While the Internet has emerged as a significant resource for women negotiating the questions and circumstances that arise during conception, pregnancy and childbirth, it remains unclear what role the Internet plays in challenging the current biomedical paradigm and empowering women to make meaningful choices. This article explores how women use the Internet to manage their pregnancies and mediate their doctor–patient relationships, particularly examining the role of social class and personal health history in shaping such Internet use. Drawing from in-depth interviews with white middle-class mothers, the findings show that rather than using technology to resist the dominant biomedical paradigm, most women turned to online resources that affirmed mainstream medical authority and continued to rely on their doctors. By providing the means to confirm normalcy and take control in their reproductive experiences, the Internet enables socially privileged women to more fully perform the informed patient role in order to demonstrate their competence as mothers.

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The integration of new communication technologies into the fabric of everyday life has raised important questions about their effects on existing conceptions and practices of community, relationship, and personal identity. How do these technologies mediate and reframe our experience of social interactions and solidarity? What are the cultural and social implications of the structural changes that they introduce? This dissertation critically considers these questions by examining the social and technological phenomenon of online communities and their role in the ongoing debates about the fate of American civil society. In light of growing concerns over declining levels of trust and civic participation expressed by scholars such as Robert Putnam, many point to online communities as possible catalysts for revitalizing communal life and American civic culture. To many, online communities appear to render obsolete not only the barriers of space and time, but also problems of exclusivity and prejudice. Yet others remain skeptical of the Internet's capacity to produce the types of communities necessary for building social capital. After reviewing and critiquing the dominant perspectives on evaluating the democratic efficacy of online communities, this dissertation suggests an alternative approach that draws from the conceptual distinctions made by Mark E. Warren's political theory of associations. ii A content analysis of thirty online communities was conducted to determine their dominant stuctural and institutional features. The findings show that online communities tend to have high ease of exit, are socially constituted and oriented towards exclusive group identity goods. Producing a relatively narrow range of democratic effects, they are conducive to fostering inner-group trust, personal efficacy, and the public representation of difference. They are poor sources of mutual obligation, reciprocity, deliberative skills, and trust and cooperation with those outside the group. Moreover, in taking into consideration the market's institutional role in the development and management of online groups, they appear to illustrate and epitomize the commodification of community and the fate of public life in a consumer culture. Under such institutional conditions, it is difficult to see how online communities can substantively help revitalize American civil society.

As their online efforts gather attention and become revenue sources, “mom bloggers” struggle to balance commercial affirmation with authenticity.

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