Abstract I examine writing produced in an online community of childbirth advocacy during a 2010 National Institutes of Health Conference convened to develop a consensus resolution on best practices regarding vaginal birth after cesarean (VBAC). Through an analysis of blog posts and comment threads written in response to the conference proceedings, I find that participants in the feminist counterpublic of birth advocacy utilize three primary strategies: they redefine VBAC as “just birth” rather than a medical “procedure;” they recontextualize the biomedical use of “risk” to include other factors outside of the immediate context of the hospital; and they reframe VBAC as a right rather than a preference. Together, these strategies work together to demonstrate the incommensurability of “shared doctor–patient decision making” within the current biomedical model of care. This move, toward a rights-based framework within a more highly contextualized systemic critique of health care, positions VBAC to be an issue that could link birth advocacy to a larger feminist health justice movement.

中文翻译：

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“刚出生”：生育倡导和女权主义健康正义的修辞

摘要 我检查了在 2010 年美国国立卫生研究院会议期间在在线分娩倡导社区中产生的写作，该会议旨在制定关于剖宫产后阴道分娩 (VBAC) 的最佳实践的共识决议。通过对响应会议记录的博客文章和评论线程的分析，我发现女权主义反公众生育倡导的参与者利用了三个主要策略：他们将 VBAC 重新定义为“刚出生”而不是医疗“程序”；他们重新定义了“风险”的生物医学用途，以包括医院直接环境之外的其他因素；他们将 VBAC 重新定义为一种权利而不是一种偏好。一起，这些策略共同证明了当前生物医学护理模式中“共享医患决策”的不可通约性。在对医疗保健进行更高度情境化的系统性批评中，朝着基于权利的框架迈进的这一举措将 VBAC 定位为一个可以将生育倡导与更大的女权主义健康正义运动联系起来的问题。