Confronting maternal mortality, controlling birth in Nepal: The gendered politics of receiving biomedical care at birth
Confronting maternal mortality, controlling birth in Nepal: The gendered politics of receiving biomedical care at birth
复制标题
DOI：
10.1016/j.socscimed.2010.06.013
复制
发表时间：
2010-11-01
影响因子：
5.4
通讯作者：
Brunson, Jan
中科院分区：
文献类型：
--
作者：
Brunson, Jan
在发展中国家降低产妇死亡率的一个办法是确保妇女在地方一级有一个转诊制度，其中包括获得产科急诊护理。利用2003年至2005年对加德满都河谷印度教种姓妇女半城市社区妇女的社会地位和产妇保健进行的13个月的人种学研究，本文确定了在基础设施和服务到位的情况下获得产科护理的障碍。由于尼泊尔的分娩主要是在家中进行的，为了避免妇女在分娩期间失去生命，本文件确定了以下潜在的改进领域：无人助产的频率、对分娩或产科并发症的最低计划以及家庭一级对产科紧急情况的延迟反应。这项研究特别侧重于最后一项，得出的结论是，女性没有权力要求生物医疗服务或紧急护理，而男性仍然将生育视为女性的领域，几乎没有参与这一过程。随着分娩的文化建设从不需要人类监管的“自然”现象转向生物医学专业知识和控制领域内的现象，如果妇女和男子都不在文化定义的位置上采取行动，当地对生物医学模式的接受并不一定会导致服务的利用。(C)2010爱思唯尔有限公司。保留所有权利。
One way of reducing maternal mortality in developing countries is to ensure that women have a referral system at the local level that includes access to emergency obstetric care. Using a 13-month ethnographic study from 2003 to 2005 of women's social positions and maternal health in a semi-urban community of Hindu-caste women in the Kathmandu Valley, this paper identifies impediments to receiving obstetric care in a context where the infrastructure and services are in place. As birth in Nepal predominantly takes place at home, this paper identifies the following areas for potential improvement in order to avoid the loss of women's lives during childbirth: the frequency of giving birth unaided, minimal planning for birth or obstetric complications, and delayed responses at the household level to obstetric emergencies. Focusing particularly on the last item, this study concludes that women do not have the power to demand biomedical services or emergency care, and men still viewed birth as the domain of women and remained mostly uninvolved in the process. As the cultural construction of birth shifts from a "natural" phenomenon that did not require human regulation toward one that is located within the domain of biomedical expertise and control, local acceptance of a biomedical model does not necessarily lead to the utilization of services if neither women nor men are in a culturally-defined position to act. (C) 2010 Elsevier Ltd. All rights reserved.