Williams S C, Mackey M C
Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA.
Health Care Women Int. 1999 Jan-Feb;20(1):29-48. doi: 10.1080/073993399245944.
Using a feminist perspective, women's experiences of preterm labor (PTL) were critiqued and compared with the medical establishment's perspective on PTL as described in the medical literature. Interview data from 29 women who participated in a larger study on the PTL experience were revisited and examined based on principles of feminist theory. The persistent "medicalization" of women's bodies was discussed and used as a framework to explore several issues: (a) the diagnosis of PTL and what it means to be at risk for this phenomenon; and (b) the treatment of PTL including the role of medications, activity, and home monitoring for uterine contractions. Based on the differences that emerged when PTL--was examined from two divergent standpoints--the women's perspective and the physician's perspective--some alternative approaches to PTL management that place women's lives at the center of the treatment process were suggested.
从女性主义视角出发，对早产（PTL）女性的经历进行了批判，并与医学文献中描述的医疗机构对早产的观点进行了比较。根据女性主义理论原则，重新审视和研究了来自29名参与一项关于早产经历的大型研究的女性的访谈数据。讨论了女性身体持续的“医学化”现象，并将其作为一个框架来探讨几个问题：（a）早产的诊断以及面临这种现象风险意味着什么；（b）早产的治疗，包括药物、活动以及家庭子宫收缩监测的作用。基于从女性视角和医生视角这两个不同立场审视早产时出现的差异，提出了一些将女性生活置于治疗过程中心的早产管理替代方法。
