Esposito N W
Columbia University School of Nursing, New York, New York 10032, USA.
Health Care Women Int. 1999 Mar-Apr;20(2):111-26. doi: 10.1080/073993399245827.
The process of birth provides a structure around which social and cultural forces guide its expression. These social and cultural forces reflect the organization of power in a society while creating the potential for diversity in birth beliefs, practices, and experiences. In this article, marginalized women contrast their experiences in the cultures of two divergent birth systems: the technocratic hospital system and a freestanding midwifery managed birth center system. The women in this study come from many different cultures, yet they share a common desire to (a) control the birth environment, (b) establish supportive interpersonal connections with providers, (c) have a safe birth, and (d) be treated with dignity and respect. However, the descriptions in this article illustrate the gender, race, and class power inequities experienced when technocratic cultural forces conflicted with oppressed women's basic needs for respect and control.
分娩过程提供了一个框架，社会和文化力量围绕这个框架引导其表现形式。这些社会和文化力量反映了社会中的权力结构，同时也为分娩观念、实践和经历的多样性创造了可能性。在本文中，边缘化女性对比了她们在两种截然不同的分娩体系文化中的经历：技术官僚化的医院体系和独立助产士管理的分娩中心体系。本研究中的女性来自许多不同的文化，但她们有一个共同的愿望，即（a）控制分娩环境，（b）与医护人员建立支持性的人际关系，（c）安全分娩，以及（d）得到有尊严和尊重的对待。然而，本文中的描述说明了当技术官僚文化力量与受压迫女性对尊重和控制的基本需求发生冲突时所经历的性别、种族和阶级权力不平等。
