Birth Pangs: A Social History of Obstetric Anesthesia

分娩阵痛：产科麻醉的社会史

• 批准号: 7105511
• 负责人: JACQUELINE H. WOLF
• 金额: $ 7.34万
• 依托单位: OHIO UNIVERSITY ATHENS
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-08-01 至 2008-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7105511
• 关键词: behavioral /social science research tag; books; clinical research; decision making; history of life science; human subject; interview; obstetric anesthesia; patient care personnel relations; social perception

DESCRIPTION: This social history of obstetric anesthesia in the United States has four objectives: 1. To shed light on how women's perceptions of labor pain change over time. 2. To explore how physicians acquire their views of birth and how those perceptions shape obstetric practice, particularly the administration of obstetric anesthesia. 3. To examine how historical, social, and cultural forces affect medical decision-making and shape standard medical practice. 4. To explain how controversial medical procedures, like the use of inhalation anesthesia during birth, come to be accepted as standard and beneficial practice. This book will examine two different, often oppositional, forms of knowledge-obstetricians' medical knowledge of birth and women's anticipation and experience of birth-and the effects of their interaction. As a social historian, the P.I. will put physicians' and women's changing perceptions of labor pain and the changes in women's desire for and physicians' approval, development, and use of obstetric anesthesia in historical, social, and cultural context. Data for this book will be culled from oral history interviews with mothers and physicians as well as myriad archival and published sources including women's letters and diaries; physicians' personal papers; physicians' and women's autobiographies and memoirs; the papers of assorted birth reform organizations; maternity hospital records; physicians' obstetric logs; the musings of fathers recorded in hospital waiting rooms; articles in magazines, newspapers, and medical journals; popular medical advice manuals; and obstetrics texts.

描述：这部美国产科麻醉的社会历史有四个目标： 1. 揭示女性对分娩疼痛的看法如何随着时间的推移而变化。 2. 探讨医生如何获得他们对分娩的看法以及这些看法如何影响产科实践，特别是产科麻醉的管理。 3. 研究历史、社会和文化力量如何影响医疗决策并塑造标准医疗实践。 4. 解释有争议的医疗程序（如分娩时使用吸入麻醉）如何被接受为标准且有益的做法。 本书将探讨两种不同的、常常是对立的知识形式——产科医生的分娩医学知识和妇女对分娩的预期和经历——以及它们相互作用的影响。作为一名社会历史学家，P.I.将医生和妇女对分娩疼痛的看法不断变化，以及妇女对产科麻醉的渴望和医生对产科麻醉的认可、发展和使用的变化，置于历史、社会和文化背景中。 本书的数据将来自对母亲和医生的口述历史采访以及无数档案和出版资料，包括妇女的信件和日记；医生的个人文件；医生和女性的自传和回忆录；各种计划生育机构的文件；产科医院记录；医生的产科日志；医院候诊室里记录的父亲们的沉思；杂志、报纸和医学期刊上的文章；流行的医疗建议手册；和产科文本。