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題名:高齡婦女生育的醫療處遇與社會偏見之反思
書刊名:應用心理研究
作者:陳明莉
作者(外文):Chen, Ming Li
出版日期:2018
卷期:69
頁次:頁207-251
主題關鍵詞:高齡產婦醫療處遇社會偏見Advanced maternal ageMedical treatmentsSocial prejudice
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(0) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:0
  • 共同引用共同引用:96
  • 點閱點閱:13
本研究針對高齡婦女生育的醫療處遇與社會偏見進行反思,並藉此發展有關高齡婦女生育的積極論述,以提供延遲生產婦女正向思維與支持力量。本研究分兩部分:一、針對國內成立最久、成員最多的懷孕、育兒交流網站「BabyHome」及研究者成立的臉書社團中,有關高齡生產的討論進行觀察;二、針對15位生產年齡超過35歲的婦女進行訪談。研究發現,高齡生產被建構為一個具高度風險,必須仰賴醫療介入與監控的過程,而這些論述透過醫生、媒體及日常人際網絡的傳輸,成為多數婦女對高齡生產的常識,並在整個孕程中進行自我監視與規訓。此外,在日常生活中,高齡母親也經常面對社會異樣眼光,造成另一種高齡生育的焦慮與障礙。然而,訪談亦發現,高齡產婦實際生產與育兒經驗,恰能緩解高齡風險的迷思,建立正面論述。本研究認為,年齡並非生育的主要問題,重要的是個人的身體、心理和社會條件。如何營造積極、友善的醫療和社會環境,才是在高齡生育的趨勢中應該思考的問題。
This study aims to explore the issues of advanced maternal age and seeks to critically examine the social prejudice and medical situations of pregnancy and childbearing for women after age thirty-five. Based on women's actual experiences of giving birth over thirty-five, this study attempts to develop positive discourses of midlife pregnancy and childbearing, offer alternative viewpoints of delayed motherhood, and hopes to empower those who decide to delay their pregnancy for any consideration. This study was completed in two parts: an ethnographic observation of discussions on a social media site, and fifteen interviews with mothers who gave birth after thirty-five. Past research has shown that pregnancy and childbearing at a more advanced age is constructed as a high-risk process that involves more complex medical interventions. These discourses, permeated by gynecologists, the media, and personal networks, have become "common knowledge" for most women and has led to more self-monitoring and self-discipline. Moreover, in everyday life, older mothers are often seen as peculiar, which causes another anxiety and obstacle for women giving birth over the age of 35 or older. This study suggests that building active and friendly medical and social environments is the most vital issue in this trend of advanced age motherhood.
期刊論文
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2.Light, H. K.、Fenster, C.(1974)。Maternal concerns during pregnancy。American Journal of Obstetrics and Gynecology,118(1),46-50。  new window
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4.張明正、李美慧(20011200)。臺灣地區人口轉型後之生育趨勢與展望。人口學刊,23,93-112。new window  延伸查詢new window
5.Lesthaeghe, R.、Neels, K.(2002)。From the First to the Second Demographic Transition: An Interpretation of the Spatial Continuity of Demographic Innovation in France, Belgium and Switzerland。European Journal of Population,18(4),325-360。  new window
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7.Windridge, Kate C.、Berryman, Julia C.(1999)。Women’s experiences of giving birth after 35。Birth,26(1),16-23。  new window
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11.Susanne, Bauer、Olsén, Jan Eric(2009)。Observing the Others, Watching Over Oneself: Themes of medical surveillance in post-panoptic society。Surveillance & Society,6(2),116-127。  new window
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14.Shelton, Janie F.、Tancredi, Daniel J.、Hertz-Picciotto1, Irva(2010)。Independent and Dependent Contributions of Advanced Maternal and Paternal Ages to Autism Risk。Autism Research,3(1),30-39。  new window
15.Saha, Sukanta、Barnett, Adrian G.、Foldi, Claire、Burne, Thomas H.、Eyles, Darryl W.、Buka, Stephen L.、McGrath, John J.(2009)。Advanced Paternal Age Is Associated with Impaired Neurocognitive Outcomes during Infancy and Childhood。PLOS Medicine,6(3),e1000040。  new window
16.Bruce, G.(1987)。So you want to be a midlife mom?。East West Journal,17,45-50。  new window
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18.Burton-Jeangros, Claudine(2011)。Surveillance of risks in everyday life: The agency of pregnant women and its limitations。Social Theory & Health,9(9),419-436。  new window
19.Perrier, Maud(2013)。No Right Time: Younger and Older Mothers’ Accounts of Timing Motherhood。Sociological Review,61(1),69-87。  new window
20.McMahon, Catherine A.、Gibson, Frances L.、Allen, Jennifer L.、Saunders, Douglas(2009)。Psychosocial adjustment during pregnancy for older couples conceiving through assisted reproductive technology。Human Reproduction,22(4),1168-1174。  new window
21.Markens, Susan、Browner, Carole H.、Preloran, H. Mabel(2010)。Interrogating the Dynamics between Power, Knowledge and Pregnant Bodies in Amniocentesis Decision-Making。Sociology of Health and Illness,32(1),37-56。  new window
22.Friedman, Emanuel A.、Sachtleben, Marlene R.(1965)。Relation of maternal age to the course of labor。American Journal of Obstetrics and Gynecology,91(7),915-924。  new window
23.Goisis, Alice(2015)。How are children of older mothers doing? Evidence from the United Kingdom。Biodemography & Social Biology,61(3),231-251。  new window
24.Hallgrímsdóttir, Helga María、Benner, Bryan Eric(2014)。‘Knowledge is power’: risk and the moral responsibilities of the expectant mother at the turn of the twentieth century。Health Risk & Society,16(1),7-21。  new window
25.Mansfield, Phyllis Kernoff(1988)。Midlife childbearing: Strategies of informed decisionmaking。Psychology of Women Quarterly,12(4),445-460。  new window
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27.Locke, Abigail、Budds, Kirsty(2013)。‘We thought if it’s going to take two years then we need to start that now’: age, infertility risk and the timing of pregnancy in older first-time mothers。Health, Risk & Society,15(6/7),525-542。  new window
28.Jolly, M.、Sebire, N.、Harris, J.、Robinson, S.(2000)。The risks associated with pregnancy in women aged 35 years or older。Human Reproduction,15(11),2433-2437。  new window
29.Kirz, Donna S.、Dorchester, Wendy、Freeman, Roger K.(1986)。Advanced maternal age: The mature gravida.。American journal of Obsterics and Gynecology,152(1),7-12。  new window
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31.Armstrong, David(1995)。The Rise of Surveillance Medicine。Sociology of Health and Illness,17(3),393-404。  new window
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研究報告
1.楊玉娥(1998)。三十五歲以上高齡孕婦的經驗歷程及護理需求--一個現象學研究 (計畫編號:NSC-88-2314-B-037-016)。  延伸查詢new window
學位論文
1.許晏瑜(2010)。高齡產婦生育風險之新聞內容分析(碩士論文)。國立中正大學。  延伸查詢new window
2.熊雅蕾(2009)。高齡初產婦母職歷程與社會支持之探究(碩士論文)。元智大學。  延伸查詢new window
3.梁淑惠(2006)。老天爺送的禮物--中年意外懷孕的親職經驗(碩士論文)。國立嘉義大學。  延伸查詢new window
4.陳志娟(2010)。比較年輕及高齡初產婦產後初期之母育信心與社會支持(碩士論文)。國立臺灣大學。  延伸查詢new window
5.鄧映君(1997)。和上帝搶時間的一群:四十歲以上高齡初胎孕婦之生活處境及因應行為的探討(碩士論文)。國立臺灣大學。  延伸查詢new window
圖書
1.Fabe, M.、Wikler, N.(1979)。Up against the clock: Career women speak on the choice to have children。New York:Random House。  new window
2.Weir, Lorna(2006)。Pregnancy, Risk, and Biopolitics: on the Threshold of the Living Subject。Routledge。  new window
3.de Beauvoir, Simone、邱瑞鑾(2013)。第二性。貓頭鷹出版社。  延伸查詢new window
4.Simonds, Wendy、Rothman, Barbara Katz、Norman, Bari Meltzer(2007)。Laboring On: Birth in Transition in the United States。New York, NY:Routledge。  new window
5.Chamberlain, John Martyn(2012)。The Sociology of Medical Regulation: An Introduction。Dordrecht, Nederland:Springer。  new window
6.Hayden, Sara、Hallstein, Lynn O'Brien。Contemplating Maternity in an Era of Choice: Explorations into Discourses of Reproduction。Lanham, MD:Lexington Books。  new window
7.Mansfield, Phyllis Kernoff(1986)。Pregnancy for older women: Assessing the medical risks。New York:Praeger。  new window
8.Rich, Adrienne Cecile(1986)。Of Woman Born: Motherhood as Experience and Institution。W. W. Norton & Co.。  new window
9.Pearsall, Marilyn(1997)。The Other Within Us: Feminist Explorations of Women and Aging。New York, NY:Westview Press。  new window
10.Chodorow, Nancy J.(1978)。The Reproduction of Mothering: Psychoanalysis and the Sociology of Gender。University of California Press。  new window
11.Firestone, Shulamith(1979)。The Dialectic of Sex: The case for feminist revolution。New York:Bantam Press。  new window
12.Misa, Thomas J.、Philip Brey、Andrew Feenberg(2003)。Modernity and Technology。MA:The MIT Press。  new window
單篇論文
1.Fretts, Ruth C.(2018)。Management of pregnancy in women of advanced age,https://www.uptodate.com/contents/management-of-pregnancy-in-women-of-advanced-age。  new window
其他
1.內政部(2014)。育齡婦女生育率,http://sowf.moi.gov.tw/stat/year/y02-04.xls, 。  延伸查詢new window
2.唐文慧,劉仲冬(20020101)。高齡不利優生?另類恐怖主義!。  延伸查詢new window
圖書論文
1.Colen, Shellee(1995)。'Like a Mother to Them': Stratified Reproduction and West Indian Childcare Workers and Employers in New York。Conceiving the New World Order: The Global Politics of Reproduction。Berkeley:University of California Press。  new window
 
 
 
 
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