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Politicized Demography and Biomedical Authority in Post-Soviet Russia

ABSTRACT We explore obstetrician-gynecologists’ (ob-gyns’) shifting involvement in late Soviet and post-Soviet reproductive politics and track broader political-economic dynamics of the profession’s ambivalent relations with state demographic discourses. Soviet ob-gyns largely distanced themselves from explicitly pronatalist agendas. Post-soviet national politics of ‘population renewal’ and the neoliberalization of health care have significantly restructured ob-gyns’ orientations. To assert their authority and gain economic footing, ob-gyns have highlighted their contributions to the state’s demographic agendas. The post-Soviet context illustrates how understanding the medicalization of population problems requires examining the political-economic relations between physicians and the state – dynamics that can transform ideologies and medical practices.