Nominated for the Foundation of Sociology of Health and Illness
Book Prize 2018 In the UK and beyond, Down's syndrome screening has
become a universal programme in prenatal care. But why does
screening persist, particularly in light of research that
highlights pregnant women's ambivalent and problematic experiences
with it? Drawing on an ethnography of Down's syndrome screening in
two UK clinics, Thomas explores how and why we are so invested in
this practice and what effects this has on those involved. Informed
by theoretical approaches that privilege the mundane and micro
practices, discourses, materials, and rituals of everyday life,
Down's Syndrome Screening and Reproductive Politics describes the
banal world of the clinic and, in particular, the professionals
contained within it who are responsible for delivering this
programme. In so doing, it illustrates how Down's syndrome
screening is 'downgraded' and subsequently stabilised as a
'routine' part of a pregnancy. Further, the book captures how this
routinisation is deepened by a systematic, but subtle, framing of
Down's syndrome as a negative pregnancy outcome. By unpacking the
complex relationships between professionals, parents, technology,
policy, and clinical practice, Thomas identifies how and why
screening is successfully routinised and how it is embroiled in
both new and familiar debates surrounding pregnancy, ethics,
choice, diagnosis, care, disability, and parenthood. The book will
appeal to academics, students, and professionals interested in
medical sociology, medical anthropology, science and technology
studies (STS), bioethics, genetics, and/or disability studies.
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