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“看见宝宝”:澳大利亚初产妇使用超声技术的愉悦与困境

"Seeing the baby": pleasures and dilemmas of ultrasound technologies for primiparous Australian women.

作者信息

Harris Gillian, Connor Linda, Bisits Andrew, Higginbotham Nick

机构信息

School of Social Sciences, University of Newcastle.

出版信息

Med Anthropol Q. 2004 Mar;18(1):23-47. doi: 10.1525/maq.2004.18.1.23.

DOI:10.1525/maq.2004.18.1.23
PMID:15098426
Abstract

The practice of obstetric ultrasound scans has undergone significant expansion in the last two decades and is now a standard part of many women's antenatal care in Australia as elsewhere. This article reviews recent evidence about the value of obstetric ultrasound, summarizing debates and contradictions in research literature and practitioner guidelines. Pregnant women's interpretations of the significance of ultrasound are examined through multiple interviews with 34 study participants. We find that ultrasound has become an integral part of women's embodied experience of pregnancy, with its own pleasures and dilemmas. The increasing use of the technology has augmented the role of scientific biomedicine in the government of pregnancy. This must be understood in the light of trends toward individualized risk management in which the pregnant woman increasingly takes responsibility for the successful outcome of the pregnancy, in a context where pregnancy is discursively constructed as a risky domain of gendered experience in contemporary Australian society.

摘要

在过去二十年里,产科超声扫描的应用得到了显著扩展,如今在澳大利亚以及其他地方,它已成为许多女性产前护理的标准组成部分。本文回顾了有关产科超声价值的最新证据,总结了研究文献和从业者指南中的争议与矛盾之处。通过对34名研究参与者的多次访谈,考察了孕妇对超声意义的解读。我们发现,超声已成为女性孕期身体体验中不可或缺的一部分,有着其自身的乐趣与困境。该技术使用的不断增加,强化了科学生物医药在孕期管理中的作用。鉴于个体化风险管理的趋势,必须从这一角度来理解这一点,即在当代澳大利亚社会,怀孕被话语建构为一个具有性别特征的风险领域,在此背景下,孕妇越来越要为怀孕的成功结果负责。

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引用本文的文献

1
First and second trimester ultrasound in pregnancy: A systematic review and metasynthesis of the views and experiences of pregnant women, partners, and health workers.孕期早、中孕期超声检查:孕妇、伴侣和卫生工作者观点与体验的系统评价和元综合分析。
PLoS One. 2021 Dec 14;16(12):e0261096. doi: 10.1371/journal.pone.0261096. eCollection 2021.
2
Re-visioning Ultrasound through Women's Accounts of Pre-abortion Care in England.通过英国女性堕胎前护理经历重新审视超声检查
Gend Soc. 2015 Oct;29(5):694-715. doi: 10.1177/0891243215590101.
3
High feedback versus low feedback of prenatal ultrasound for reducing maternal anxiety and improving maternal health behaviour in pregnancy.
产前超声高反馈与低反馈对减轻孕妇焦虑及改善孕期健康行为的影响
Cochrane Database Syst Rev. 2015 Aug 4;2015(8):CD007208. doi: 10.1002/14651858.CD007208.pub3.
4
Attitude of expectant mothers on the use of ultrasound in pregnancy in a tertiary institution in South East of Nigeria.尼日利亚东南部一所三级医疗机构中孕妇对孕期使用超声检查的态度。
Ann Med Health Sci Res. 2014 Nov;4(6):949-53. doi: 10.4103/2141-9248.144923.
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Preferences for a third-trimester ultrasound scan in a low-risk obstetric population: a discrete choice experiment.低风险产科人群对孕晚期超声检查的偏好:一项离散选择实验
Health Expect. 2015 Oct;18(5):892-903. doi: 10.1111/hex.12062. Epub 2013 Mar 26.