In the US, birth has become a carefully planned experience for those with the greatest access to resources. Pregnancy preparations, including prenatal care, childbirth education, and peer interactions, encourage women to act as informed consumers, to communicate their own values, beliefs, and preferences in labor and delivery, and to challenge healthcare systems and medical providers. Simultaneously, there has been a growth in the number of mothers who reject medical recommendations for infant vaccination and newborn interventions. These challenges are presented by women with higher levels of education and resources, a group that is also most likely to insist on control over birth. In this article, I draw on qualitative data from mothers who reject vaccination recommendations for their children to highlight the interconnected experiences of childbirth self-advocacy and vaccine refusal. I suggest prenatal education toward self-advocacy may serve as a pedagogical process that mirrors the rhetoric of vaccine refusal. I conclude by showing how this new pedagogy of patient empowerment is nurtured and respected by pediatricians who administer vaccines and provide wellness care, even as they struggle with mothers who reject this core public health intervention.

中文翻译：

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教妇女质疑和控制：生育和拒绝接种疫苗的公共教学法

在美国，对于那些最能获得资源的人来说，生育已成为一种精心计划的经历。孕期准备工作，包括产前护理、分娩教育和同龄人互动，鼓励妇女成为知情消费者，交流自己的价值观、信仰和分娩方面的偏好，并挑战医疗保健系统和医疗服务提供者。与此同时，拒绝婴儿接种疫苗和新生儿干预的医疗建议的母亲人数也在增加。这些挑战是由教育水平和资源较高的女性提出的，这一群体也最有可能坚持控制生育。在本文中，我借鉴了拒绝为孩子接种疫苗的母亲的定性数据，以强调分娩自我倡导和拒绝接种疫苗之间相互关联的经历。我建议针对自我倡导的产前教育可以作为一种教育过程，反映拒绝接种疫苗的言论。最后，我展示了这种赋予患者权力的新教学法是如何得到接种疫苗和提供健康护理的儿科医生的培养和尊重的，即使他们与拒绝这种核心公共卫生干预措施的母亲抗争。