Abstract
ABSTRACT This article explores how commercialization of maternity care in Russia offers new opportunities and imposes new limitations on both mothers-to-be and doctors. The research is based on 35 in-depth interviews with patients and 24 with professionals in paid maternity car in St. Petersburg (2015–2017). It is a significant and illustrative case within the broader trends in the Russian health care system of the 2000s–2010s. This article’s contribution is an understanding of maternity care’s post-socialism market development from the perspective of women: mothers-to-be and mostly female doctors. The ongoing reforms and organization of paid maternity care in Russia are analyzed. I explore the position of mothers-to-be as consumers with growing demands, and of professional women as they respond to such demands. I depict how doctors, though improving their economic and working conditions, resist the symbolic decline of their status and seek to restore their power, and how mothers-to-be accept doctors’ authoritative role in highly medicalized maternity care.
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