Abstract：Elderly primiparas, as a phenomenon existing both in medical discource and in popular discourse, have become a gendered concept that implies deviance and is a psychological stressor for this age group women in China. To reveal the power dynamics embedded in this concept, this article deconstructs the popular narrative and the value of elderly primiparas from a gender perspective. It considers that the physical challenges as well as stigmatization inherent in the concept of elderly primiparas are derived from not only the medical explanation of women's physiology but also the contemporary construction of a gendered culture of conformity. Behind the narrative of physical challenges and stigma, it is the contest between the medical power and male power that vie for control of the female body.
郭戈. 高龄初产妇的问题化——基于医学话语与大众话语的双重建构[J]. 妇女研究论丛, 2016, 0(4): 62-70.
GUO Ge. Problematization of Elderly Primiparas: Dual Construction Based on Medical Discourse and Popular Discourse. , 2016, 0(4): 62-70.
[1]倪琴.高龄初产妇与高龄经产妇的妊娠结局分析[J].中国现代医生,2010,(2). [2]吴小英.更年期话语的建构——从医界、大众文化到女性自身的叙述[J].妇女研究论丛,2013,(4). [3]张小山,南豪峰.从医学话语看乙肝病毒携带者的污名[J].医学社会学, 2009,(10). [4]Kirz D. S., Dorchester W., Freeman R. K.. Advanced Maternal Age: The Mature Gravida [J]. American Journal of Obstetrics and Gynecology, 1985, (l52). [5]Ngowa J. D., Ngassam A. N., Dohbit J. S., Nzedjom C., Kasia J. M.. Pregnancy Outcome at Advanced Maternal Age in A Group of African Women in Two Teaching Hospitals in Yaounde Cameroon[J]. The Pan African Medical Journal, 2013, (14). [6]常州高龄产妇近三成,专家:最好30岁前生[EB/OL].http://health.sohu.com/20070202/n247999151.shtml. [7]陈燕,邢军.高龄产妇围生期妊娠结局分析[J].实用妇产科杂志,2009, (2). [8]张艳霞.高龄初产妇心理健康状况及个性特征的调查研究[J].健康心理学杂志, 2004,(3). [9]罗爱萍,王蜂,江宇.中国剩女调查[M]. 广州:广东人民出版社, 2014. [10]高焕静.大众传媒的“辣妈”话语生产[A]. “传播与中国·复旦论坛”(2013)——网络化关系:新传播与当下中国论文集（未公开出版）[C].2013. [11][英]诺曼·费尔克拉夫著,殷晓蓉译.话语与社会变迁[M].北京:华夏出版社,2003. [12]陈倩雯,郑红娥.国内外医患关系研究述评[J].医学与哲学,2014,(3). [13]陈霞,许剑.孕期保健对高龄产妇并发症及妊娠结局的影响[J].中国妇幼保健,2015,(30). [14]王秀兰.高龄初产妇妊娠及分娩的观察与护理[J].护士进修杂志, 2010,(4). [15]Richard C. Juberg, Philip Mowrey. Origin of Nondisjunction in Trisomy 21 Syndrome: All Studies Compiled, Parental Age Analysis, and International Comparisons[J]. American Journal Of Medical Genetics, 2013, (16). [16]张曼.妊娠期高血压疾病病例分析[D].河北医科大学硕士论文,2012. [17]杨晓冬,冷维春,张爱臣.195例妊娠高血压综合症城乡差别临床分析[J].中国妇幼保健,2006,(21). [18]Fisch H. L, Hyun G., Golden R., Hensle T. W., Olsson C. A., Liberson G. L.. The Influence of Paternal Age on Down Syndrome[J]. The Journal Of Urology, 2003, (169). [19]Brian M. D'Onofrio, Martin E. Rickert, Emma Frans, Ralf Kuja-Halkola, Catarina Almqvist, Arvid Sj lander, Henrik Larsson, Paul Lichtenstein. Paternal Age at Childbearing and Offspring Psychiatric and Academic Morbidity[J]. JAMA Psychiatry, 2014, (71). [20]高龄产妇孕检间隔要缩短[EB/OL].http://lady.gmw.cn/newspaper/2015-11/04/content_109754685.htm. [21]Guo Sufang, Sabu Padmadas, Zhao Fengmin. Delivery Settings and Caesarean Section Rates in China[J]. Bulletin of the World Health Organization, 2007, (10). [22]Kamlesh Nagarwal, Chandrakanta, Kusum Gaur, R. K. Manohar. Pregnancy Outcome Comparison in Elderly and Non Elderly Primigravida Attending at Mahila Chikitsalay, Jaipur(Rajasthan) India[J]. International Multispecialty Journal of Health, 2015, (1). [23]M. Blum. Is the Elderly Primipara Really at High Risk[J]. Journal of Perinatal Medicine. 2015, (7). [24]侯磊,王欣,邹丽颖,姜海利,任明保,张为远.高龄产妇界定线对产妇分娩方式的影响[J]. 北京医学, 2015,(7). [25]沈奕斐.辣妈：个体化进程中母职与女权[J].南京社会科学, 2014,(2). [26]徐艳红.高龄产妇妊娠结局、心理及其影响因素研究[D].福建医科大学硕士论文,2012. [27]于俊荣,张香改,黄海燕,张喜瑞,宋淑秀,高章圈,刘芳.生育年龄与社会影响因素分析[J].中国计划生育学杂志, 2008,(7). [28]白领丽人VS高龄产妇[EB/OL].http://www.people.com.cn/GB/news/37454/37461/3078502.html. [29]高龄产妇的一次任性差点让她失去孩子,事后让她后悔不已[EB/OL].http://baobao.sohu.com/20160316/n440651887.shtml. [30]伊能静领衔娱乐圈 年过40生孩子不要命的10大女星[EB/OL].http://yule.sohu.com/20160113/n434403985.shtml. [31]高龄孕妇易患抑郁症想自杀[EB/OL].http://baobao.sohu.com/20050113/n223930118.shtml. [32]高龄妻子不孕 丈夫欲离婚被法庭拒绝[EB/OL].http://news.dayoo.com/guangdong/201512/11/139996_45496924.htm. [33]刘利群,张敬婕 .“剩女”与盛宴 ——性别视角下的“剩女”传播现象与媒介传播策略研究[J].妇女研究论丛,2013,(5). [34]林莺.话语权成因之哲学反思[J].中州学刊,2008,(11). [35][德]耶尔格·布勒希著,张智成译.疾病发明者 [M].海口:南海出版公司, 2006. [36][匈]阿格尼丝·赫勒著,李瑞华译.现代性理论[M].北京:商务印书馆,2005. [37]刘仲冬.代理怀孕:女性及医疗社会学观点[J].应用伦理学研究通讯,1997,(4). [38]周松青.“剩女 ”与性别统治[J].妇女研究论丛, 2010,(5). [39][美]沃纳·塞佛林,小詹姆斯·坦卡德著,郭镇之等译.传播理论:起源、方法与应用[M].北京:华夏出版社, 2000. [40][法]米歇尔·福柯著,余碧平译.性经验史[M].上海:上海人民出版社,2002.
2016, Vol. 0 
