Lothian Judith
College of Nursing, Seton Hall University, South Orange, NJ 07079, USA.
J Obstet Gynecol Neonatal Nurs. 2006 Mar-Apr;35(2):295-303. doi: 10.1111/j.1552-6909.2006.00042.x.
A written birth plan encourages women to clarify desires and expectations and communicate with their providers to make a realistic plan for care during labor. Tension between health professionals and patients caused by birth plans reflects the larger problems with contemporary maternity care: conflicting beliefs about birth, what constitutes safe, effective care, and ethical issues related to informed consent and informed refusal. The focus of birth plans should be to answer three patient-focused questions: What will I do to stay confident and feel safe? What will I do to find comfort in response to my contractions? Who will support me through labor, and what will I need from them? In this article, the history and purposes of birth plans and approaches to resolving tensions will be discussed.
一份书面的分娩计划能促使产妇明确自己的愿望和期望，并与医护人员沟通，从而制定出一份分娩期间切实可行的护理计划。分娩计划引发的医护人员与患者之间的紧张关系，反映出当代产科护理中存在的更大问题：关于分娩的相互冲突的观念、什么构成安全有效的护理，以及与知情同意和知情拒绝相关的伦理问题。分娩计划的重点应该是回答三个以患者为中心的问题：我将如何保持自信并感到安全？我将如何应对宫缩以获得舒适感？谁将在分娩过程中支持我，我需要他们提供什么？在本文中，将讨论分娩计划的历史、目的以及解决紧张关系的方法。
