Daviss B A
Midwifery Today Childbirth Educ. 1997 Summer(42):45-7, 70-1.
There is a tension between traditional and modern definitions of reproductive risk and normalcy. These experts describe that tension as it plays out among the Inuit of Northern Canada from the perspective of a community midwife who has worked with the Inuit. She presents an analytical framework which classifies and illuminates the types of logic that compete in most birth settings around the world--a framework useful for showing how some types of logic can be supervalued while others, such as cultural or intuitive logic, are devalued or simply ignored, often at great cost. Part One presented political, scientific, clinical and cultural logic, and the influence of time. We now go on to look at professionalization and training and describe legal, personal, intuitive and economic logic. The author describes how the Inuit settlement of Povungnituk (POV) attempts to re-integrate the authoritative knowledge of the community by allowing Inuit midwives at The Maternity to choose their own criteria for balancing the imperatives of each kind of logic in decision-making for birth.
传统与现代对生殖风险及常态的定义之间存在着一种张力。这些专家从一位曾与因纽特人共事的社区助产士的视角，描述了这种张力在加拿大北部因纽特人当中的表现。她提出了一个分析框架，该框架对在世界上大多数分娩场景中相互竞争的逻辑类型进行了分类和阐释——这个框架有助于展示某些逻辑类型是如何被高估的，而其他一些逻辑类型，比如文化或直观逻辑，则被贬低或干脆被忽视，且往往要付出巨大代价。第一部分介绍了政治、科学、临床和文化逻辑以及时间的影响。我们现在接着来看专业化与培训，并描述法律、个人、直观和经济逻辑。作者描述了波翁伊图克（POV）的因纽特人定居点如何试图通过允许产科病房的因纽特助产士在分娩决策中选择自己的标准来平衡各种逻辑的要求，从而重新整合社区的权威知识。
