农村地区生育观念变迁研究——基于西南地区某乡村的个案分析

摘要：改革开放三十年以来,随着经济社会的发展以及计划生育政策的实施,农村地区的生育观念不断地发生着变迁。通过实地个案调查,对农村地区三个不同代别的人们的生育观念进行比较分析,研究发现,生育的性别偏好、年龄选择、生育成本理解是生育观念变化的主要内容;经济发展、文化教育及理性化是农村地区生育观念发生改变的主要原因;生育观念变迁也给社会带来一系列影响。     

Jack Thomas,Our Third Baby,Enters the World!

Without the confidence and support of the medical team, this mother’s first birth was difficult and unsatisfying. She was able to give birth naturally, in the care of a midwife, with her second baby. With confidence in her ability to give birth and the wisdom that comes with experience, she is able to give birth naturally with her third baby in spite of being induced.     

Water Birth at Home: Two Perspectives

In this column, a grandmother, with a long history as an author and activist for normal birth, and her daughter, a new mother, offer their unique experiences of a water birth at home, attended by family members and midwives. Their unique perspectives demonstrate the trust in the normal birth process that is possible for every birth.     

Cumulative teen birth rates among girls in foster care at age 17: An analysis of linked birth and child protection records from California

This study used linked foster care and birth records to provide a longitudinal, population-level examination of the incidence of first and repeat births among girls who were in foster care at age 17. Girls in a foster care placement in California at the age of 17 between 2003 and 2007 were identified from statewide child protection records. These records were probabilistically matched to vital birth records spanning the period from 2001 to 2010. Linked data were used to estimate the cumulative percentage of girls who had given birth before age 20. Birth rates and unadjusted risk ratios were generated to characterize foster care experiences correlated with heightened teen birth rates. Between 2003 and 2007 in California, there were 20,222 girls in foster care at age 17. Overall, 11.4% had a first birth before age 18. The cumulative percentage who gave birth before age 20 was 28.1%. Among girls who had a first birth before age 18, 41.2% had a repeat teen birth. Significant variations by race/ethnicity and placement-related characteristics emerged. Expanded data and rigorous research are needed to evaluate prevention efforts and ensure parenting teens are provided with the needed services and supports.     

Choice? Factors That Influence Women’s Decision Making for Childbirth

This article reports the findings from a mixed-methods study on factors that influence women’s decisions about birth, with the view that women’s decision making about birth can affect the use of cesarean surgery. Data was collected from focus groups and structured postpartum interviews and was analyzed using the Consensual Qualitative Research method. The findings relate specifically to the factors reported as influential in making decisions about birth including how the women categorized, prioritized, and/or favored certain types of knowledge about modes of birth. Four major information categories were identified but only stories about birth and/or attending a birth appeared to have a lasting effect on birth choices. These findings have implications for prenatal and perinatal education and nursing practice.     

And Baby Makes Four: Predictors of Attachment Security among Preschool-Age Firstborns during the Transition to Siblinghood

The present study examined preschool-age firstborns' adjustment to siblinghood, as indexed by security of firstborn-mother attachment, in a sample of 194 2-parent families. Security of firstborn attachment decreased significantly after a secondborn's birth, but the size of the decrease was smaller among firstborns under 24 months relative to 2–5-year-olds. Mothers' marital harmony and affective involvement with firstborns predicted firstborn security before and after the baby's birth, whereas mothers' psychiatric symptoms predicted firstborn security only after the birth. Post-hoc analyses of select subgroups revealed that mothers of firstborns with high security scores before the newborn's birth, regardless of whether scores remained high or dropped after the birth, showed higher levels of psychosocial and behavioral functioning than did mothers of firstborns with consistently low security scores at both time points. However, substantial drops in firstborn security after a secondborn's birth were associated with higher maternal psychiatric symptom scores both prior to and following the birth. Results suggest that quality of firstborn adjustment to siblinghood can be predicted from both structural and familial aspects of the firstborn environment.     

生育权之检讨

关于生育权的性质,学术界有不同的主张.生育权是一项基本人权,并且该权利属于一般人格权.生育权的主体范围包括了夫妻和个人.生育权的内容包括了计划生育权、堕胎权以及获得计划生育知识、方法和教育权.     

Home birth: the wave of the future?

A childbirth educator expresses frustration with a medical system that does not work for women or for many maternity care providers. She suggests out-of-hospital birth as an alternative. This column explores the safety of home birth, women's experiences of home birth, and the issues related to home birth once again being the standard. Childbirth educators are encouraged to present home birth as a viable choice.     

Appendix: birth can safely take place at home and in birthing centers: the coalition for improving maternity services:

Although most women in the United States give birth in hospitals, a substantial body of research suggests that planned home birth or birth in freestanding birth centers have equally good or better outcomes for low-risk women. Out-of-hospital birth often facilitates mother-friendly care. Rationales and systematic reviews of both home birth and freestanding birth center birth are presented.     

Louisa's Birth

In this column, Rachel Mann shares the story of the birth of her third daughter, Louisa. After a previous pregnancy loss, Mann chose to give birth to her third baby in a hospital with attending care from an obstetrician. In spite of the high-risk medical environment, she was able to have an unmedicated, powerful birth. Mann's careful planning, the support of her husband and doula, and her confidence in her ability to give birth helped make Louisa's birth all that Mann hoped it would be.     

Selling normal birth: six ways to make birth easier

In this column, a reader expresses concern at the declining number of women attending childbirth classes and her inability to influence a woman's decision to choose normal birth. It may be more effective to market Lamaze as a way to have an easier birth rather than a normal birth. The six care practices that promote, support, and protect normal birth are suggested as a framework for teaching Lamaze classes with the goal of having an easier labor and birth.     

Vicarious Birth Experiences and Childbirth Fear: Does It Matter How Young Canadian Women Learn About Birth?

In our secondary analysis of a cross-sectional survey, we explored predictors of childbirth fear for young women (n = 2,676). Young women whose attitudes toward pregnancy and birth were shaped by the media were 1.5 times more likely to report childbirth fear. Three factors that were associated with reduced fear of birth were women’s confidence in reproductive knowledge, witnessing a birth, and learning about pregnancy and birth through friends. Offering age-appropriate birth education during primary and secondary education, as an alternative to mass-mediated information about birth, can be evaluated as an approach to reduce young women’s childbirth fear.     

Pregnancy and delivery for women with a history of child sexual abuse

OBJECTIVE: To study whether women with a history of child sexual abuse are at increased risk of delivering low birth weight infants. Secondary aims were to study smoking habits, obstetric complications, health care use, and health complaints during pregnancy among women with a history of child sexual abuse. METHOD: In a case control study, 82 women with birth of a low birth weight infant (< 2500 g) (cases) and 91 women with birth of a normal birth weight infant (controls) were interviewed about experiences of child sexual abuse. RESULTS: Fourteen percent of the women disclosed a history of child sexual abuse involving at least genital touch. Birth of a low birth weight infant was not associated with a history of child sexual abuse (OR 1.03, 95% CI .44-2.40). More women with a history of child sexual abuse were smokers during pregnancy (56% vs. 31%) compared with nonabused women. Abused women reported lower age at menarche and sexual debut. Nonscheduled contacts with the antenatal care clinic and discomfort during pregnancy were more frequent among abused women when controlled for low birth weight. CONCLUSIONS: Women who delivered low birth weight infants were not more likely to have experienced child sexual abuse than women who delivered nonlow birth weight infants. Abused women were unemployed and daily smokers more often than nonabused women. Some of the abused women reported more health complaints, and more use of health care services during pregnancy, but did not have more obstetric complications during pregnancy and delivery.     

Childbirth education for multiple pregnancy: part 1: prenatal considerations

Women with a multiple pregnancy have unique learning needs in preparing for birth. This paper explores the issues relevant to women with a multiple pregnancy to support a positive birth experience. One of the foundations of childbirth education and nursing care is to provide the individual woman and her family with knowledge regarding the birth process, what to expect, and how to cope with labor and birth. Education also focuses on caring for the newborns after birth and how to manage in the early days at home. However, traditional childbirth education classes, which meet in a series of evenings or Saturdays, may not meet the needs of women with a multiple pregnancy. In addition, because of the differences in care that exist for women with a multiple pregnancy, new paradigms for childbirth education are needed to meet the learning needs of these families. The purpose of this paper is to provide information to the childbirth educator on the differences in care women with a multiple pregnancy can expect and to suggest strategies to meet the childbirth education needs of these families.     

传统生育文化对生育率的影响--以云南少数民族为例

在漫长的历史文化传承中,积淀出各民族独特的民族文化。根深蒂固的民族文化传统极大地束缚着人们的生育观念,从而体现出各民族不同的生育行为。虽然国家计划生育政策作为正规制度的一部份对各民族生育行为起着巨大的制约作用,但目前我们的关键问题不是如何制定计划生育政策,而是如何建立一种有效的机制使这种外生变量在潜移默化中溶入民族文化中,变为内生变量,以促进各少数民族传统生育观的转变,进而实际地影响各民族的生育行为,才能真正使国家的计划生育政策落到实处,保证云南少数民族生育率持续下降成为可能。     

王船山关于知识起源的理性追问

中国哲学史上延续数千载的"生知"与"学知"的对立和冲突,从两个相对立的方面促成了王船山对传统"生知"说的实质性批判,并在此基础上时知识的起源进行理性的追问.他把"生知"剥离为二:生知性理与生知物理,在认知理性层面上批判生知物理,在道德理性层面上肯定并高扬生知性理.他也十分重视"学知",因为他所谓"生知"乃是指生而知性理,"学知"是指学而知物理,并上达会通于性理.无论是生知还是学知,都是为了自觉其性理.生知者也要"力学",学知者"心已具理";生知是向内用力,学知是向外用力.一旦实现了这种自觉,也就达到了天人合一的最高境界.     

Welcoming nora: a family event

In this column, Allison and Paul Walsh share the story of the birth of Nora, their third baby and their second child to be born at home. Allison and Paul share their individual memories of labor and birth. But their story is only part of the story of Nora's birth. Nora's birth was a family event, with Allison and Paul's other children very much part of the experience. Jane and Gavin share their own memories of their baby sister's birth.     

Deficits in visual recognition in low birth weight infant pigtailed monkeys (Macaca nemestrina)

15 low birth weight and 15 normal birth weight pigtailed monkey infants were administered an adaptation of a standardized test of visual recognition memory, originally developed for human infants. Animals were given a series of problems in which 2 identical black-and-white patterns were presented for a familiarization period. The previously exposed pattern was then paired with a novel one, and looking time to each pattern was recorded. The normal birth weight animals directed a significant amount of their visual attention to the novel stimuli, thus demonstrating recognition abilities. As a group, the performance of the low birth weight infants remained at chance. These findings have important implications for an animal model to examine factors contributing to poor cognitive outcome in low birth weight human infants.     

攀枝花市出生缺陷的现况调查

目的：掌握攀枝花市出生缺陷发生率,了解出生缺陷分布特征、影响因素、发生原因等,制定预防出生缺陷实施方案,提高出生人口素质。方法：按照“攀枝花市出生缺陷监测方案”的要求,在攀枝花市所有出生缺陷监测单位对2008年10月1日至2011年9月30日出生的围产儿进行监测。结果：共监测30111例围产儿,胎龄28周以上出生缺陷381例,出生缺陷发生率为126．5／万;男性出生缺陷发生率高于女性,差异具有统计学意义（x2=11．49,P〈0．01）;出生缺陷儿母亲各年龄组间差异无统计学意义。攀枝花市出生缺陷主要为总唇裂、多指（趾）、外耳畸形等。结论：攀枝花市三年来出生缺陷发生率呈下降趋势;全面实施出生缺陷干预措施,认真落实“三级预防”措施、强化孕期保健是减少出生缺陷发生的关键。