孕產照護邏輯：台灣女性的新生育選擇與共同修補

Since the 1960s, reproductive choice has been at the center of two waves of U.S.-led women's reproductive rights movements. In response to medicalization of childbirth, the women's movements asked for getting back to nature and for greater autonomy and free choice in method of birth. Many studies have shown that women's reproductive choices are limited by the social and medical system. Therefore, it is significant to examine what is the meaning of having reproductive choices within the medical practice, and how and to what degree the practice of midwifery and the idea of free choice empowers women's autonomy. Can choice bring better maternity care to women? To answer these questions, this paper explores Taiwanese women's new reproductive choices and their practice in maternity care. Based on interviews and participant observation in a local hospital which practices midwifery, the paper delineates women's new choices and how such choice influences women's experiences of maternity care. Drawing on Annemarie Mol's discussions on the logic of care and the logic of choice, this paper analyses women's situation in relation to choice, the constitution of choice, and how women's choice fluctuates during the process of birth. It first argues that having the opportunity to choose midwife care can facilitate women's agency and strengthen their autonomy because a midwife plays a role as an articulator in between women's needs and medical-led routine practice. However, this paper does not stress the importance of ＂the logic of choice＂. Instead, it argues that, with successfully giving birth to a child as the goal, the improvements will depend on an adaptable shared doctoring mediating the pregnant women's needs and the medical-led routine practice, since the process of childbirth is unpredictable.