'Putting all my eggs into the app': Self, relational and systemic surveillance of mothers' use of digital technologies during the transition to parenting

Jodi Hall; Bradley Hiebert; Danica Facca; Lorie Donelle

doi:10.1177/20552076221150742

'Putting all my eggs into the app': Self, relational and systemic surveillance of mothers' use of digital technologies during the transition to parenting

Digit Health. 2023 Jan 18:9:20552076221150742. doi: 10.1177/20552076221150742. eCollection 2023 Jan-Dec.

Authors

Jodi Hall¹, Bradley Hiebert², Danica Facca³, Lorie Donelle²

Affiliations

¹ School of Nursing, Fanshawe College, London, Ontario, Canada.
² Arthur Labatt Family School of Nursing, Western University, London, Ontario, Canada.
³ Faculty of Information and Media Studies, Western University, London, Ontario, Canada.

Abstract

This paper builds on thematic findings from a larger study that explored how digital technologies (e.g. smartphones, apps, search engines) shape expectant and new mothers' early parenting practices. An overarching theme that arose across these mothers' experiences which deserved deeper exploration was relational digital surveillance. In the context of this paper, relational digital surveillance describes how mothers evaluate their sense of preparedness, goodness or suitability for motherhood as they transition into parenting in relation to: their own use of digital technologies when caring for their pregnant bodies (self-surveillance), partners' and family members' commentary and/or judgement regarding their use of digital technologies to support their parenting and decision-making (familial surveillance) in addition to service/health care providers' commentary and/or judgement concerning their technology use (systemic surveillance). Mothers' use of digital technologies in this study not only provided others (partners, family members, health care providers) with means to watch over their actions and bodies as they transitioned into motherhood but offered a new evaluative dimension for others to scrutinize their behaviour as a new mother. Such understandings of relational digital surveillance within the transition to parenting context raise critical questions concerning the promotion and commercialization of digital self-surveillance technologies among expectant/new parents given the ways these technologies can further push the boundaries of hegemonic mothering practices and contribute to feelings of inadequacy and self-doubt. Alternatively, these insights offer avenues where health care providers can intervene to facilitate activities that enhance digital health literacy skills and mitigate parents' exposure to platforms that amplify anxieties.

Keywords: Digital health; apps; data; general; information seeking; medicine; mobile health; motherhood; personalized medicine; reproductive health; surveillance; technology.