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Citizen Fetus
The Changing Image of Motherhood
Alessandra Piontelli
Citizen Fetus
Alessandra Piontelli
Citizen Fetus
The Changing Image of Motherhood
Alessandra Piontelli
Maternal Fetal Medicine
University of Milan
Milano, Italy
© The Editor(s) (if applicable) and The Author(s), under exclusive licence to Springer Nature
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To
Filippo and Roberto,
my sons
and to
Nicolò, Marco and Francesco
my grandsons
Preface
vii
viii Preface
the status of the fetus and its potential rights is nothing new. The issue
was always ardently debated, problematic, morally thorny and politically
charged. At all times passionate disagreement and conflict abounded
even among women.
Despite groundbreaking discoveries and revolutionary transforma-
tions, some basic constants derived from the past and inherent in our
human nature albeit modernized and updated persist to these days.
This sketchy and necessarily incomplete brief excursus focuses on a
very few points from the antiquity.
Broadly speaking until the Age of Enlightenment, our origins were a
big unknown subject to metaphysical speculation, philosophical musing,
religious concerns, which were hotly discussed at many levels and in vari-
ous circles ranging from scholars, to lawyers, astrologists or alchemists.
Embryos and fetuses were regarded by most as non-autonomous enti-
ties, parts and appendages of the mother’s body, often poetically equated
to fruits developing in the uterine soil and rooted in it through the
umbilical cord, also called the abdominal root.
The notion that fetuses were a component of the woman’s body had
many important consequences. Just a few will be mentioned.
Women were valued solely for their capacity of ‘bearing fruits’ and
their bodies honored on the whole merely for the uterus (also called
matrix meaning mother in Latin) and considered fields to be fertilized
and sown by the superior male.
Women were regarded as a flawed replica of all that was masculine.
Even female embryos were considered to become ‘human’ some 50 days
later than male ones.
Infertility was exclusively ascribed to the female, as it was believed that
sterility being inherent to the soil, a barren field could not be fecundated
by the always fruitful seeds.
Female infertility was ground for rejection or divorce. Infertility con-
tinues to be a ground for divorce or rejection and to carry a heavy social
stigma for women in vast areas of the world.
Another peculiar consequence of the view regarding fetuses as a por-
tion of the maternal viscera was that children born by caesarean section,
if they ever survived (their unfortunate mothers anyway did not), were
Preface ix
The help and support of many individuals were critical in making this
work a reality. These include former and current staff, students and nurses
of the Department of Maternal-Fetal Medicine, Clinica Mangiagalli,
University of Milano. I am greatly indebted to Prof. Fedele for allowing
me full access to the clinic. Without the help and the teachings of the late
Umberto Nicolini, and of Alessandra Kustermann, and in alphabetical
order, Stefano Acerboni, Luisa Bocconi, Chiara Boschetto, Elena
Caravelli, Florinda Ceriani, Isabella Florietti, Umberto Fogliani, Leo
Gallo, Sara Salmona, Beatrice Tassis, Laura Villa and Cinzia Zoppini, this
book could not have seen the light. Thank you Lucy for always being so
available and kind. The pregnant mothers who so generously accepted to
be part of all these studies have obviously been essential for this work. I
am greatly indebted to all of them.
This work could not have been made possible without the help of
Carlo Castellano and his enormous generosity in allowing ESAOTE to
lend me various equipment each specifically chosen for the various
requirements of this work. Carlo and Ileana have been marvelous friends.
Heinz Prechtl, Christa Einspieler, Giovanni Cioni and Paolo Ferrari
have been fundamental teachers in learning to observe fetal and neonatal
motions during their special training courses. Heinz and Christa have
been so kind to ask me to speak at two meetings in Graz. These symposia
xiii
xiv Acknowledgments
were invaluable for meeting extraordinary people and for learning and
testing out some of my thoughts. I am particularly grateful to Peter Wolff
for some long discussions in Graz, Boston and Milano.
Many other special colleagues and friends have been at my side at vari-
ous stages of my work. A particular thank to Colwyn Trevarthen, and the
late Daniel Stern, and to Diane Garcia and all my friends in LA. Giannis
Kugiumuzakis in Crete has always provided a wonderful arena to test out
my ideas and share them with him and with an exceptional audience. I
am also grateful to the anonymous reviewers of manuscript for their pre-
cious suggestions.
Some very special friends have been of enormous help to me. I want to
especially thank Judith for all our intense discussions in South Africa;
Carol for the endless times we talked about motherhood and for all the
fun we had with it; Luis Verrier for teaching me so much, not just about
work in distant countries, but also on life; Anayke Chux, Jim Penagin,
Sadou Aboubacar and Abu Fofana for all their advice; Jasuhito Kansai for
his exquisite kindness; Maria Teresa Gallo for being so patient with me;
Maria Teresa Savio-Hooke for being such a precious friend; and Silvano
Ponzi for the support he never did miss.
Among my teachers of the past who taught me so much with affection
and generosity, I remember some in particular: Ester Bick, Martha Harris,
Hanna Segal, Liz Spillius, Ruth Riesenberg, John Bowlby and Jerry Bruner.
Rodney de Souza has carefully and patiently revised my English.
Andrea Sommaruga has helped me with figures and computer work.
Finally, my husband Luigi, as always, remained lovingly by my side all
the time, and my sons Filippo and Roberto, albeit living far away, endured
a mother who spoke too often about pregnancies and fetuses.
Ultimately the responsibility for what I say in this book remains
mine only.
Contents
3 Th
e 1980s 37
4 Th
e 1990s 63
6 2
010–2019119
7 C
itizen Fetus149
8 S
tudying Fetuses173
xv
xvi Contents
12 F
etuses from Other Worlds251
13 D
arkness Descends: Sars-CoV-19275
17 C
onclusion347
I ndex361
Abbreviations
AI Artificial intelligence
AIDS Acquired immune deficiency syndrome
APPPAH Association for Prenatal and Perinatal Psychology & Health
ART Assisted reproduction technologies
CVS Chorionic villus sampling
D&C Dilatation and curettage
DNA Deoxyribonucleic Acid
fMRI Functional magnetic resonance imaging
HIV Human Immuno Deficiency Virus
HRT Hormone replacement therapy
LRA Lord resistance army
NGOs Non-Governmental Organizations
PGD Preimplantation genetic diagnosis
PNG Papua New Guinea
RU 486 Mifepristone, also known as 11β-(4-(dimethylamino)phenyl)-17α-
(1-propynyl)estra-4,9-dien-17β-ol-3-one
SIDS Sudden infant death syndrome
xvii
List of Figures
xix
xx List of Figures
Fig. 5.1 Prevue belt was planned for allowing parents to watch the
fetus at all times 98
Fig. 5.2 A portable eco-doppler called Angel Sound 99
Fig. 5.3 Belly casts a lasting memento of the pregnancy regarded as a
unique occurrence 102
Fig. 5.4 Ann Geddess pictures have been widely copied (often badly)
all over the world 104
Fig. 5.5 With the recent acquisition of personhood by fetuses and
zygotes who fostered such transformation imitations of
Geddess’s photos who fostered transformation contain fetuses
with toys, bottles, clothing as babies already born 105
Fig. 5.6 Various kinds of bikini lines 111
Fig. 6.1 ‘Bio-Bag’ for premature fetal animals. Children’s Hospital-
Philadelphia125
Fig. 6.2 Expensive fake bellies suitable for each gestational age are
worn on public occasions 132
Fig. 6.3 Cheap fake bellies are sold on Alibaba 133
Fig. 6.4 Woman wearing a Beyoncè-like yellow maternity dress.
Yellow signifies Erzulie the goddess of love 136
Fig. 7.1 ‘Anatomical Venus’—Museo delle Specola—Florence, Italy 159
Fig. 7.2 Statuette of a fetus emerging from the vagina as if from a
nuclear power plant 161
Fig. 8.1 The brainstem controls most fetal activities 176
Fig. 9.1 8 weeks fetus (c-d) and 11 (a-b) weeks fetuss performing
their first general movements-Note the rapidly changing
proportions of the fetal body 187
Fig. 9.2 16 weeks fetus touching its temples with both hands 193
Fig. 9.3 26 weeks fetus startling. Notice the spreading of the fingers
and the facial motion seemingly indicating ‘surprise’ 202
Fig. 9.4 29-weeks fetus. Reduced nuchal muscular tone within Quiet
Sleep204
Fig. 9.5 36-weeks fetus yawning 209
Fig. 10.1 Until 14–16 weeks the fetal face looks blank and static 215
Fig. 10.2 27-week fetus showing a full smile 216
Fig. 10.3 28-week fetus grimacing (or so-called micro-crying) 217
Fig. 10.4 25-27-28 weeks fetuses protruding (sticking out) their tongue 218
Fig. 10.5 10 weeks dichorionic (upper/a) twins and Monochorionic
(lower/b) twins. Note the thick set of membranes separating
the gestational sac in twins a. and the very thin layer of
membranes in twins b 221
List of Figures xxi
Fig. 15.2 Most dreaded having to wear oxygen masks as in Chernobyl 308
Fig. 15.3 Fetuses became alien species and ‘viruses’ 310
Fig. 15.4 Devoured by the wolves. Carnivorous animals ready to
devour them populated the dreams and phantasies of some
pregnant women 313
Fig. 16.1 Initial stages after conception. Pro-life push for having
the so-called ‘Unborn’ being granted ‘personhood’
(a non-clarified concept) from the start meaning the
earliest stages after conception 336
Fig. 16.2 Fetus represented as a child. Fetuses or better so-called
unborn children are represented as babies at any stage.
Women have disappeared and even the uterus it is reduced to
a thin, transparent veil 336
Fig. 16.3 Women as headless child containers. Pro-choice refuse the
view of the woman as headless, limbless, child and milk
producing vessels 339
Fig. 16.4 All pro-choice women refuse to be only containers and
protectors of fetuses as well as happy housewives (unless it is
their choice) as in the illustration above 340
Fig. 16.5 Treating Ugandan girls who fought in the LRA war. Several
girls longed for war and preferred to take up their guns
rather than to be married to an old man for a few goats.
Warriors and husbands raped them, but the same happened
at home. War was pure adrenaline, gave them sociability,
team spirit and made them feel empowered 341
Fig. 16.6 Cheap suction machine and foam uteri for practicing
suction. Since Roe v. Wade has been overturned cheap
suction machines and foam uteri for practicing suction have
appeared for sale in China ‘Delivery fast and free all over the
world’342
Fig. 16.7 Tarot fertility reading. Tarot and palmistry reading offers
have started springing up on the net 344
Fig. 16.8 Tarot and psychic reading go strong on the net. Better than
nothing, the old methods are used. Fast delivery means that
fast decisions can be taken 345
1
Introduction: The Wavering Fortunes
of the Fetus
The purpose of this chapter is to show what nature has done for the United
States, and to explain the relation between national prosperity and natural
resources.
By Edwin A. Abbey
From a mural painting in the Pennsylvania State
Capitol at Harrisburg.
In this picture the artist portrays an open coal mine
into which several mine-workers are descending. They
are stalwart, young, artless pioneers, eager for
discovery. They impart dramatic energy and realism to
the picture.
Science is pointing the way. She is accompanied by
Fortune, the latter blindfolded and tiptoeing on her
wheel. Grasping Fortune’s right hand is Abundance,
with an overflowing cornucopia, or horn of plenty, on
her shoulder. These mythological figures lend the
picture its symbolism.
The artist portrays a great truth. Human labor, wisely
guided by science, has found fortune and abundance
in the mines and quarries of the earth.
The purpose of this chapter is to show the large part which agriculture plays
in the life of the country and to discuss briefly some of the problems of
agriculture today.