Title Page, Copyright, Dedication

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pp. i-vi

Contents

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pp. vii-viii

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Acknowledgments

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pp. ix-xiv

My heartfelt thanks go out to all the people and institutions who nurtured this project over the many years from its conception to fruition. First, I am deeply grateful to the people in Cuba who welcomed me, trusted me, and thereby made my research possible. My affiliation with the Centro Juan Marinello would not have come about without the support of Ana Vera Estrada, who became a...

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1. Introduction

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pp. 1-23

By the time the family doctor clinic opened its doors to the waiting line of patients at eight thirty in the morning, the streets were already bustling in this densely populated Central Havana neighborhood. Flower sellers set up their brightly colored stands on the broken pavements. Convivial groups of people on their way to work gathered under the peeling, wrought- iron balconies of...

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2. Producing the New Woman

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pp. 24-45

It is diffi cult now to capture the profound utopianism that emanates from the writings of the Cuban revolutionaries as they imagined a new society into being. The 1959 revolution was framed as the culmination of a long battle for national sovereignty and the authentic, idealistic, and moral society articulated most cogently by the nationalist poet José Martí in the nineteenth century wars...

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3. Reproducing Citizens and Socialism in Prenatal Care

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pp. 46-67

It had been a chaotic week at the family doctor clinic where I observed weekly prenatal and neonatal consultations. Dr. Tatiana Medina, one of the two clinic physicians, had taken a month- long medical leave, and Janet was struggling to absorb her colleague’s patients as well as her own. When Janet called in Tatiana’s next patient she frowned immediately at the sight of this very thin young...

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4. Abortion and Calculated Risks

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pp. 68-92

On a cool February afternoon in one of Havana’s outer suburbs, I climbed the steep stairs to the second fl oor apartment of Idaly Santos. Idaly was a single mother whose gregarious manner concealed a fi erce independence. Over the past decade, her mother and siblings had slowly scattered to the United States and to France, leaving her the sole occupant of her large apartment. These...

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5. Engendered Economies and the Dilemmas of Reproduction

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pp. 93-113

Time and again, women’s reproductive dilemmas underscored a wider debate, articulated both within familial relations and in state policy, about the responsibility for nurturing children and citizens in post- Soviet Cuba. As the narratives of the previous chapter demonstrated, women attributed low fertility and high abortion rates not simply to the expense of raising children, but also to the...

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6. Having Faith and Making Family Overseas

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pp. 114-136

Near the end of my fieldwork, I sat in the modest living room of a small, low-ceilinged building with Lisette Fuentes, a young homemaker in her late twenties. Periodically interrupted by the antics of Lisette’s rambunctious young son during the interview, I posed once again my routine question about changes in familial life since the fall of the Soviet Union. As I have demonstrated in...

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7. Conclusion

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pp. 137-144

This project was initially conceived as a study of the local practice of reproductive health care in Havana. As feminist scholars have long reminded us, however, reproduction is intricately enmeshed in broader cultural, social, and political- economic systems. Following the threads of women’s reproductive narratives and practices led me far beyond the medical clinic to consider how...

Notes

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pp. 145-152

References

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pp. 153-164

Index

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pp. 165-170

About the Author

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pp. 171-172