En förutbestämd sanning : Barnamord och delaktighet i 1700-talets Finland belysta genom kön, kropp och social kontroll

The study analyses the prevention or endorsing of the crime of infanticide in Finland 1702 1807, rather than the result. Also the impacts of the female body, biology of childbirth and experiences of pregnancy are examined, together with insights from modern medical research. Circumstances are reconstructed by a critical reading of judicial records on all levels of the judicial system. In all 269 cases of infanticide and 142 accessory crimes within the jurisdiction of the Turku court of appeal are studied, with particular focus on exceptionally well recorded cases of 83 accused women and 41 women and men accused of being party to the crime. Secondary sources are medical and jurisprudential writings, the public debate on infanticide, broadsheets and letters asking the King for pardon. Infanticide was considered murder by law. Unmarried women were predetermined as the main culprits. Nevertheless, deliberate infanticides were rare and committed mostly in accomplice. The majority of the infanticides studied were cases where inexperienced and unmarried women accidentally had given birth alone and usually to a dead child. Unaware that the pain they were experiencing was in fact a labour, the accused women instinctively sought solitude to push out the child. Some misunderstood the birth as an urgent need to defecate. The unexpected delivery ended in hiding the baby without remorse. This crime was promoted by several factors in Finnish rural culture, amongst others that also married women hid their pregnancy. The immediate household members did not necessarily know about the childbirth and failed to help the woman. This typical pattern in most cases of infanticide in 18th century Finland is also recorded in modern cases of unknown pregnancies. Fear of accountability prevented witnesses testifying to the actual course of events. The truth remained elusive. With only a few exceptions, the women were sentenced to death or imprisonment. The majority of those accused of accomplice were acquitted. However, too harsh sentences for accidents affected the reporting of the crime. Criminal politics failed to curtail infanticide as the crime was unsatisfactorily addressed by law, society and the judicial system.

Avioliiton teologia Englannin kirkossa ja Suomen evankelis-luterilaisessa kirkossa vuosina 1963-2006

The theology of marriage in the Church of England(CofE) and in the Evangelical Lutheran Church of Finland(ELCF)1963–2006 The method of the study is a systematic analysis of the sources. In the CofE marriage stems from creation, but it is also sacramental, grounded in the theology of love and redemption. Man and woman have a connection between them that is a mystical union in character because of the one between Christ and the Church; therefore every marriage is sacramental. The purposes of marriage have been expressed in a different order than earlier. A caring relationship and sexuality are set before childbirth as the causes of marriage. The remedial cause of marriage is also moved to the background and it cannot be found in the recent wedding formulas. A personal relationship and marriage as a school of faith and love have a central place in the theology of marriage. The theology of love unites the love of God and marriage. In the CofE the understanding of divorce and co-habiting has changed, too. Co-habiting can now be understood as a stage towards marriage. Divorce has been understood as a phenomenon that must be taken as a fact after an irretrievable breakdown of marriage. Thus the church must concentrate on pastoral care after divorce. Similarly, the ELCF also maintains that the order of creation is the origin of marriage as a lifelong institution. This is also an argument for the solemnization of marriage in the church. Faith and grace are not needed for real marriage because marriage is the culmination of reason and natural law. The society defines marriage and the church gives its blessing to the married couples if so requested. Luther’s view of marriage is different from this because he saw marriage as a school of love and faith, similar to CofE. He saw faith as essential to enable the fullfillment of natural law. Marriage in the ELCF is mostly a matter of natural ethics. An ideal form of life is sought through the Golden Rule. This interpretation of marriage means that it does not presuppose Christian education for children to follow. The doctrine of the two kingdoms is definitely essential as background. It has been impugned by scholars, however, as a permanent foundation of marriage. There is a difference between the marriage formulas and the other sources concerning the purposes of marriage in the ELCF. The formulas do not include sexuality, childbirth or children and their education as purposes of marriage. The formulas include less theological vocabulary than in the CofE. The liturgy indicates the doctrine in CofE. In the Lutheran churches there is not any need to express the doctrine in the wedding formulas. This has resulted in less theology of marriage in the formulas. The theology of Luther is no longer any ruling principle in the theology of marriage. The process of continuing change in society refines the terms for marriage more than the theological arguments do.

Outcome of singleton pregnancy after assisted reproductive treatment

Singleton pregnancies achieved by means of assisted reproductive treatment (ART) are associated with increased obstetric and neonatal risks in comparison with spontaneously conceived singleton pregnancies. The impact of infertility- and treatment-related factors on these risks is not properly understood. In addition, the psychological effects of infertility and its treatment on the experience of pregnancy have scarcely been studied. Thus, the aim of the present study was to evaluate the importance of infertility- and treatment-related factors on prediction of pregnancy outcome, obstetric and neonatal risks, fear-of-childbirth and pregnancy-related anxiety. The subjects consisted of infertile women who achieved a singleton pregnancy by means of in vitro fertilisation (IVF) or intracytoplasmic sperm injection (ICSI). The control groups comprised spontaneously conceiving women with singleton gestations. Early pregnancy outcome was assessed by means of assay of serum human chorionic gonadoptrophin (hCG) in single samples. Other outcome data were collected from patient records, national Health Registers and via prospective questionnaire surveys. Viable pregnancies were associated with significantly higher serum hCG levels 12 days after embryo transfer than non-viable pregnancies. Among singleton pregnancies, aetiological subgroup, treatment type or the number of transferred embryos did not impair the predictive value of single hCG assessment. According to the register-based data, age-, parity- and socioeconomic status- adjusted risks of gestational hypertension, preterm contractions and placenta praevia were more frequent in the ART pregnancies than in the control pregnancies. Significantly higher rates of induction of delivery and Caesarean section occurred in the ART group than in the control group. The risks of preterm birth and low birth weight (LBW) were increased after ART pregnancy. Duration or aetiology of infertility, treatment type (fresh or frozen IVF or ICSI) or rank of treatment did not contribute to the risks of preterm birth or LBW. In addition, the risks of preterm birth and LBW remained elevated in spite of of the number of transferred embryos. Although mean duration of pregnancy was shorter and mean birth weight lower in the ART pregnancies than in the control pregnancies, these differences were hardly of clinical significance. Fear-of-childbirth and pregnancy-related anxiety were equally common to women conceiving by means of ART, or spontaneously. Partnership of five to ten years appeared to be protective as regards severe fear-of-childbirth, whereas long preceding infertility (≥ seven years) had the opposite effect. In conclusion, an early hCG assessment maintained its good predictive value regardless of infertility- or patient-related factors. Further, we did not recognise any infertility- or patient-related factors that would expose infertile women to increased obstetric or neonatal risks. However, a long period of infertility was associated with severe fear-of-childbirth.

Tunne, taistele tai taivu : synnytys ja valta Foucault'n näkökulmasta verkkokeskustelussa

Kun synnytyksessä mikään ei suju suunnitelmien mukaan, mistä oikeastaan on kysymys? Kenellä on valta synnytyksessä ja miten se jaetaan? Pro gradu -työssäni yritän ratkaista tätä oman pettymykseni herättämää kysymystä Michel Foucault'n valtakäsityksien avulla. Työlleni erityisen tärkeitä ovat ranskalaisfilosofin teoriat vallan osapuolten välisistä kamppailuista, vallan ja tiedon suhteesta sekä vallasta mahdollisuuksien hallintana. Foucault'sta inspiroituneilta hallinnan analyytikoilta Nikolas Roselta ja Mitchell Deanilta saan käytännön apua analyysin tekemiseen aineistolähtöisen tulkinnan keinoin. Heidän neuvostaan keskityn miten-kysymyksiin sekä sanoihin asioiden mahdollistajana. Aineistonani käytän erään aktiivisuutta ja luottamuksellisuutta vaalivan keskustelupalstan Synnyttäjän oikeudet -aiheista keskustelua. Analyysin alku nosti keskustelusta kolme selkeää tapaa synnytyksen ja vallan hahmottamiseen: luonnon ja synnyttäjän voimia korostavan, taisteluasennetta kannattavan sekä sopuisaa, tyydyttävää elämystä toivovan. Tämä on kuitenkin vasta johtolanka, jonka seuraamisessa tarvitsen tutkimuskirjallisuutta sekä teoreettisen viitekehyksen tukea. Tärkeimpiä hyödyntämiäni tekstejä ovat Foucault'n The Subject and Power (2000a) ja Truth and Power (2000b) sekä synnyttämisen mahdollisuuksia pohtivat teokset, kuten Johanna Ruusuvuoren Synnyttämisen suuntia (1992) ja Robbie Davis-Floydin ja Carolyn Sargentin toimittama Childbirth and Authoritative Knowledge (1997). Teorian, tutkimustulosten ja aineistoni perusteella väitän, että synnytyksen ja vallan suhteessa on kysymys auktoriteetin ja itsehallinnan erilaisista kohtaamistavoista. Tiedon ja vallan järkähtämätön suhde on pönkittänyt synnytyssalin auktoriteeteille tukevan aseman, jota ei helposti heiluteta. Yrittää silti voi ja pitääkin, ainakin keskustelijoideni mielestä. Naiset synnyttävät uusia kansalaisia lääketieteen valvonnassa, mutta he tekevät sen omillakin ehdoillaan, omien tavoitteidensa toteuttamiseksi. Verkon kautta synnytyksen vaihtoehdot ovat levinneet ja jättäneet jälkensä myös perinteisen synnytyskulttuurin pintaan. Yksien totuudet ovat kuitenkin toisten totuuksia arvokkaampia, kuten Tammisaaren synnytysosaston sulkeminen osoittaa.