Obesity is the object of incredible amounts of resources and attention purportedly aimed at reducing corpulence and increasing health. Despite this, consensus with respect to the definition, causes or solutions is lacking, making obesity a prominent knowledge controversy. In this article, I argue that the Barker hypothesis, a theory of foetal development, can support the redistribution of expertise necessary to address this knowledge controversy. A vast scientific literature confirms its argument that many diseases can be traced to the conditions for development in utero determined by the commingling of temporally and spatially complex processes. The Barker hypothesis does not support solely reductionist, biophysiological paradigms of health and disease, but rather evinces complex understandings that span biology, social positionality, place and generation. I argue that this makes the hypothesis significant for transdisciplinary studies of health and disease, and prompts consideration beyond the conventional bounds of epidemiology to new sites of understanding and action that may support movements concerned with body politics and justice for fat people. I point to literature on the potential for injustice engendered by the Barker hypothesis, and suggest that these critiques reveal the very necessity for transdisciplinary collaboration on obesity in the first place.
Extensively employed in reproductive science, the term fetal–maternal interface describes how maternal and fetal tissues interact in the womb to produce the transient placenta, purporting a theory of pregnancy where ‘mother’, ‘fetus’, and ‘placenta’ are already-separate entities. However, considerable scientific evidence supports a different theory, which is also elaborated in feminist and new materialist literatures. Informed by interviews with placenta scientists as well as secondary sources on placental immunology and the developmental origins of health and disease, I explore evidence not of interfacing during pregnancy, but of intra-action, or the mutual emergence of entities in simultaneous practices of differentiation and connection. I argue that attending to evidence that can be figured as intra-action enables us to recognize, account for, and attend to diffuse responsibilities for fetal–maternal outcomes that extend beyond mothers to the biosocial milieus of pregnancy. In reimaging the intra-action of placentas, a new understanding of what constitutes a ‘healthy pregnancy’ becomes possible.
An estimated 50 million kilograms of human placental material is produced worldwide every year. In countries such as Canada, human placentas are utilized in scientific research concerned with fetal and women’s health, immunology, and cancer, to name a few. Through an empirical study involving interviews with placenta scientists and observations of placental science research laboratories and meetings, this article examines the material and discursive processes through which placentas are rendered materially and ethically available for scientific study. We argue that these processes involve a critical shift in placenta ontology such that placentas exist as waste and not-waste, an indeterminacy that is resolved in a four-phase praxis. The praxis ultimately makes placentas not only available, but also monetarily and morally ‘free of charge’ for scientific purposes. Our analysis reveals that the purported waste-ness of placentas potentiates their amenability to scientific experimentation, and is foundational to scientists’ claims about their moral relationship with broader publics.
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