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出生医学化的演变:一项系统综述。

The evolution of birth medicalisation: A systematic review.

作者信息

Clesse Christophe, Lighezzolo-Alnot Joëlle, de Lavergne Sylvie, Hamlin Sandrine, Scheffler Michèle

机构信息

Interpsy Laboratory (EA4432) Université de Lorraine - Nancy 2. 3 Place Godeffroy de Bouillon, 54000 Nancy, France; Hospital Centre of Jury-les-Metz - Route d'Ars Laquenexy BP75088, 57073, JURY-LESMETZ Cedex 03, France; Polyclinic Majorelle. 1240 avenue Raymond Pinchard 54100 Nancy, France.

Interpsy Laboratory (EA4432) Université de Lorraine - Nancy 2. 3 Place Godeffroy de Bouillon, 54000 Nancy, France.

出版信息

Midwifery. 2018 Nov;66:161-167. doi: 10.1016/j.midw.2018.08.003. Epub 2018 Aug 17.

Abstract

First described at the beginning of the 1970s, the concept of birth medicalisation has experienced a theoretical and ideological evolution influenced by the lines of research that have been associated with it. This evolution has given rise to different schools of thought concerning medicalisation, but also various methodologies used in different scientific fields. It seems relevant to propose a global synthesis of the various lines of thought related to birth medicalisation. To do this, the authors conducted a systematic literature review based on the PRISMA method. With a total of 38 occurrences in French and English, the authors scrutinised 17 databases with a publication period between 1995 and 2018. A total of 112 documents (107 articles, 3 book chapters, 2 books) has been identified, grouped and categorised into five main themes in the results section (1) the theoretical evolution of the concept of medicalisation, (2) factors related to the birth medicalisation, (3) the impact of the birth medicalisation, (4) the humanisation of birth and (5) experiences related to childbirth. A reasoned synthesis of the literature is therefore carried out in each part and then discussed according to the selected lines of research that require development in order to guarantee the best possible accompaniment to women who give birth.

摘要

出生医学化的概念最早在20世纪70年代初被描述,它经历了一场理论和思想上的演变,受到与之相关的研究路线的影响。这种演变催生了关于医学化的不同思想流派,也带来了不同科学领域中使用的各种方法。对与出生医学化相关的各种思想流派进行全面综合似乎是有必要的。为此,作者们基于PRISMA方法进行了系统的文献综述。作者们仔细查阅了1995年至2018年发表的17个数据库,共检索到38篇法语和英语文献。在结果部分,共识别出112份文献(107篇文章、3章书籍内容、2本书),并将其分组和归类为五个主要主题:(1)医学化概念的理论演变,(2)与出生医学化相关的因素,(3)出生医学化的影响,(4)分娩的人性化,(5)与分娩相关的经历。因此,在每个部分都对文献进行了合理的综合,并根据为确保为分娩女性提供最佳陪伴而需要发展的选定研究路线进行了讨论。

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