Chinese midwifery: the history and modernity

Chinese midwifery: the history and modernity
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DOI:
10.1016/j.midw.2007.03.001
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发表时间:
2009-06-01
期刊:
影响因子:
2.7
通讯作者:
Cheung, Ngai Fen
Cheung, Ngai Fen
中科院分区:
医学3区
文献类型:
--
作者:
Cheung, Ngai Fen

文献摘要

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目的:研究方法:分三个阶段:(1)历史文献综述,(2)对中国助产及其发展的认识和重新解释,(3)对中国助产的历史文献的回顾,(4)对中国助产的历史文献的回顾,(5)对中国助产的历史文献的回顾,(6)对中国助产的历史文献的回顾,(7)对中国助产的历史文献的回顾,(8)对中国助产的历史文献的回顾。(3)将出现的问题置于社会学背景下(即产科技术的现代化和现代化的意义)。中国助产史可分为三个阶段:(1)1929年以前的本土模式时期,1929-1996年的生物医学模式的高潮和低谷时期,1929-1996年的生物医学模式时期,1929 -1996年的生物医学模式时期。(3)1996年后,中国助产士的消失。确定的问题是合法性和专业化的中国助产士,现代性的意义和下降的原因,中国midwifery.Conclusion:没有足够的循证研究进行,以支持最近的变化,中国助产士。中国孕产妇护理的现代化是在社会和文化发生巨大变化的背景下实现的。因此,助产士作为一种职业在中国被边缘化了。产妇护理的现代化未能实现个人选择、服务质量和专业多样性。对实践的影响:以证据为基础的研究和国家的责任对于确保产妇护理的质量和保护妇女的利益至关重要。国家的责任包括关于助产士作用的立法、业务守则、专业标准、责任和问责制,以使助产护理成为妇女的真正选择。(C)2007爱思唯尔有限公司保留所有权利。
Aim: to investigate how and why Chinese midwife numbers are dwindling, and to help understand the role of midwives in society in general.Method: to critically examine Chinese midwifery in three stages: (1) historical literature overview; (2) identification and reinterpretation of Chinese midwifery and its development; (3) placing issues that have arisen within a sociological context (i.e. the modernisation of obstetric technologies and the meaning of modernity).Findings: no books on the history of Chinese midwifery were found. History was classified into three stages: (1) before 1929, a period of an indigenous model; (2) 1929-1996, the highs and lows of the bio-medical model; (3) after 1996, the demise of Chinese midwives. The issues identified were the legitimacy and professionalisation of Chinese midwives, the meaning of modernity and the reasons for the decline of Chinese midwifery.Conclusion: no sufficient evidence-based research was conducted to support the recent changes made to Chinese midwifery. The modernisation of maternity care in China took place amid dramatic social and cultural changes within society. As a consequence, midwifery as a profession in China has been marginalised. The modernisation of maternity care has failed to deliver on personal choice, quality of service and professional diversity.Implications for practice: evidence-based research and the state's responsibility are essential to ensure the quality of maternity care and to protect the interests of women. The state's responsibilities include legislation regarding the role of midwives, code of practice, professional standards, responsibility and accountability in order to make midwifery care a true choice for women. (C) 2007 Elsevier Ltd. All rights reserved.