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標題: | 跨文化視角的台灣女性生產知識與經驗 Women's Childbirth Knowledge and Experiences in Taiwan: A Cross-cultural Perspective |
作者: | 林黛希 Donielle Allen |
指導教授: | 官晨怡 Chen-I Kuan |
關鍵字: | 跨文化,分娩,生產,居家生產,溫柔生產,質性研究, cross-cultural,childbirth,home birth,gentle birth,qualitative research, |
出版年 : | 2023 |
學位: | 碩士 |
摘要: | 過去20年來,台灣一直實行醫療化懷孕和生產,導致極高的醫療介入其中,包含剖腹產和會陰切開術。雖然剖腹產比率仍居高不下,2021年為37.9%,但會陰切開術比率已從2020年的99.9%下降至2023年的73.4%。目前,約有414,794名外國女性居住在台灣。一些在台外國女性和男性透過撰寫部落格闡述他們痛苦的生產經驗,包括幾乎沒有隱私保障,丈夫在嬰兒快出生時才被允許進入產房,以及與醫生和護士的不愉快經歷。台灣人也對自身的生產經驗感到不滿。為了反對醫療化生產,並為婦女創造更正面的生產體驗,台灣的第一個改變是引入溫柔生產。溫柔生產促進了生產教育,進而提高了生產自主性。
本研究透過深入、半結構式訪談,訪問並比較外國和台灣女性的生產知識和經驗。研究結果發現,文化差異影響著人們對生產的概念和認知。此外,文化也會影響蒐集資訊的行為和生育決策。最後,外國女性的經驗可凸顯台灣健保系統的獨特之處。台灣還需要強化性教育和生產教育,以賦能婦女和其支持者更多信心和正面的生產經歷。 For the past 20 years, Taiwan has had a history of having medicalized pregnancy and childbirth which led to extremely high rates of medical interventions, including cesarean sections (c -sections) and episiotomies. Although cesarean sections have remained high, 37.9% in 2021, the episiotomy rate has lowered from 99.9% in 2020 to 73.4% in 2023. Currently, there are about 414,794 foreign women living in Taiwan. Some foreign women and men in Taiwan have written blogs detailing their traumatizing birth experiences where sometimes there was little privacy, the husband was not allowed in the delivery room until the baby was almost born, and had unpleasant experiences with healthcare providers. Taiwanese too were unhappy about their experiences, and one change that the Taiwanese have incorporated to counter medicalized childbirth and create more positive experiences for women was the introduction of gentle birthing. Gentle birthing promotes childbirth education and increased birthing autonomy. This study used in-depth, semi-structured interviews with both foreign and Taiwanese women to understand and compare their childbirth knowledge and experiences. The study findings suggest that cultural differences impact the way childbirth is conceptualized and perceived. Furthermore, culture also has an impact on knowledge seeking behaviors and childbirth decision making. Ultimately, the experiences of foreign women can highlight the uniqueness of the Taiwanese healthcare system. In Taiwan, there is a need for better sex and childbirth education to empower women and their supporters to have more confidence and positive childbirth experiences. |
URI: | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/89828 |
DOI: | 10.6342/NTU202303847 |
全文授權: | 同意授權(全球公開) |
顯示於系所單位: | 全球衛生學位學程 |
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檔案 | 大小 | 格式 | |
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ntu-111-2.pdf | 6.27 MB | Adobe PDF | 檢視/開啟 |
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