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“如今一切皆为产科暴力”:识别“产科暴力”中的暴力行为以加强社会法律改革努力。

'Everything is Obstetric Violence Now': Identifying the Violence in 'Obstetric Violence' to Strengthen Socio-legal Reform Efforts.

作者信息

Pickles Camilla

机构信息

Associate Professor at Durham Law School and Visiting Associate Professor at Wits Law School.

出版信息

Oxf J Leg Stud. 2024 May 4;44(3):616-644. doi: 10.1093/ojls/gqae016. eCollection 2024 Fall.

Abstract

Since its global uptake, 'obstetric violence' is increasingly used to capture any/all violations during reproductive healthcare, with few conceptual limits. Consequently, it runs the risk of becoming an overgeneralised concept, making it difficult to operationalise in socio-legal reform efforts. This article draws on the Latin American origins of the concept and aims to provide a theoretical framework to support a focused and coherent socio-legal reform agenda. It offers a universal definition of violence, being the violation of physical or psychological integrity, and localises this definition using the 'view from everywhere'. The article proposes that violence will qualify as 'obstetric violence' if the violation of integrity occurs in the context of antenatal, intrapartum and postnatal care. Further, the subject of the violence is the birthing woman, trans or non-binary person. Thinking in terms of a 'continuum of violence' in reproductive healthcare ensures that different forms of obstetric violence are recognised and helps envisage overlaps with other violences.

摘要

自“产科暴力”在全球范围内被采用以来,它越来越多地被用于涵盖生殖健康护理期间的任何/所有侵犯行为,几乎没有概念上的限制。因此,它有成为一个过度概括的概念的风险,这使得它在社会法律改革努力中难以实施。本文借鉴了该概念的拉丁美洲起源,旨在提供一个理论框架,以支持一个重点突出且连贯的社会法律改革议程。它给出了暴力的通用定义,即对身体或心理完整性的侵犯,并运用“从各处看”的视角将这一定义本地化。本文提出,如果对完整性的侵犯发生在产前、产时和产后护理的背景下,那么这种暴力将被认定为“产科暴力”。此外,暴力的主体是分娩女性、跨性别者或非二元性别者。从生殖健康护理中的“暴力连续体”角度思考,可确保识别出不同形式的产科暴力,并有助于设想其与其他暴力的重叠情况。

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