Graviditet & rygning - Et sundhedsfremmeperspektiv uden løftede pegefingre

Sofie Pflug von der Osten

Studenteropgave: Speciale


The purpose of this study is to engage with and participate in the academic field dealing with pregnant smokers. This paper investigates what positions former pregnant smokers negotiate and from what discours-es these positions are being constructed. Furthermore, it examines how these positions implicate on practice and subjectivity. The research is based on a poststructuralistic approach as it draws on Michel Foucault’s (1972;1982;2009) perspectives on discourses and Bronwyn Davies & Rom Harré’s (1990) theory on positioning. Inspired by Michel Foucault's historical approach the thesis initially investigates the emergence of discourses around smoking, pregnancy and motherhood. Moreover, the study is based on empirical data from five, semi-structured interviews with women who smoked during their pregnancy. The empirical data is processed us-ing the analytic framework presented in Carla Willig’s (2008) Foucauldian discourse analysis. By reviewing academic literature dealing with pregnant smokers, this paper suggests that historical perspec-tives regarding smoking, pregnancy and especially motherhood have a great influence on how the field of pregnant smokers presents itself today. Additionally, the analysis of the gathered data showed how the wom-en constructed the following three positions: the exposed pregnant smoker, the bad mother, and the healthy and good mother. Being positioned as exposed or as a bad mother is presented by the five women as some-thing that happens in a several different discursive practices. As a response these women attempt to negotiate their positions by proposing an alternative position as the healthy mother, placing smoking as a good and healthy choice. Importantly, the analysis finds that the negative positioning of the smoking mother implicates that these women feel ashamed and reacts by hide in order to escape criticism and judgements from their environment. As a result the women feel forced to create an alternative position to uphold a positive self-image. Based on the findings from the analysis this study suggests that both the health promoting work and the health professionals’ position have a pivotal influence on how the pregnant smokers perceive themselves. It problematizes how the intense focus on the pregnant smoker’s physical health comes at the expense of their mental health as attention towards this subject matter is considered to be limited. Therefore, it is suggested that future research pay attention to the mental health of pregnant smokers and not only their physical health.

UddannelserSundhedsfremme og Sundhedsstrategier, (Bachelor/kandidatuddannelse) Kandidat
Antal sider68
VejledereAgnes Ringer


  • graviditet
  • rygning
  • sundhedsfremme