谈台湾助产专业及教育之沿革与未来展望

65(1993)()199181999(,2006;5:2,65-70.)94749411179518807100(07)31211012602661991195119711990199119921995(1996)(1998)99%0.13%(1998)(1998)(2005)34.03%(Davis,Riedamnn,Sapiro,Minogue,&Kazer,1994)10-14%6.6%7.3%(1996)(nurse-midwives)(Fullerton,Hollenbach,&Wingard,1996)Wagner(2001)67()(2000)(2002)(Waldenstrom,Brown,McLachlan,Forster,&Brennecke,2000)19071945(1985)1991(2000)1999(2000)(2002)(CertifiedNursingMidwife)(1995)(1997)(152004)68(1997)415-8(1998)(2000)4191-268(1985)221-15(1993)-10269-84(2002)4552-56(1995)395-9(1996)4022-30(1996)(2005)-(2-1)2005419(2002)4557-6169(2000)3088-91(1998)-45(5)61-65Davis,L.G.,Riedmann,G.L.,Sapiro,M.,Minogue,J.P.,&Kazer,R.R.(1994).Cesareansectionratesinlow-riskprivatepatientsmanagedbycertifiednurse-midwivesandobstetricians.JournalofNurse-Midwifery,39(2),91-97.Fullerton,J.T.,Hollenbach,K.A.,&Wingard,D.L.(1996).Practicestyles:Acomparisonofobstetriciansandnurse-midwives.JournalofNurse-Midwifery,41(3),243-250.Onewhoiscontentfindsgreathappinessevensleepingontheground.Onewhoisdiscontentwillneverfindhappinesseveninheaven.~~Wagner,M.(2001).Fishcantseewater:Theneedtohumanizedbirth.InternationalJournalofGynecologyandObstetrics,75,25-37.Waldenstrom,U.,Brown,S.,McLachlan,H.,Forster,D.,&Brennecke,S.(2000).Doesteammidwifecareincreasesatisfactionwithantenatal,intrapartum,andpostpartumcare?Arandomizedcontrolledtrial.Birth,27(3),156-167.70ABSTRACTMidwifewasthemainpersonofwomenwithlaboranddeliveryinearlysocietyofTaiwan.Aftersocialandculturalvicissitudes,theroleofmidwifehasbeenignoredbysocietywhichfurthersorelyinfluencesmidwiferyeducationsystem.InTaiwan,midwiferyeducationwasevenstoppedin1991foreightyears.Itmademidwiferyprofessiongodownandbecomeacrisis.Inlightofthefactsthattherateofcaesareansectionishigherthanthatinothercountriesandthatlaboranddeliveryisovermedicalization,itmakesmedicalagenciesreconsidertheimportanceofmidwives.Midwiferyeducationrestartedandwaspromotedtoundergraduateandgraduatelevels.WeexpectthatthesemidwiveswhohavebachelorsormastersdegreewillpromotethequalityoflaboranddeliverycareandbringbacktheprospectofthemidwifeasitusedtobeinTaiwan.(TzuChiNursingJournal,2006;5:2,65-70.)Keywords:midwife,history,prospect,education.HistoryandProspectoftheProfessionandEducationofMidwiferyinTaiwanYi-LingChiouFan-HaoChouReceived:July4,2005Revised:November17,2005Accepted:January8,2006Addresscorrespondenceto:Fan-HaoChou,100,Shih-chuan1stRoad,Kaohsiung807,Taiwan(R.O.C.)Tel:[phone]ext.2602