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KJWHN : Korean journal of women health nursing, v.20 no.1, 2014년, pp.1 - 13
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Purpose: This study was to understand the meaning of women's experience of spontaneous delivery with midwives at midwifery clinics or home. Methods: van Kaam's Psychophenomenological method composed of a four-stage, 12-step format was used. In-depth interviews were carried out from January to July, ...
| 핵심어 | 질문 | 논문에서 추출한 답변 |
|---|---|---|
| 조산원이나 가정에서 분만한 여성의 출산경험은 긍정적이고 만족도가 높았던 이유는 무엇인가? | 조산원이나 가정 분만에서는 기구를 이용한 출산이 적었다 [7,8]. 그리고 진통제 사용, 태아전자감시, 인공 양막 파열과 회음절개 시행 비율도 현저히 낮았다[9]. 따라서 조산원이나 가정에서 분만한 여성은 출산경험에 대해 긍정적이고 만족도가 높았다[6,8]. | |
| 여성에게 출산은 무엇인가? | 여성들은 출산과정 동안 신체 ‧ 정서적 변화를 통해 여성으로서의 성숙뿐만 아니라 어머니 되기의 경험을 하게 된다. 그 러므로 출산은 여성에게 다차원적 경험으로 자연스런 삶의 과 정이다[1]. 출산이 여성 삶의 자연스러운 과정임에도 불구하고, 여성은 출산에 대한 두려움으로 출산을 스트레스 사건으로 받아들이고 있고, 삶의 전환점으로 삼아 자신의 삶을 강화 (empowering)할 수 있는 사건으로도 받아들인다[2]. | |
| 출산의 의료화 현상으로 인해 출산의 의미와 출산에 접근하는 방식에 어떤 변화가 생겼는가? | 한국에서는 전통적으로 가정에서의 출산이 이루어졌으나 1980년대 이후 거의 모든 여성이 병원 분만을 하게 되는 ‘출산의 의료화’ 현상이 초래되어 출산의 의미와 출산에 접근하는 방식에는 많은 변화가 생기게 되었다. 가정에서의 자연출산에 비해 병원 분만은 인공적으로 유도하는 출산을 하게 되었고, 정상 임부를 환자로 취급함에 따라 분만 동안 고정적이고 수 동적인 분만자세를 강요하고, 마취와 수술 및 태아감시기구 등의 의존도를 높여 불필요한 제왕절개술, 마취와 약물의 사용 등 지나친 의료적 개입이 이루어지게 되었다[3,4]. |
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