
日本将不再使用“异常分娩”一词来描述涉及剖宫产等医疗程序的分娩,此举是出于担心该措辞可能给准父母造成心理困扰。
Japan will no longer use the term “abnormal delivery” to describe births involving medical procedures such as caesarean sections, following concerns that the wording could cause psychological distress to expectant parents.
日本产科婴儿科学会和日本产科婴人科医会决定,在向孕妇及其家属解释分娩情况时,原则上立即停止使用该术语,据周二发布的一份声明称。
The Japan Society of Obstetrics and Gynecology and the Japan Association of Obstetricians and Gynecologists decided to generally discontinue the use of the term, effective immediately, when explaining childbirth to pregnant people and their families, according to a statement released Tuesday.
两个医学会的代表周二与卫生部长上野贤一郎会面,说明了这些变化,政府同意采纳这些变化。
Representatives of both medical associations met with health minister Kenichiro Ueno on Tuesday to outline the changes, and the government agreed to adopt them.
目前,涉及医疗干预的分娩,包括剖宫产和吸引分娩,常被称为“异常分娩”,以将其与不需要此类程序的分娩区分开来。
Currently, births involving medical interventions, including C-sections and vacuum-assisted deliveries, are often referred to as “abnormal deliveries” to distinguish them from births that do not require such procedures.
该术语一直用于政府医疗保险制度的分类,因为所谓的“正常分娩”——即非紧急分娩——目前不在公共医疗保险覆盖范围内。一项医疗改革法案于5月在国会通过,将使此类分娩完全纳入公共医疗保险覆盖范围,预计将在两年内实施。
The term has been used for classifications in the government’s health insurance system because nonurgent deliveries — termed “normal deliveries” — are currently not covered by public health insurance. A healthcare reform bill was passed in parliament in May to make such deliveries fully covered by public health insurance, with it likely to be implemented within two years.
然而,医疗专业人士一直提出担忧,认为该术语可能导致孕妇认为自己的分娩经历是或将是异常或劣等的,从而可能造成情感困扰。据日本产科婴儿科学会称,该学会7月对会员进行的一项调查发现,绝大多数支持停止使用该表述。
However, medical professionals have been raising concerns that the terminology could lead pregnant people to believe their childbirth experience was or will be abnormal or inferior, potentially causing them emotional distress. According to the Japan Society of Obstetrics and Gynecology, a survey of its members conducted in July found widespread support for discontinuing the expression.
根据新方针,医疗机构在与患者沟通时将被鼓励避免同时使用“正常分娩”和“异常分娩”这两个术语,转而使用描述具体实施手术的术语,例如“阴道分娩”、“吸引分娩”或“紧急剖宫产”。该协会还表示,医疗机构被鼓励避免使用“自然分娩”这一术语——该词常用于描述非紧急分娩——作为阴道分娩的同义词,因为这可能会让人产生其他分娩方式并非自然的印象。
Under the new approach, medical institutions will be encouraged to avoid both the terms “normal delivery” and “abnormal delivery” when communicating with patients and instead use terminology that describes the specific procedure performed, such as “vaginal delivery,” “vacuum-assisted delivery” or “emergency caesarean section.”The association also said medical institutions are encouraged to avoid using the term “natural delivery” — commonly used to describe nonurgent deliveries — as a synonym for vaginal delivery because it may lead to the impression that other deliveries are not natural.
卫生劳动省周二向地方卫生主管部门发出通知,称这些变更适用于行政文件和通知中使用的语言,并将以“涉及医疗保险适用治疗的分娩”等描述取代现有术语。变更将首先集中在涉及政府一次性分娩育儿临时金和育儿津贴的通知上,现有文件将逐步接受审查和修订。
The health ministry issued a notice to local health authorities on Tuesday saying that the changes apply to the language used in administrative documents and notifications and will replace the existing terminology with descriptions such as “delivery involving treatment covered by health insurance.”The changes will initially focus on notifications concerning the government’s lump-sum childbirth payment and childcare allowance, with existing documents to be reviewed and revised gradually.
政府还计划鼓励民间保险公司采用新术语,并要求地方政府审查健康检查和疫苗接种预检表中使用的措辞。
The government also plans to encourage private insurance companies to adopt the new terminology and ask local governments to review wording used on health checkup and vaccination screening forms.