Quantifying the Impact of Medicalisation on the Distribution of Births over the Course of the Day

Stuart A. Gietel-Basten
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Abstract

Very few historical studies have been able to demonstrate the times of day when humans give birth in a ‘natural’ setting—i.e. outside of any hospital context or potential intervention. Two villages in the southwestern Russian Empire present rare examples of nineteenth-century baptism registers where time of birth were recorded. The evidence supports the thesis that ‘natural’ human births disproportionately occur between midnight and early morning. Evidence from the registers also show a seasonal effect, likely driven by the relationship between luminosity and melatonin production. The study, then, contributes to the ongoing debate regarding the medicalisation of childbearing, the deterioration of female autonomy in the sphere of childbearing, as well as other negative health outcomes. Historical evidence can demonstrate how far the circumstances of contemporary society differ from the ‘natural’ mode in something as fundamental as the time of the day when we give birth.
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量化一天中药物化对出生率分布的影响
很少有历史研究能够证明人类在“自然”环境下分娩的时间。在任何医院环境或可能的干预之外。俄罗斯帝国西南部的两个村庄展示了罕见的19世纪洗礼登记簿,其中记录了出生时间。有证据表明,人类的“自然”分娩不成比例地发生在午夜和清晨之间。来自登记处的证据也显示了季节性效应,可能是由亮度和褪黑激素产生之间的关系驱动的。因此,这项研究助长了正在进行的关于生育医疗化、女性在生育领域自主权恶化以及其他负面健康后果的辩论。历史证据可以证明,当代社会的环境与“自然”模式的差异有多大,就像我们分娩的时间这样根本的事情。
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