A Reinterpretation of Maternal Requests for Cesarean Sections in Taiwan

台灣“選擇性剖腹產”之重新解讀分析

官晨怡(Chen-I Kuan)

《考古人類學刊》 72期 (2010/06) Pp. 97-136

https://doi.org/10.6152/jaa.2010.06.0004

摘要

本文檢視台灣剖腹產現象背後的性別政治。台灣剖腹產率高居世界第三，公共論述傾向將高剖腹產率歸罪於婦女的選擇。根據我的民族誌研究，醫院生產制度乃是造成高剖腹產率的主要因素。台灣醫院對於生產的高度醫療介入，在社會、心理與生理等面向上，皆增加了剖腹產的可能性。面對如此高剖腹產率，“痛兩次”（陰道產失敗後，接受剖腹產）成為台灣孕婦普遍的擔憂，部分婦女因而直接選擇剖腹產。本文將藉由分析台灣醫院生產系統，重新詮釋所謂的“選擇性剖腹產”。

關鍵字

剖腹產 ； 台灣 ； 性別政治 ； 人為風險 ； 反身性回應

並列摘要

This paper examines the gender politics of Cesarean sections (C-sections) in Taiwan, the country with the third highest Cesarean rates (C-rates) in the world. Public discourses attribute the high C-rates to the demands of women. According to my fieldwork, the Taiwanese medical system itself is responsible for high C-rates. Taiwanese hospitals enforce a significant amount of medical interventions that increases C-sections through social, psychological, and biological processes. Aware of these intervention practices, women request a C-section out of fear of ”suffering twice”, or in other words, trying to deliver vaginally but ending up having to have a C-section. I will re-interpret maternal requests of C-sections within this context.

並列關鍵字

Cesarean sections ； Taiwan ； gender politics ； manufactured risk ； reflexive response

參考文獻

ACOG(2006).Patient-Requested Cesarean Update.ACOG News Release.

Anderson, Geoffery M(2004).Making Sense of Rising Caesarean Section Rates.British Medical Journal.329,697-698.

Beck, Ulrich(1992).Risk Society: Towards a New Modernity.Newbury Park, CA:Sage Publications.

Beck, Ulrich(2000).Risk Society Revisited: Theory, Politics and Research Programmes.The Risk Society and Beyond.(The Risk Society and Beyond).:

Beckett, Katherine(2005).Choosing Cesarean: Feminism and the Politics of Childbirth in the United States.Feminist Theory.6(3),251-275.