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重新审视关系:加拿大的产科暴力、医疗保健合理性与疫情期间的分娩

Re-centering Relationships: Obstetric Violence, Health Care Rationalities, and Pandemic Childbirth in Canada.

作者信息

Rice Kathleen

机构信息

Department of Family Medicine, McGill University.

出版信息

Med Anthropol Q. 2023 Mar;37(1):59-75. doi: 10.1111/maq.12739. Epub 2022 Nov 11.

Abstract

Emerging evidence suggests that the COVD-19 pandemic is eroding childbirth rights. Drawing on narratives of women who gave birth in Canada during the pandemic, this article exposes a paradox in that policies aimed at limiting interpersonal contact implicitly acknowledge the connection between health, well-being, and the social context of people's lives, yet they frame this relationality as a liability to be eliminated. They do this despite the many benefits that social support is known to confer for pregnancy and childbirth. I suggest that obstetric violence theory could be expanded to include the perinatal health care system's failure to consider the well-being of pregnant and birthing persons as necessarily interdependent with that of close others. Conscientiously and routinely making the safeguarding of these relationships a priority in perinatal health care planning may strengthen existing health care systems against certain forms of obstetric violence. [childbirth, COVID-19, obstetric violence, relational personhood, Canada].

摘要

新出现的证据表明,新冠疫情正在侵蚀分娩权利。本文借鉴了疫情期间在加拿大分娩的女性的叙述,揭示了一个悖论:旨在限制人际接触的政策含蓄地承认了健康、福祉与人们生活社会背景之间的联系,但却将这种关联性视为一种需要消除的不利因素。尽管已知社会支持对怀孕和分娩有诸多益处,但它们仍然如此行事。我认为,产科暴力理论可以扩展,以纳入围产期医疗保健系统未能将孕妇和分娩者的福祉视为必然与亲密他人的福祉相互依存这一情况。在围产期医疗保健规划中认真且常规地将维护这些关系作为优先事项,可能会加强现有医疗保健系统抵御某些形式的产科暴力的能力。[分娩、新冠疫情、产科暴力、关系性人格、加拿大]

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