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剖腹產決策過程中女性身體自主權初探

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剖腹產決策過程中女性身體自主權初探

中文摘要

在台灣的高剖腹產率之下,討論剖腹產的相關研究中,產婦的以自主權卻很少被討論到。中外 研究均指出:影響剖腹產進行的因素有許多,包括醫療及非醫療因素,近年來,由於消費者意 識及女性意識興起,開始重視女性自身的權益。

本研究目的,在於從產婦的角度,探討剖腹產的決策過程中,女性身體自主權受到哪些因素及 權力影響,產婦的剖腹產決策過程中,身體自主權是呈現何種面貌。

本研究以質性研究法,以10 位採行剖腹產手術的產婦為研究對象,針對剖腹產的決策過程中 女性身體自主權作深入訪談,以訪談內容為主要分析資料。

研究結果發現:(1)醫療體制為產婦身體的主人,(2)先生為產婦身體的主人,(3)宗族 家長為產婦身體的主人,(4)當醫療權體制遇上父權體制─醫療妥協。

在剖腹產決策過程中,女人的身體身現在「想像中先生的窺視慾」「傳宗接代的繁殖慾」「醫療體 制中缺席的身體自主權」中,且以上三者呈現共犯結構,互相掩護協助,牢牢的壓制住女人的 身體自主權。女人的身體主權,是完全缺席的。

本研究依研究發現,提出下列建議:

1.確實執行由產婦簽署同意書

2.醫學教育養成中,需加強對性別教育的重視 3.女性檢康充權的提昇

4.擬定適合婦女需要且明確的健康政策。

關鍵字:剖腹生產,決策過程,女性身體自主權

英文摘要

The cesarean rate of Taiwan is remarkably high for about 32.69﹪ to 34.47﹪ from 1995 to 1990。Almost all of the researchs focus on medical or non-medical issues。

The research focus on the body autonomy of the woman in-labor and the decasion making of cesarean section。

The findings of the study :Doctors and their husband and the parents of their husbands are those women”s

body”s master。Those women donnot have any body autonomy。

參考文獻

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