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Sport for All, or Fit for Two? Governing the (In)active Pregnancy

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Sport and Physical Activity across the Lifespan

Abstract

Where the pregnant body is concerned, the Sport for All model is superseded by the imperative that women be ‘fit for two.’ That is to say, medical guidelines and policies put into place are not concerned with ensuring access to and enjoyment of physical activity or sport for pregnant women, but rather are intent on prescribing the correct amount of movement to ensure the optimal health of the unborn child. This is not a new trend. As I demonstrate in this chapter, exercise in pregnancy has long served a (bio)political function, albeit the aims have shifted from ensuring a strong nation state in the late eighteenth century to reducing the economic burden of unhealthy bodies in the contemporary neoliberal moment. Looking to the work of Michel Foucault, as well as scholars who have further developed his theoretical insights on bodily discipline and societal regulation (see Rose and Miller, The British Journal of Sociology, 43(2), 173–205, 1992; Rose, The politics of life itself: Biomedicine, power, and subjectivity in the twenty-first century. Princeton: Princeton University Press, 2007), I use an analytical framework of governmentality to explore the changing ideas about exercise in pregnancy at three ‘moments’ in history: the rise of medicine and public health (at the turn of the twentieth century); the emergence of second-wave feminism and ensuing debates about pregnant sporting bodies; and the current so-called obesity epidemic. My aim is to bring to light the politically charged nature of exercise advice provided to pregnant women that, while posed as objective and neutral, ultimately functions to limit the (in)activities in which women feel they are permitted to engage, placing undue pressure upon them to be ‘fit for two.’

‘Who says athletes can’t be pregnant?’ (Ms magazine, 1978).

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Notes

  1. 1.

    The discussion that follows is based upon extensive searches of scientific databases (as well as key journals) in which I focused upon articles pertaining to physical activity during pregnancy, and attended to what was constructed as a problem as well as proposed solutions. For a more detailed description of the methods used to identify the literature discussed in the first two sections, see Jette (2009). Data for the final section is based on a more recent PubMed search (conducted November 2014) in which the keywords were: ‘obesity,’ ‘pregnancy,’ and either ‘exercise’ or ‘physical activity’.

  2. 2.

    To illustrate this point, a PubMed search of the term ‘exercise and pregnancy’ yielded 8 studies from 1950–1969, 20 studies from between 1970–79, and 141 studies from 1980–90. See Jette (2009, p. 199).

  3. 3.

    A PubMed search using the keywords ‘obesity,’ ‘pregnancy,’ and either ‘physical activity’ or ‘exercise’ yielded 8 studies in the ten year period from 1996–2005, 26 in total over the next 4 years (2006–9), followed by 21 (2010), 22 (2011), 25 (2012), 30 (2013), and 43 (2014) with many of these referring to the potential of exercise to prevent the fetal programming of obesity in the paper rationale.

  4. 4.

    In 2014, for instance, 20 of 43 studies identified were intervention studies.

References

  • American College of Obstetricians and Gynecologists (ACOG). (1985). Technical bulletin number 87—ACOG guidelines: Exercise during pregnancy and the postnatal period. In R. A. Mittelmark, R. Wiswell, & B. Drinkwater (Eds.), Exercise in pregnancy (2nd ed., pp. 313–319). London: Williams & Wilkins.

    Google Scholar 

  • American College of Obstetricians and Gynecologists (ACOG). (1994). Technical bulletin number 189 (Feb. 1994): Exercise during pregnancy and the postpartum period. International Journal of Gynecology & Obstetrics, 45, 65–70.

    Article  Google Scholar 

  • Arney, W. R. (1982). Power and the profession of obstetrics. Chicago: University of Chicago Press.

    Google Scholar 

  • Arnup, K. (1994). Education for motherhood: Advice for mothers in twentieth-century Canada. Toronto: University of Toronto Press.

    Google Scholar 

  • Bruser, M. (1968). Sporting activities during pregnancy. Obstetrics and Gynecology, 32(5), 721–725.

    Google Scholar 

  • Chang, M. W., Nitzke, S., Guilford, E., Adair, C. H., & Hazard, D. L. (2008). Motivators and barriers to healthful eating and physical activity among low-income overweight and obese mothers. Journal of the American Dietetic Association, 108(6), 1023–1028.

    Article  Google Scholar 

  • Chasan-Taber, L., Marcus, B. H., Rosal, M. C., Tucker, K. L., Hartman, S. J., Pekow, P., et al. (2015). Proyecto Mamá—A lifestyle intervention in overweight and obese Hispanic women: A randomised controlled trial study protocol. BMC Pregnancy & Childbirth, 15(1), 157.

    Article  Google Scholar 

  • Foucault, M. (1990). The history of sexuality, volume 1: An introduction. New York: Vintage Books. (French original published 1976).

    Google Scholar 

  • Foucault, M. (2003a). Governmentality. In P. Rabinow & N. Rose (Eds.), The essential Foucault: Selections from essential works of Foucault, 1954–1984 (pp. 229–245). New York: The New Press.

    Google Scholar 

  • Foucault, M. (2003b). “Society must be defended”: Lectures at the College de France, 1975–1976 (M. Bertani, & A. Fontana, Eds., D. Macey, Trans.). New York: Picador.

    Google Scholar 

  • Gauthier, M. (1986). Guidelines for exercise during pregnancy: Too little or too much? The Physician and Sportsmedicine, 14(4), 162–169.

    Article  Google Scholar 

  • Groth, S. W., & Morrison-Beedy, D. (2013). Low-income, pregnant, African American women’s views on physical activity and diet. Journal of Midwifery & Women’s Health, 58(2), 195–202.

    Article  Google Scholar 

  • Guthman, J., & Mansfield, B. (2012). The implications of environmental epigenetics: A new direction for geographic inquiry on health, space, and nature-society relations. Progress in Human Geography, 37(4), 486–504.

    Article  Google Scholar 

  • Jette, S. (2009). Governing risk, exercising caution: Western medical knowledge, physical activity and pregnancy. Doctoral dissertation, University of British Columbia, Vancouver, BC.

    Google Scholar 

  • Jette, S. (2011). Exercising caution: The production of medical knowledge about physical exertion during pregnancy. Canadian Bulletin of Medical History/Bulletin canadien d’histoire de la medicine, 28(2), 383–401.

    Google Scholar 

  • Jette, S., & Rail, G. (2013). Ills from the womb? A critical examination of evidence-based medicine and pregnancy weight gain advice. Health, 17(4), 407–421.

    Article  Google Scholar 

  • Kelley, J., Leavy, J., & Northup, A. (1978). Who says athletes can’t be pregnant? Ms., 7, 47–48.

    Google Scholar 

  • Kieffer, E. C., Willis, S. K., Arellano, N., & Guzman, R. (2002). Perspectives of pregnant and postpartum Latino women on diabetes, physical activity, and health. Health Education & Behavior, 29(5), 542–556.

    Article  Google Scholar 

  • Krans, E. E., & Chang, J. C. (2012). Low-income African American women’s beliefs regarding exercise during pregnancy. Maternal and Child Health Journal, 16(6), 1180–1187.

    Article  Google Scholar 

  • Lee, E., & Jackson, E. (2002). The pregnant body. In M. Evans & E. Lee (Eds.), Real bodies: A sociological introduction (pp. 115–132). Hampshire: Palgrave.

    Chapter  Google Scholar 

  • Liu, J., Wilcox, S., Whitaker, K., Blake, C., & Addy, C. (2015). Preventing excessive weight gain during pregnancy and promoting postpartum weight loss: A pilot lifestyle intervention for overweight and obese African American women. Maternal and Child Health Journal, 19(4), 840–849.

    Article  Google Scholar 

  • Lupton, D. (1995). The imperative of health: Public health and the regulated body. Thousands Oaks, CA: Sage Publications.

    Google Scholar 

  • Lupton, D. (2012). “Precious cargo”: Foetal subjects, risk and reproductive citizenship. Critical Public Health, 22(3), 329–340.

    Article  Google Scholar 

  • McCullough, J. (1933, February). Chatelaine’s baby clinic: No. 1, prenatal care. The Chatelaine, 6(2), 60–61.

    Google Scholar 

  • McNaughton, D. (2011). From the womb to the tomb: Obesity and maternal responsibility. Critical Public Health, 21(2), 179–190.

    Article  Google Scholar 

  • Oakley, A. (1984). The captured womb: A history of the medical care of pregnant women. New York: Blackwell.

    Google Scholar 

  • Rose, N. (2007). The politics of life itself: Biomedicine, power, and subjectivity in the twenty-first century. Princeton: Princeton University Press.

    Book  Google Scholar 

  • Rose, N., & Miller, P. (1992). Political power beyond the state: Problematics of government. The British Journal of Sociology, 43(2), 173–205.

    Article  Google Scholar 

  • Shirazian, T., Faris, B. S., Fox, N. S., Friedman, F., & Rebarber, A. (2016). The lifestyle modification project: Limiting pregnancy weight gain in obese women. The Journal of Maternal-Fetal & Neonatal Medicine, 29(1), 80–84.

    Article  Google Scholar 

  • Thayer, Z., & Kuzawa, C. (2011). Biological memories of past environments: Epigenetic pathways to health disparities. Epigenetics, 6(7), 798–803.

    Article  Google Scholar 

  • Thornton, P. L., Kieffer, E. C., Salabarría-Peña, Y., Odoms-Young, A., Willis, S. K., Kim, H., et al. (2006). Weight, diet, and physical activity-related beliefs and practices among pregnant and postpartum Latino women: The role of social support. Maternal and Child Health Journal, 10(1), 95–104.

    Article  Google Scholar 

  • Vertinsky, P. (1994). The eternally wounded woman: Women, exercise and doctors in the late nineteenth century. Manchester: Manchester University Press.

    Google Scholar 

  • Warin, M., Moore, V., Zivkovic, T., & Davies, M. (2011). Telescoping the origins of obesity to women’s bodies: How gender inequalities are being squeezed out of Baker’s hypothesis. Annals of Human Biology, 38(4), 453–460.

    Article  Google Scholar 

  • Waterland, R., & Michels, K. (2007). Epigenetic epidemiology of the developmental origins hypothesis. Annual Review of Nutrition, 27, 363–388.

    Article  Google Scholar 

  • Weir, L. (2006). Pregnancy, risk and biopolitics: On the threshold of the living subject. London: Routledge.

    Google Scholar 

  • Wells, J. (2010). Maternal capital and the metabolic ghetto: An evolutionary perspective on the transgenerational basis of health inequalities. American Journal of Human Biology, 22, 1–17.

    Article  Google Scholar 

  • Wetterberg, A. (2004). My body, my choice…my responsibility: The pregnant woman as caretaker of the fetal person. Berkeley Journal of Sociology, 48, 26–49.

    Google Scholar 

  • Wilson, J. (2013). How much is too much exercise when you’re pregnant? CNN Health. Retrieved October 2013, from www.cnn.com/2013/09/20/health/pregnant-woman-weightlifter-crossfit/

  • Yoshizawa, R. S. (2012). The Barker hypothesis and obesity: Connections for transdisciplinarity and social justice. Social Theory & Health, 10, 348–367.

    Article  Google Scholar 

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Jette, S. (2018). Sport for All, or Fit for Two? Governing the (In)active Pregnancy. In: Dionigi, R., Gard, M. (eds) Sport and Physical Activity across the Lifespan. Palgrave Macmillan, London. https://doi.org/10.1057/978-1-137-48562-5_11

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  • DOI: https://doi.org/10.1057/978-1-137-48562-5_11

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