Walsh Denis J
Midwifery Research Unit, University of Central Lancashire, Preston, PR1 ZHE, UK.
Midwifery. 2006 Sep;22(3):228-39. doi: 10.1016/j.midw.2005.09.005. Epub 2006 May 19.
To explore the culture, beliefs, values, customs and practices around the birth process within a free-standing birth centre (FSBC).
Ethnography.
A birth centre situated in the midlands of England.
Women attending the centre, midwives and maternity-care assistants (MCAs) working at the centre.
Women in the study seemed to invoke intuitive nesting-related behaviours in their assessment of the suitability of the birth centre. In addition, the birth centre staff's focus on creating the right ambience for birth may also emanate from nesting concerns. Birth-centre staff assisted women through the 'becoming mother' transition, which is conceptualised as 'matrescent' care.
The birth-centre environment elicited nesting-like behaviours from both women and staff. This formed part of a nurturing orientation that was conceptualised as 'matrescent' (becoming mother) care. 'Matrescence' does not seem to be grounded in clinical skills but is relationally mediated.
Nesting-like behaviours and 'matrescent' care in this context challenge maternity services to review traditional conceptualisations of safety and traditional expressions of clinical intrapartum care.
探讨独立分娩中心（FSBC）内围绕分娩过程的文化、信仰、价值观、习俗和做法。
人种志研究。
位于英格兰中部地区的一家分娩中心。
在该中心就诊的女性、在该中心工作的助产士和产妇护理助理（MCA）。
参与研究的女性在评估分娩中心的适用性时，似乎会引发与直觉性筑巢相关的行为。此外，分娩中心工作人员专注于营造适宜分娩的氛围，这也可能源于对筑巢的关注。分娩中心工作人员通过“成为母亲”的转变来协助女性，这被概念化为“孕母关怀”。
分娩中心的环境引发了女性和工作人员类似筑巢的行为。这构成了一种被概念化为“孕母关怀”（成为母亲）的养育取向的一部分。“孕母期”似乎并非基于临床技能，而是通过人际关系来调节。
在这种情况下，类似筑巢的行为和“孕母关怀”对产科服务提出了挑战，促使其重新审视传统的安全概念和临床产时护理的传统表达方式。
