产科医生遇上“怕疼”产妇?——中国女性生产经历的身体政治

在对访谈资料和网络论坛生产日志进行分析的基础上,文章将"产妇怕疼"现象放置于文化、技术、权力、知识与医疗环境这一理论框架,从两个方面反驳了目前流行的"产妇怕疼导致剖腹产率升高"的论述。第一,不友善的医疗环境和过多的医疗介入加重产妇的疼痛和焦虑,可能会导致产妇对剖腹产的诉求,怕疼已经不仅仅是生理反应,还有技术与环境层面的原因,不应当仅仅指责产妇,还应该检视当今产科医疗环境及技术滥用。第二,怕疼的产妇最后是否会剖腹产,较多地取决于医院的等级及医生的态度立场。本文围绕这一主线进行讨论的同时,也呈现出中国产妇在生产过程中所受到的来自文化、技术、专业权威、科层制组织、城乡差异等方面的管理和控制。

Obstetricians Encountering the "Fear of Maternal Pain"?:The Body Politics of Chinese Women’s Delivery Experience

This paper argues against the claim that the phenomenon of women’s request for cesarean section because of being afraid of pain giving rise to high rate of cesarean section in the discourse of culture,technology,power,knowledge and medical systems.It is based on data collected by interviewing method and ten web blogs posted on the BBS of Yaolan website.Many clinicians and researchers have expressed that it is women who cannot bear the pain that leads to the increasing rate of cesarean section.They cite women’s requests as the most important factor affecting the rising national rate of cesarean section.This study,however,argues that the "pain," firstly,is probably aggravated by unfriendly hospital environment and excessive medical intervention.Women may have asked for cesarean section out of anxiety.This paper,secondly,tries to present the body politics of women’s experiences with birth deliveries in order to identify relationships between women’s decision on cesarean section and attitudes of obstetricians as well as the ranking of hospitals.