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從性別觀點看醫療化的婦女生產

A Gender Perspective on Medicalized Childbirth

摘要


性別主流化是世界性的議題,聯合國及世界衛生組織強調性別觀點及性別平等概念應融入政府各項重要決策的過程。不同的文化對生產的處理有不同的態度,也影響生產婦女及其伴侶的感受與需求,他們的需求要被瞭解與被滿足。產科醫師們信仰科技與強調生產風險醫療觀點逐漸影響婦女的生產經驗。本篇文章以性別觀點看婦女生產的醫療化、藥物減痛對婦女的壓迫、高剖腹產率責怪婦女、男性參與生產的被忽視,希望可以作為改進性別平等婦女生產照護的參考資料。

並列摘要


Gender mainstreaming is a worldwide issue. The United Nations and the World Health Organization have emphasized the importance of incorporating gender perspectives and gender equity into government policy decisions. Different cultures have different attitudes toward the management of childbirth and these attitudes influence the feelings and needs of women and their partners. These needs must be better understood and satisfied. The widely held technocratic values of obstetricians influence the birthing experience of women significantly. This article uses a gender perspective to describe the medicalization of childbirth, the pharmacological pain-relief oppression of women, the prevalence of blaming women for decisions to conduct Caesarean sections, and the exclusion of men from involvement in the childbirth process. This article may be used as reference to enhance gender equality childbirth care for women.

參考文獻


官晨怡(2013).生產中的現代性:科技信仰與科技侷限的競技場.臺灣人類學刊,11(1),65–91。[Kuan, C. I. (2013). Pursuing modernity in childbirth: Struggle between technocratic value and technological constraints. Taiwan Journal of Anthropology, 11(1), 65–91.]
Berghella, V., Baxter, J. K., & Chauhan, S. P. (2008). Evidence-based labor and delivery management. American Journal of Obstetrics & Gynecology, 199(5), 445–454.
Cahill, H. A. (2001). Male appropriation and medicalization of childbirth: An historical analysis. Journal of Advanced Nursing, 33(3), 334–342.
Chang, S. C., Chou, M. M., Lin, K. C., Lin, L. C., Lin, Y. L., & Kuo, S. C. (2011). Effects of a pushing intervention on pain, fatigue and birthing experiences among Taiwanese women during the second stage of labour. Midwifery, 27(6), 825–831.
Davis-Floyd, R. E. (1994). The technocratic body: American childbirth as cultural expression. Social Science & Medicine, 38(8), 1125–1140.

被引用紀錄


施麗雯(2021)。妳如何能不憂鬱?從產前到產後心理健康照護台灣公共衛生雜誌40(6),595-599。https://doi.org/10.6288/TJPH.202112_40(6).PF06
施麗雯(2019)。孕產照護邏輯:台灣女性的新生育選擇與共同修補女學學誌:婦女與性別研究(44),1-46。https://doi.org/10.6255/JWGS.201906_(44).01
田淑惠、沈滿華(2019)。從醫療弱勢族群的照護看平等權的落實-以同性戀孕產婦為例護理雜誌66(5),65-71。https://doi.org/10.6224/JN.201910_66(5).09
梁慧敏、高美玲、陳治平、劉介宇(2019)。入院待產時機教育課程於孕婦焦慮、不確定感、生產控制感及待產結果之成效護理雜誌66(2),36-47。https://doi.org/10.6224/JN.201904_66(2).06
許雅婷(2017)。試管嬰兒胚胎植入護理衛教對不孕症婦女接受胚胎植入期間成效之探討〔碩士論文,義守大學〕。華藝線上圖書館。https://www.airitilibrary.com/Article/Detail?DocID=U0074-1608201722014500

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