Obermeyer C M
Harvard University, USA.
Med Anthropol. 2000 Oct;19(2):173-201. doi: 10.1080/01459740.2000.9966175.
This article critically examines the notion that Moroccan women's infrequent use of health facilities during pregnancy and birth results from their lack of awareness of the risks of childbirth. It argues that while ethnographic data appear at first to lend support to this hypothesis, a closer examination of the customs surrounding birth shows that ideas about risk are found in local constructions of childbirth. The choices women make regarding birth and the flexibility that characterizes their decisions reflect the uncertain circumstances of labor and problems in the accessibility and quality of health services. Differences in the notions of risk that women hold and express are a function, not of an inability to conceive of risks, but rather of the real alternatives they have for controlling these risks.
本文批判性地审视了这样一种观点，即摩洛哥女性在孕期和分娩期间很少使用医疗设施是由于她们对分娩风险缺乏认识。文章认为，虽然人种志数据乍一看似乎支持这一假设，但仔细研究围绕分娩的习俗会发现，在当地对分娩的认知中存在关于风险的观念。女性在分娩方面做出的选择以及她们决策的灵活性反映了分娩时的不确定情况以及医疗服务可及性和质量方面的问题。女性持有和表达的风险观念存在差异，其作用因素并非无法认识到风险，而是她们控制这些风险的实际选择。
