Carlton Troy, Callister Lynn Clark, Stoneman Eva
University of Colorado School of Nursing, Denver, USA.
J Perinat Neonatal Nurs. 2005 Apr-Jun;19(2):145-54. doi: 10.1097/00005237-200504000-00011.
The decision-making process in childbearing women regarding birth preferences raises ethical dilemmas related to caring for women during labor and birth. Giving birth is a powerful, life-changing event that leaves a lasting impact on the childbearing woman. The birth experience may be perceived positively or negatively or with feelings of ambivalence. This descriptive qualitative study asked what factors influence a woman's change in her stated birth preference from an unmedicated birth to a medicated birth. A purposive convenience sample of 33 primiparous and multiparous childbearing women who had changed their stated birth preference for pain management during labor participated in interviews conducted within a month of giving birth. Themes included wanting an unmedicated birth; changing to a medicated birth; feeling disappointed, ambivalent, or satisfied; and reflecting on the change. Changing birth preferences is a result of many complex factors, including the influence of professional support by nurses. Ethical principles such as autonomy, veracity, beneficence, informed consent, standard of best interest, and obligations should be applied when caring for laboring women, framed by the ethics of caring.
育龄妇女在分娩偏好方面的决策过程引发了与分娩期间护理相关的伦理困境。分娩是一个强大的、改变人生的事件，会对育龄妇女产生持久的影响。分娩经历可能被积极或消极地看待，也可能伴有矛盾情绪。这项描述性定性研究探讨了哪些因素会影响女性将其既定的自然分娩偏好转变为药物辅助分娩偏好。一个由33名初产妇和经产妇组成的立意方便样本参与了研究，这些妇女在分娩期间改变了她们既定的疼痛管理分娩偏好，并在分娩后一个月内接受了访谈。主题包括希望自然分娩；转变为药物辅助分娩；感到失望、矛盾或满意；以及对这种转变的反思。分娩偏好的改变是许多复杂因素的结果，包括护士专业支持的影响。在以关怀伦理为框架照顾分娩妇女时，应应用诸如自主性、诚实性、行善、知情同意、最大利益标准和义务等伦理原则。
