Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
Beyond Pill Scares? 51<br />
<strong>the</strong> message that genetics could have “saved” him. Twentieth-century<br />
genetics had been harnessed to execute large-scale prenatal screening<br />
programs, such as Down’s syndrome screening, which sought to detect<br />
chromosomal or genetic defects in <strong>the</strong> fetus, typically to eliminate <strong>the</strong><br />
fetus’s falling short of “normal.” This idea is still very much alive and well<br />
today, as witnessed by extensive prenatal screening programs, and <strong>the</strong><br />
aberrant post on <strong>the</strong> list, querying about terminating a fetus homozygous<br />
for FVL. The exchanges on <strong>the</strong> list, on <strong>the</strong> contrary, do not see genes<br />
as destiny but, as Rabinow (1996) discussed, biological nature is seen<br />
as malleable, to be modifi ed with taking care of one’s self with drugs,<br />
information, behavior, and so on. While this “biomedicalization” has<br />
been criticized (e.g., Clarke et al., 2003), it is benevolent in comparison<br />
with eugenistic stances. This became into particularly sharp relief in<br />
relation to a query on <strong>the</strong> list, which asked whe<strong>the</strong>r fetuses, who were<br />
homozygous for FVL, 1 should be terminated (see Saukko, 2004). All<br />
who responded to this query—many were homozygous <strong>the</strong>mselves—were<br />
strongly against and appalled by <strong>the</strong> suggestion, noting <strong>the</strong>y had lived<br />
a fulfi lling life and were now age 63.<br />
However, Thomas’s pictures can also be interpreted differently. Feminists<br />
have written extensively on <strong>the</strong> use of fetal imagery in pro-life and<br />
health campaigns, which underline women’s responsibility for <strong>the</strong> fetus<br />
and obligation not to harm it via smoking, termination, and so on (e.g.<br />
Franklin, 1997; Stabile, 1993). Thomas’s pages also constitute him as an<br />
object of <strong>the</strong> medical discourse or <strong>the</strong> baby, who could have been saved<br />
via new technologies with <strong>the</strong> aid of <strong>the</strong> mo<strong>the</strong>r, who subjects herself<br />
to a regime of daily injections of anticoagulants, close surveillance,<br />
induction, and so on. This discourse frames <strong>the</strong> woman as responsible<br />
for doing everything within her means to guarantee <strong>the</strong> health and<br />
well-being of <strong>the</strong> unborn child. In <strong>the</strong> case of genetic thrombophilia<br />
this means presenting <strong>the</strong> woman with a “choice” to make in <strong>the</strong> face<br />
of complicated and uncertain knowledge about risks and benefi ts of<br />
tests and medications in a situation where women often feel particularly<br />
vulnerable.<br />
The diffi culty and sensitivity of <strong>the</strong> situation explains <strong>the</strong> aggressively<br />
interventionist stance on <strong>the</strong> list, which advocates doing everything<br />
possible to “save” <strong>the</strong> baby and <strong>the</strong> mo<strong>the</strong>r. Because many of <strong>the</strong> most<br />
active participants in <strong>the</strong>se discussions had experienced a miscarriage,<br />
<strong>the</strong>ir stance is understandable from a personal perspective, but it<br />
neglects that saving babies with potent and expensive medications also<br />
has its side effects and cost. Just like in <strong>the</strong> case of <strong>the</strong> Pill, <strong>the</strong> online<br />
discussion on pregnancy, thrombophilia, and anticoagulants can be<br />
interpreted as ei<strong>the</strong>r women’s empowerment through new technologies