University of Health Sciences, Institute of Health Research, 21, av. de Beaumont, 1011 Lausanne, Switzerland.
Soc Sci Med. 2013 Sep;93:55-63. doi: 10.1016/j.socscimed.2013.05.033. Epub 2013 Jun 19.
The experience of pregnancy is currently driven by the development of surveillance medicine focused on the monitoring of a wide range of risks. Research usually relies on binary categories opposing women accepting medical surveillance to those resisting it. Recent studies have however underlined the complexity of women's experiences, as well as the ambivalence of their attitudes toward medical procedures and recommendations. Based on 47 qualitative semi-structured interviews conducted in Switzerland between 2008 and 2009, this paper presents the diversity of pregnant women's experiences of surveillance medicine through the description of four contrasting groups: "endorsing surveillance medicine", "coping with risks", "striving for certainty" and "questioning surveillance medicine". Taking into account various risks related to pregnancy, these empirically-grounded groups are discussed in relation to the cultural dynamics of contemporary risk discourses.
目前,妊娠体验受以广泛监测风险为重点的监控医学发展所驱动。研究通常依赖于将接受医学监控的女性与抵制它的女性对立的二分法。然而,最近的研究强调了女性体验的复杂性,以及她们对医疗程序和建议的态度的矛盾。基于 2008 年至 2009 年期间在瑞士进行的 47 次定性半结构化访谈,本文通过描述四个对比鲜明的群体,展示了孕妇对监控医学的体验的多样性:“支持监控医学”、“应对风险”、“追求确定性”和“质疑监控医学”。考虑到与妊娠相关的各种风险,这些基于经验的群体是根据当代风险话语的文化动态来讨论的。