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題名:以行動者網絡理論解釋在臺灣的低母奶哺餵率
書刊名:高醫通識教育學報
作者:鄭琇惠成令方
作者(外文):Cheng, Hsiu-huiCheng, Ling-fang
出版日期:2010
卷期:5
頁次:頁64-97
主題關鍵詞:母乳哺餵身體性別科技行動者網絡理論BreastfeedingBodyGenderTechnologyActor-network theory
原始連結:連回原系統網址new window
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  • 被引用次數被引用次數:期刊(5) 博士論文(0) 專書(0) 專書論文(0)
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  • 共同引用共同引用:12
  • 點閱點閱:114
母奶哺餵在現今的社會脈絡下,為婦幼衛生政策的主流價值及推廣的方向之一。但過去的相關論述與研究,認為現代媽媽對於母奶的相關知識不足,或者為了怕麻煩、怕身材變形等因素,「選擇」了配方奶粉來替代母乳,因此才會令國內的母奶哺餵率偏低。但是事實果真如此單純嗎? 本研究主要目的是想挑戰哺餵母奶是女人的天職,並進一步探究是什麼樣的社會機制令母親做出餵與不餵母奶的選擇?同時這樣的機制隱藏著什麼性別、科技與社會的意涵? 本論文採取質性研究的方法,訪談對象以哺乳母奶的媽媽為主,並包括婦產科醫師、婦產科護士、商店經理與母奶會諮商師,並對相關的母奶論述加以分析,所得的結果大致歸納如下: 母親們選擇做與不做這份母奶哺餵工作,其實是受整個母奶科技行動者網絡所影響,這個網絡中「人」的部分包括嬰兒、先生、公婆、醫護專家等,而「非人」行動者包括奶瓶、奶粉、背巾等技術物與科學育兒論述政策等。此行動者網絡不斷地召集各個專業與奶粉商等加入同盟,讓母奶哺餵技術得以延續與擴展。母奶行動者網絡中的各個行動者雖互為影響,卻不必然是對等的關係。 現代媽媽在哺餵工作上的確承受許多壓力。暫且不論母奶是不是最好的,若政府認為母奶哺餵是必須推行的政策,應該從母乳科技行動者網絡來思考,並對整個網絡的結構與關係做許多的調整與改變,如哺乳技術物、空間、還有人際性別關係的調整,而哺乳政策不應該如國健局的推廣文宣廣告所言,只將焦點加諸在母親的愛心與耐心上,以及父親的口頭支持上。
Breastfeeding is promoted as a vital policy for improving the health of children. It seems to be the natural duty for mothers. The blame for the low breastfeeding rate falls on mothers who are treated as lacking of the knowledge of breastfeeding, being lazy about troubled the froublesome procedures, or being worried about figures reshaping etc. so they 'choose' infant formula instead. In the study, we would question such simplistic explanations. The aims of this study are to challenge the myth that breastfeeding is the natural duty for mothers. It will further explore what mechanism makes mothers choose breastfeeding or not to do it, and what gender-techno-social relations enabled the operation of the mechanism? The study adopts qualitative research methods, mainly relying on interviews. The informants are the breastfeeding mothers; obstetrician and the obstetrician nurses, the store manager and the members of La Leche League-Taiwan. The mainstream discourses related to breastfeeding are also analyzed. The findings of the study are as follows: A mother who chooses to do it or not is actually affected by the actor- network of breastfeeding. The actor-network are composed of the human actors, such as babies, husbands, parents-in-law, and medical professionals, and non-human actors, such as policies, discourses, and the technical products such as milk bottles, milk powder, baby carriers. To continue and expand breastfeeding actor-network, it constantly includes various professions and milk powder merchants. Although each of the actors in the actor-network of breastfeeding influences one another, their relations are not necessarily equal. According to the study, mothers bear lots of stress to do the job of breastfeeding well. If the government believes that breastfeeding is an important policy and must be promoted, it has to take its actor-network into account. It should change many aspects, for example, the breastfeeding technical products, breastfeeding space, the gender relations as well as the focus of the policy which should not lie only on the love and patience of mothers, and the verbal support from the father as the National Health Bureau suggests.
期刊論文
1.Bartlett, A.(2003)。Breastfeeding bodies and choice in late capitalism。Hecate,129(2),153-165。  new window
2.戈依莉(200204)。應用社會行銷概念推廣母乳哺餵。護理雜誌,49(2),70-74。new window  延伸查詢new window
3.Galtry, Judith(1997)。Suckling and silence in the USA: the costs and benefits of breastfeeding。Feminist Economics,3(3),1-24。  new window
4.Likierman, Meira(2003)。Post natal depression, the mother's conflict and parent-infant psychotherapy。Journal of Child Psychotherapy,29(3),301-315。  new window
5.Meyer, D. E.、Oliveira, D. L.(2003)。Breastfeeding policies and the production of motherhood : a historical-cultural approach。Nursing Inquiry,10(1),11-18。  new window
6.Schmied, Virginia、Lupton, Deborah(2001)。Blurring the boundaries: breastfeeding and maternal subjectivity。Sociology of Health & Illness,23(2),234-250。  new window
7.Sigman, Madeleine etc(1992)。Microwave Heating of Infant Formula: A Dilemma Resolved。Pediatrics,90(3),412-415。  new window
8.Wajcman, Judy(2000)。Reflections on gender and technology studies: In what state is the art?。Social Studies of Science,30(3),447-464。  new window
9.蕭淑貞、張桂玲、洪文綺、余玉眉(19940800)。母親職業, 餵食互動行為與嬰兒發展之關係。中華公共衛生雜誌,13(4),352-361。new window  延伸查詢new window
10.李碧霞、呂昌明(19950900)。孕產婦授乳意圖、授乳行為及其影響因素之研究。護理研究,3(3),278-290。new window  延伸查詢new window
11.Jurczyk, Karin(1998)。Time in Women's Everyday Lives: Between Self-determination and Conflicting Demands。Time and Society,7(2),283-308。  new window
12.Galtry, J.(2003)。The Impact on Breastfeeding of Labour Market Policy and Practice in Ireland, Sweden, and the USA。Social Science of Medicine,57(1),167-177。  new window
13.Blum, Linda M.(1993)。Mothers, Babies, and Breastfeeding in Late Capitalist America: The Shifting Contexts of Feminist Theory。Feminist Studies,19(2),291-311。  new window
會議論文
1.Wu, Chia(2003)。Child Health and the Emergence of Scientific Motherhood in Colonial Taiwan。Idea, Organization and Practices of Hygiene in Han Society form the Traditional to Modern Periods",(會議日期: 2003/09/25-09/26)。Taipei:Academic Sinica。  new window
學位論文
1.李惠貞(2003)。持續哺餵母乳的母職空間經驗(碩士論文)。國立臺灣大學。  延伸查詢new window
2.吳祥鳳(1996)。初產婦於產後初期哺餵之體驗及經歷(碩士論文)。國立臺灣大學。  延伸查詢new window
3.許培欣(2004)。從布、粗紙到衛生棉/條:月經科技和身體經驗,1945-1995(碩士論文)。高雄醫學大學。  延伸查詢new window
4.陳怡君(2004)。哺乳親善職場對婦女母乳哺育行為之影響(博士論文)。國立臺灣大學。  延伸查詢new window
圖書
1.潘淑滿(2003)。質性研究:理論與應用。臺北市:心理出版社股份有限公司。  延伸查詢new window
2.早產兒基金會(1995)。如何以母乳哺育早產兒。台北:早產兒基金會。  延伸查詢new window
3.蔡鴻德等(1986)。母乳哺餵手冊。台北:文軒。  延伸查詢new window
4.Britton, Cathryn(1998)。'Feeling letdown': an exploration of an embodied sensation associated with breastfeeding。The Body in Everyday Life。London:Routledge。  new window
5.Bendelow, A. Gillian、Williams, Simon J.(1998)。Natural for women, abnormal for men。The Body in Everyday Life。London:Routledge。  new window
6.Baumslag, Naomi(1995)。Breast Milk: The Miracle Food。Milk, money and madness: the culture and politics of breastfeeding。Westport, Conn。  new window
7.Cowan, Ruth Schwartz(1976)。The Industrial in the Home。The Social Shaping of Technology。  new window
8.Hrdy, Sarah Blaffer、薛絢(2004)。母性。台北:新手父母出版社。  延伸查詢new window
9.Savage, King, F.、陳昭惠(1996)。幫助母親補餵母乳。行政院衛生署婦幼衛生研究所。  延伸查詢new window
10.Moser, Ingunn、Law, John(1999)。Good Passages, And Passages。Actor Network Theory and After。Wiley-Blackwell。  new window
11.Sears, Martha R.N.、Sears, William M.D.(2000)。The Breastfeeding Book。USA:L.B。  new window
12.Singleton, Vicky(1995)。Networking constructions of gender and constructing gender networks: considering definitions of woman in the British cervical screening programme。The Gender-Technology Relation。  new window
13.Sismondo, Sergio、林宗德(2007)。行動者網絡理論。科學與技術研究導論。台北:群學。  延伸查詢new window
14.Tilley, Barbara W.、鄭玄藏(1995)。短期心理諮商。台北:張老師文化。  延伸查詢new window
15.Torgus, Judy etc.(1997)。The Womanly Art of Breastfeeding。USA:LLL International。  new window
16.Yalom, Marilyn、何穎怡(2000)。乳房的歷史。台北:先覺。  延伸查詢new window
17.Barker, Christopher、Galasiński, Dariusz(2001)。Cultural Studies and Discourse Analysis: A Dialogue on Language and Identity。Sage。  new window
18.Sweetser, Eve E.(1990)。Form Etymology to Pragmatics: Metaphorical and Cultural Aspects of Semantic Structure。Cambridge/New York:Cambridge University Press。  new window
19.熊秉真(1995)。幼幼:傳統中國的襁褓之道。臺北:聯經出版事業公司。  延伸查詢new window
20.Sayers, Janet、劉慧卿(2001)。母性精神分析:女性精神分析大師的生命故事。臺北:心靈工坊。  延伸查詢new window
21.胡幼慧、姚美華(1996)。質性研究:理論、方法及本土女性研究實例。巨流。  延伸查詢new window
其他
1.母嬰親善醫院標準,http://www.bhp.doh.gov.tw/breastfeeding/04hospital_01.htm, 2010年9月13日。  new window
2.王文心(2004)。與生命對話,又是母乳惹的禍?,http://www.lihpao.com/?action-viewnews-itemid-76239, 2010年9月13日。  延伸查詢new window
3.法新社(19990712)。母奶不見得純淨,http:/www.chinatimes.org.tw/news/1999/0712-07.htm。  延伸查詢new window
4.邱俊吉(2004)。10年變化新生兒肌力弱脾氣差,http://mychannel.pchome.com.tw/channel/class/show_preview.php3/?d=2004-11-14&enname=mednews&t=.htm&fn=main&view=1, 2010年9月13日。  new window
5.吳子聰。母奶哺育出優良寶寶,http://homepage.vghtpe.gov.tw/~ped/newpage210.htm, 2010年9月13日。  延伸查詢new window
6.陳怡君(2002)。我們如何失去母奶?從戰後台灣奶粉補助政策與相關科學研究談起,http://stsweb.ym.edu.tw/tsts/W-paper/%A5%A4%AF%BB%B1R%AB%F4.htm, 2010年9月13日。  延伸查詢new window
7.國民健康局。母乳哺育現況,http://www.bhp.doh.gov.tw/breastfeeding/02qna_01.htm, 2010年9月13日。  延伸查詢new window
8.國際母乳會網站,http://www.llli.org/Chinese.html, 2010年9月13日。  延伸查詢new window
圖書論文
1.Edgerton, David、方俊育、李尚仁(2004)。從創新到使用:十道兼容並蓄的技術史史學提綱。科技渴望性別。臺北:群學。  延伸查詢new window
2.Winner, Langdon、方俊育、林崇熙(2004)。技術物有政治性嗎?。科技渴望社會。臺北:群學。  延伸查詢new window
3.胡幼慧、姚美華(1996)。一些質性方法上的思考:信度與效度?如何抽樣?如何收集資料、登錄與分析?。質性研究:理論、方法及本土女性研究實例。巨流圖書股份有限公司。  延伸查詢new window
4.Garrety, Karin、方俊育(2004)。社會世界、行動者網絡與爭議:以膽固醇、飲食中脂肪與心臟病為例。科技渴望社會。臺北:群學。  延伸查詢new window
 
 
 
 
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