孕產照護邏輯：台灣女性的新生育選擇與共同修補

施麗雯

doi:10.6255/JWGS.201906_(44).01

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Social Sciences > Sociology

DOI： 10.6255/JWGS

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孕產照護邏輯：台灣女性的新生育選擇與共同修補

The Logic of Maternity Care: Taiwanese Women's New Reproductive Choice and Shared Doctoring in Childbirth

施麗雯(Li-Wen Shih)

女學學誌：婦女與性別研究； 44期 (2019 / 06 / 01) ， P1 - 46

繁體中文 DOI： 10.6255/JWGS.201906_(44).01

溫柔生產；助產師；生育自主；生育選擇；照護邏輯；共同修補； gentle birth ； midwife ； reproductive autonomy ； reproductive choice ； the logic of care ； shared doctoring

Abstract │ Reference (71) │ Altmetrics

Abstract 〈TOP〉

Parallel Abstract 〈TOP〉

Since the 1960s, reproductive choice has been at the center of two waves of U.S.-led women's reproductive rights movements. In response to medicalization of childbirth, the women's movements asked for getting back to nature and for greater autonomy and free choice in method of birth. Many studies have shown that women's reproductive choices are limited by the social and medical system. Therefore, it is significant to examine what is the meaning of having reproductive choices within the medical practice, and how and to what degree the practice of midwifery and the idea of free choice empowers women's autonomy. Can choice bring better maternity care to women? To answer these questions, this paper explores Taiwanese women's new reproductive choices and their practice in maternity care. Based on interviews and participant observation in a local hospital which practices midwifery, the paper delineates women's new choices and how such choice influences women's experiences of maternity care. Drawing on Annemarie Mol's discussions on the logic of care and the logic of choice, this paper analyses women's situation in relation to choice, the constitution of choice, and how women's choice fluctuates during the process of birth. It first argues that having the opportunity to choose midwife care can facilitate women's agency and strengthen their autonomy because a midwife plays a role as an articulator in between women's needs and medical-led routine practice. However, this paper does not stress the importance of ＂the logic of choice＂. Instead, it argues that, with successfully giving birth to a child as the goal, the improvements will depend on an adaptable shared doctoring mediating the pregnant women's needs and the medical-led routine practice, since the process of childbirth is unpredictable.

Reference ( 71 ) 〈TOP〉

Kuan, Chen-I(2010).A reinterpretation of maternal requests for cesarean sections in Taiwan.考古人類學刊,72,97-136.
連結：
吳嘉苓(2011)。編排風險：多胚胎孕育的多重社會科技網絡。台灣社會學，22，111-156。
連結：
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。
連結：
施麗雯(2018)。丹麥孕產照護：助產師和產科醫師共同照護模式。台灣公共衛生雜誌，37(3)，280-294。
連結：
施麗雯(2015)。台灣的道德先鋒：焦慮、產檢選擇與責任的矛盾。科技醫療與社會，21，77-134。
連結：

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