:10.1177/0959353512445359
  • Washington Cole, K. O., Gudzune, K. A., Bleich, S. N., Cheskin, L. J., Bennett, W. L., Cooper, L. A., & Roter, D. L. (2017). Providing prenatal care to pregnant women with overweight or obesity: Differences in provider communication and ratings of the patient-provider relationship by patient body weight. Patient Education and Counseling, 100(6), 1103–1110. doi:10.1016/j.pec.2016.12.030
  • Willcox, J. C., Campbell, K. J., van der Pligt, P., Hoban, E., Pidd, D., & Wilkinson, S. (2012). Excess gestational weight gain: An exploration of midwives’ views and practice. BMC Pregnancy and Childbirth, 12(1), 1–11.
  • Wong, M. S., Gudzune, K. A., & Bleich, S. N. (2015). Provider communication quality: Influence of patients’ weight and race. Patient Education and Counseling, 98(4), 492–498. doi:10.1016/j.pec.2014.12.007
  • Wray, S., & Deery, R. (2008). The medicalization of body size and women's healthcare. Health Care for Women International, 29(3), 227–243. doi:10.1080/07399330701738291
  • Wright, J., & Halse, C. (2014). The healthy child citizen: Biopedagogies and web-based health promotion. British Journal of Sociology of Education, 35(6), 837–855. doi:10.1080/01425692.2013.800446
  • Zera, C., McGirr, S., & Oken, E. (2011). Screening for obesity in reproductive-aged women. Preventing Chronic Disease, 8(6), A125. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3221567/
  • Zivkovic, T., Warin, M., Davies, M., & Moore, V. (2010). In the name of the child: The gendered politics of childhood obesity. Journal of Sociology, 46(4), 375–392. doi:10.1177/1440783310384456

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