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颠覆性行动与日常助产工作:内容与背景中的女性主义

Subversive acts and everyday midwifery: Feminism in content and context.

作者信息

Hawke Madeline

机构信息

PO Box 1041, Camberwell, VIC 3124, Australia.

出版信息

Women Birth. 2021 Feb;34(1):e92-e96. doi: 10.1016/j.wombi.2020.05.013. Epub 2020 Jun 24.

Abstract

BACKGROUND

Midwives are often at the forefront of political campaigns for women's empowerment, overtly advocating for women's rights and reproductive justice. However, midwives can also be found engaging in inadvertent activism on a daily basis within routine care. When casting a feminist lens over both the content and context of midwifery practice in Australia, subversive acts and opportunities for feminist reform can be found.

AIM

To interrogate the significance of feminism in midwifery practice, identifying feminist successes and further opportunities for implementation including: analysis of the Midwifery Standards for Practice; the primary tenets of woman-centred care; the content versus context of midwifery in Australia; and feminist opportunities for enhanced practice. This paper will discuss the importance of feminism in midwifery practice and its significance in informing optimal midwifery care.

DISCUSSION

Incorporating women's voice and respecting women's bodies and agency in the delivery of care is a fundamental component of midwifery practice. However, while the content of midwifery practice is innately feminist in its emphasis on woman-centred care, it will be argued that the context of birthing in Australia is not. The resultant effect is the emergence of victim blaming in maternity care and the construction of an archetypal 'good birthing woman'.

IMPLICATIONS AND RECOMMENDATIONS

Moving away from the myth of the 'good birthing woman' and the act of victim blaming, midwifery could instead direct its focus towards challenging the rigid systems and structures within which midwives implement care. By further embracing feminist principles midwives will ensure a truly woman-centred future.

摘要

背景

助产士常常处于妇女赋权政治运动的前沿,公然倡导妇女权利和生殖正义。然而,人们也会发现助产士在日常的常规护理中也会不经意地参与到行动主义中。当从女权主义的视角审视澳大利亚助产实践的内容和背景时,会发现颠覆性的行为以及女权主义改革的机会。

目的

审视女权主义在助产实践中的重要性,确定女权主义的成功之处以及进一步的实施机会,包括:分析《助产实践标准》;以妇女为中心的护理的主要原则;澳大利亚助产实践的内容与背景;以及增强实践的女权主义机会。本文将讨论女权主义在助产实践中的重要性及其在为优化助产护理提供信息方面的意义。

讨论

在提供护理时纳入妇女的声音、尊重妇女的身体和自主权是助产实践的一个基本组成部分。然而,虽然助产实践的内容在本质上因其强调以妇女为中心的护理而具有女权主义色彩,但有人认为澳大利亚的分娩背景并非如此。其结果是在产妇护理中出现了指责受害者的现象,并构建了一个典型的“顺产好女人”形象。

影响与建议

摒弃“顺产好女人”的神话和指责受害者的行为,助产士可以将重点转向挑战助产士实施护理的僵化系统和结构。通过进一步接受女权主义原则,助产士将确保实现一个真正以妇女为中心的未来。

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