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BUILDING THE NATION THROUGH WOMEN'S HEALTH: MODERN ...

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uilding efforts after the fall of the Qing dynasty. They also show the increased importance of<br />

women in China’s rebuilding process as women started to enter the medical and public health<br />

fields. Furthermore, local and national Republican and Guomindang governments began to<br />

regulate midwives as early as 1913. Legitimate midwives, those who had received some formal<br />

medical training, were licensed, while those engaged in deviant practices or behaviors were<br />

proscribed.<br />

Modern childbirth was linked with scientific medicine, and it was the foundation on<br />

which to build a strong nation. However, the shift to modern medicine was gradual, just as it<br />

was in the United States and Europe, and in China it was never complete. Even today, hospitals<br />

in China have both modern (xiyao) and traditional Chinese (zhongyao) medical departments.<br />

Childbirth is one of the areas that has been almost thoroughly medicalized, as we can see in the<br />

high rates of caesarean sections in urban China today. Only the poorest women today give birth<br />

in their homes, while the majority give birth in hospitals or local clinics, though usually without<br />

medical anesthesia (traditional Chinese anesthesia, such as acupuncture, is sometimes used).<br />

Compared with the hegemony of scientific medicine in the United States today, we see a much<br />

greater acceptance of alternative forms of medicine in China.<br />

Throughout this work, there are references to the sterility, cleanliness, and order of the<br />

modern birth environment, as opposed to the disorder and disarray of the untrained jieshengpo.<br />

The sterile birth environment that the zhuchanshi advocated – white sheets and towels, clean<br />

hands, and sterilized equipment – certainly reduced maternal and infant mortality. Their<br />

starched white uniforms and bobbed hair, however, seem superfluous. Or were they? It is much<br />

easier to tell whether or not a white garment is dirty, in contrast with the drab fabrics worn by the<br />

jieshengpo and, indeed, most of the population. Furthermore, short hair is more easily kept out<br />

16

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