庞汝彦说:“家庭、母亲、医生都需要转变想法。”她是医学杂志《柳叶刀》(The Lancet)上2008年一篇调查报告的合著者,该调查首次详细披露了中国剖腹产问题的严重程度。凭借在世卫组织的长期职业生涯,以及中国卫生部的支持,庞汝彦将这一调查结果发布给了国家电视台,引发了一场对该问题的全国讨论。
New public messaging in favour of natural birth has found a receptive audience at Beijing’s main maternity hospital, where up to 1,500 babies are born each month. Heavily pregnant women stream through the doors. One day in May, every expectant mother who stopped for a chat agreed she would prefer a natural birth — a switch in attitudes from just a few years ago.
支持自然分娩的新舆论宣传在北京主要妇产医院找到了受众,这里每月新生婴儿最多能达到1500名。挺着大肚子的孕妇们川流不息地走入医院大门。5月的一天,每一位驻足接受简短采访的准妈妈都表示倾向自然分娩。仅仅几年时间,人们的态度就发生了转变。
But altering public opinion is one thing; changing hospital procedure is another. In China, as in the US, institutional factors such as doctors’ pay structure and hospital protocols keep C-section rates high.
但改变舆论是一回事,改变医院程序是另一回事。中国与美国一样,由于医生薪酬结构以及医院治疗方案等制度因素,剖腹产率居高不下。
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