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Attempts to improve patient care, its increasing cost and the aggressive malpractice environment have highlighted the need for standards of professional accountability. However, current measures of quality of care have mostly been met with skepticism by the medical community. These measures have been criticized for their uncertain validity and for focussing on secondary aspects of service that measure what is minimally acceptable. The objective of this essay is to review quality improvement methods that have been reported to be feasible, effective and acceptable by practicing physicians. The successful implementation of these methods seems to be related to their being nonintrusive, non‐threatening, and based on agreed upon standards of care. We believe that these three features are essential for a continuous quality improvement process in health care.

This chapter critiques the relationality between care and context to demonstrate how notions of routinised technologies are disrupted when considering the reproductive realities and situated constraints of ethnic and religious minority women. The chapter integrates ethnographic and qualitative data from two minority contexts, including maternity care provision for Orthodox Jews and how providers approach requests for sex-selective abortion (SSA) when caring for women from South Asian backgrounds. By examining responses to caesarean sections and abortion care among ethnic and religious minorities in the United Kingdom, the chapter critiques how routinised interventions are entangled in the anticipation of future reproductive potential. The idea of anticipatory futures serves as a reflection on the reproductive lifecourse, where technologies carry opportunities and implications that women and carers alike are tasked with negotiating. Taking inspiration from the reproductive justice framework, the chapter builds on a body of work that demonstrates how the concept of ‘choice’ is contingent and not inclusive of the situated constraints that can affect the reproductive lives of women from minority backgrounds. By delving into everyday reproductive constraints, the chapter raises implications for what inclusive woman-centred (or person-centred) care can involve, how providers approach ‘choice’, autonomy and justice in practice, and how their considerations reconfigure the otherwise ‘routine’ delivery of reproductive health services and technologies. Technologies increasingly invest the reproductive lifecourse with potential and anticipation, and the chapter calls on feminist scholars to understand the dilemmas posed for inclusive models of care beyond the discourse of ‘choice’.