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(家庭、丈夫和医生):英国医学协会小册子(1957-1987 年)中的母性责任。

(home, husband, and doctor): maternal responsibility in the British Medical Association booklet (1957-1987).

机构信息

Birkbeck College, London, UK

London School of Hygiene & Tropical Medicine, London, UK.

出版信息

Med Humanit. 2024 Aug 14;50(2):292-305. doi: 10.1136/medhum-2023-012864.

DOI:10.1136/medhum-2023-012864
PMID:38830752
Abstract

was a pregnancy advice booklet, produced by the British Medical Association (BMA) from 1957-1987. This booklet was provided to expectant mothers in the UK, free of charge, and offered authoritative information on pregnancy, childbirth and caring for infants. Reprinted each year, captured contemporary maternity policy and advice. But, in addition to the typical information that you might expect about mother and baby health, advised readers on matters such as maintaining their appearance, marital relations and domestic duties. In this way, it advocated a specific vision of motherhood, with responsibilities to the home and husband. Further to these duties, this article will focus on the balance of responsibilities between pregnant women and their doctors, and how attitudes to trust and authority developed over time. The BMA publication repeatedly warned readers against listening to 'old wives' tales', instead emphasising the importance of accepting (and not questioning) professional medical guidance. Following the thalidomide scandal, however, women were made partially responsible for doctors' professional integrity; women were advised to avoid asking their doctors to prescribe medication that may later prove to be harmful, shifting the responsibility from the healthcare practitioner to the mother. This created an uncomfortable dissonance between the publication's attempts to establish and reinforce medical authority, and yet shift professional responsibility. The booklet series, therefore, posed women as responsible for their doctors, as well as their babies. In summary, this article presents a case study of the BMA booklet, examining developing healthcare messaging around maternal behaviour and responsibility. It draws attention to supposed responsibilities to the home, husband and doctor and how those responsibilities changed over 30 years.

摘要

这是一本怀孕建议手册,由英国医学协会(BMA)于 1957 年至 1987 年出版。这本小册子免费提供给英国的孕妇,提供有关怀孕、分娩和婴儿护理的权威信息。每年重印一次,它捕捉了当代产妇政策和建议。但是,除了关于母婴健康的典型信息外,它还建议读者注意保持外表、婚姻关系和家务等问题。通过这种方式,它倡导了一种特定的母性观念,即对家庭和丈夫有责任。除了这些职责之外,本文还将重点关注孕妇及其医生之间的责任平衡,以及随着时间的推移,对信任和权威的态度如何发展。BMA 出版物一再警告读者不要听信“老妇人的故事”,而是强调接受(而不是质疑)专业医疗指导的重要性。然而,在沙利度胺丑闻之后,女性对医生的专业诚信负有部分责任;建议女性避免要求医生开可能后来证明有害的药物,将责任从医疗保健从业者转移到母亲身上。这在出版物试图建立和加强医学权威的同时,又转移了专业责任,造成了令人不安的不和谐。因此,该小册子系列将女性定位为对其医生和婴儿负责。总之,本文通过研究 BMA 小册子,考察了围绕产妇行为和责任的不断发展的医疗保健信息。它提请注意对家庭、丈夫和医生的所谓责任,以及这些责任在 30 多年来的变化。

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