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What disasters can reveal about techno-medical birth: Japanese women’s stories of childbirth during the 11 March, 2011 earthquake
Health, Risk & Society ( IF 2.659 ) Pub Date : 2019-08-23 , DOI: 10.1080/13698575.2019.1643827
Tsipy Ivry 1 , Rika Takaki-Einy 2 , Jun Murotsuki 3
Affiliation  

Social researchers of childbirth have argued that techno-medical routines of managing childbirth risk are underpinned by worst case scenarios involving disastrous deliveries, with catastrophic consequences for maternal and neonatal health and life. This article looks into childbirth stories that ended safely amidst serious ruptures in techno-medical surveillance. We draw on the childbirth stories of women who gave birth during the 11 March 2011 disasters recorded by the first author in February 2016 and on an array of childbirth stories published in a journalistic book in 2012. The stories reveal the navigations of women and care providers between two different types of risks: risks associated with birth in the techno-medicalised model of care and risks associated with earthquakes. Underlying the safety management imperatives of each are divergent space and time lines. Significantly, the techno-medical surveillance of risk associated with childbirth proved to be secondary to the earthquake risk. Rather than high technologies, it was low-tech necessities and human care that proved crucial for the management of safe births. Though women interpreted the safe conclusion of their birth as miracle, their stories suggest that childbirth, especially when attended by skilled birth attendants, can take place relatively safely, even in the direst of conditions. Accounts of childbirth in the midst of disasters offer evidence and important insights in developing a critique of technological birth in the social scientific and midwifery literature.



中文翻译:

灾难能揭示出有关技术医学出生的哪些方面:2011年3月11日地震中日本妇女的分娩故事

有关分娩的社会研究人员认为,控制分娩风险的技术医学程序是由最坏的情况(涉及灾难性分娩)支持的,这对孕产妇和新生儿的健康和生活造成了灾难性后果。本文探讨了分娩故事,这些故事在技术医学监测的严重破裂中得以安全结束。我们借鉴了第一作者于2016年2月记录的在2​​011年3月11日灾难期间生育的妇女的分娩故事,以及2012年在一本新闻书籍中出版的一系列分娩故事。这些故事揭示了妇女和护理提供者的生活在两种不同类型的风险之间:技术医疗模型中与生育相关的风险和与地震相关的风险。每个安全管理的基本要求是不同的时空范围。值得注意的是,与分娩有关的风险的技术医学监测被证明是地震风险的次要因素。事实证明,对安全生产的管理至关重要的是技术含量低的必需品和人文关怀,而不是高科技。尽管妇女将出生的安全结论视为奇迹,但她们的故事表明,分娩,尤其是在熟练的接生员陪伴下,即使在极端情况下也可以相对安全地发生。灾害中的分娩史为社会科学和助产学文献中对技术诞生的批判提出了证据和重要见解。分娩风险的技术医学监测被证明是地震风险的次要因素。事实证明,对安全生产的管理至关重要的是技术含量低的必需品和人文关怀,而不是高科技。尽管妇女将出生的安全结论视为奇迹,但她们的故事表明,分娩,尤其是在熟练的接生员陪伴下,即使在极端情况下也可以相对安全地发生。灾害中的分娩史为社会科学和助产学文献中对技术诞生的批判提出了证据和重要见解。分娩风险的技术医学监测被证明是地震风险的次要因素。事实证明,对安全生产的管理至关重要的是技术含量低的必需品和人文关怀,而不是高科技。尽管妇女将出生的安全结论视为奇迹,但她们的故事表明,分娩,尤其是在熟练的接生员陪伴下,即使在极端情况下也可以相对安全地发生。灾难中的分娩史为社会科学和助产学文献中对技术诞生的批判提出了证据和重要见解。尽管妇女将出生的安全结论视为奇迹,但她们的故事表明,分娩,尤其是在熟练的接生员陪伴下,即使在极端情况下也可以相对安全地发生。灾害中的分娩史为社会科学和助产学文献中对技术诞生的批判提出了证据和重要见解。尽管妇女将出生的安全结论视为奇迹,但她们的故事表明,分娩,尤其是在熟练的接生员陪伴下,即使在极端情况下也可以相对安全地发生。灾害中的分娩史为社会科学和助产学文献中对技术诞生的批判提出了证据和重要见解。

更新日期:2019-08-23
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