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暴力分娩:将分娩期间的强制程序重新定义为产科暴力

A Violent Birth: Reframing Coerced Procedures During Childbirth as Obstetric Violence.

作者信息

Borges Maria TR

出版信息

Duke Law J. 2018 Jan;67(4):827-62.

Abstract

In the United States, women are routinely forced to undergo cesarean sections, episiotomies, and the use of forceps, despite their desire to attempt natural vaginal delivery. Yet, the current American legal system does little to provide redress for women coerced to undergo certain medical procedures during childbirth. Courts and physicians alike are prepared to override a woman's choice of childbirth procedure if they believe this choice poses risks to the fetus, and both give little value to the woman's right to bodily autonomy. This Note proposes a solution for addressing the problem of coerced medical procedures during childbirth by importing a framework created in Venezuela and Argentina that characterizes this issue as "obstetric violence." First, this Note contains an overview of the shortcomings of the existing American legal framework to address the problem. Second, it explains the advantages of the obstetric violence framework and argues that its adoption in the United States would address many of the failures of the existing system. And third, this Note introduces a few legislative and litigation strategies that can be used to implement this framework in the United States and briefly addresses some of the challenges these strategies may pose.

摘要

在美国,尽管女性希望尝试自然阴道分娩,但她们却经常被迫接受剖宫产、会阴切开术以及使用产钳。然而,当前的美国法律体系几乎没有为被迫在分娩期间接受某些医疗程序的女性提供补救措施。如果法院和医生认为女性选择的分娩程序会对胎儿构成风险,他们都准备好推翻女性的选择,而且两者都不太重视女性的身体自主权。本笔记提出了一个解决方案,通过引入委内瑞拉和阿根廷创建的一个框架来解决分娩期间被迫接受医疗程序的问题,该框架将这个问题定性为“产科暴力”。首先,本笔记概述了美国现有法律框架在解决该问题方面的缺陷。其次,它解释了产科暴力框架的优点,并认为在美国采用该框架将解决现有体系的许多不足之处。第三,本笔记介绍了一些可用于在美国实施该框架的立法和诉讼策略,并简要讨论了这些策略可能带来的一些挑战。

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