The moral economy of abortion in maternal deaths by Covid-19 in Brazil: a study on the criminalization of abortion and reproductive justice
Maternal mortality. Covid-19. Abortion. Criminalization. Moral economy.
Brazil was the global epicenter of maternal mortality by Covid-19, which caused the death of almost five thousand pregnant or postpartum Brazilian women between 2020 and 2022. Science has already shown that pregnant women are more likely to develop severe cases of Covid-19, but biomedical causes cannot sufficiently explain the excessive maternal mortality by Covid-19 observed in Brazil, let alone its disproportionate impact among marginalized women, such as Black, Indigenous and those living in rural areas. These deaths were shaped by negligent health care, with the imposition of barriers and delays in the diagnosis of Covid-19, hospitalization and access to measures such as intensive care, termination of pregnancy or early delivery. From a reproductive justice perspective, this thesis aims to analyze how the moral economy of abortion has affected maternal deaths by Covid-19 in Brazil. Based on interviews with family members and loved ones of 25 pregnant or postpartum women who died from Covid-19, I analyzed the production of collective meanings as to what can, should or is legitimate to be done in the health care of seriously ill pregnant women, seeking to ask questions about how the criminalization of abortion shapes this context. I identified three dimensions of the moral economy of abortion in the reports of maternal deaths analyzed: the stigma of abortion, which makes it difficult to recognize the interruption of pregnancy as a health need and creates obstacles to guaranteeing legal abortion even in the event of a risk to the pregnant woman's life; the priority of carrying the pregnancy to term to the detriment of the woman's health, which is deeply rooted in the fields of health and law and feeds the introjection of maternal sacrifice as a value among women; and the guardianship of the pregnant body, which means that women are not taken seriously neither to take care of themselves nor to take care of their pregnancies. In this sense, it is possible to understand that the criminalization of abortion and the excessive maternal mortality by Covid-19 in Brazil are connected by the historical use of reproduction to control and subordinate women.