Sjöblom Ingela, Nordström Berit, Edberg Anna-Karin
Department of Health Sciences, Division of Nursing, Lund University, P.O. Box 157, SE-221 00 Lund, Sweden.
Midwifery. 2006 Dec;22(4):348-55. doi: 10.1016/j.midw.2005.11.004. Epub 2006 May 26.
to illuminate the experiences of women who have given birth at home.
a descriptive design with a qualitative approach based on interviews with 12 women. The text was analysed using a phenomenological-hermeneutic method.
giving birth at home meant preserved authority and autonomy whereby the women themselves ruled the situation. The women's experiences of giving birth at home can be divided into three themes, with internal variations viewed as sub-themes. The main themes were as follows: 'having faith in one's own competence'; 'choosing support on one's own terms'; and 'being at home'. The experience embraced an earthly dimension, represented by reliance on inherent natural forces, and an existential, spiritual dimension, represented by faith in life itself, expressed in terms of the sacredness of giving birth, a heavenly experience, and wisdom about life itself.
the experience of giving birth at home seems to differ from findings of studies focusing on the experience of giving birth in hospital. A reasonable goal for maternity care in hospital could, however, be that all women should have the opportunity to give birth on their own terms in a supportive and calm environment, surrounded by people who can assist if needed.
阐明在家分娩女性的经历。
采用描述性设计，基于对12名女性的访谈进行定性研究。运用现象学诠释学方法对文本进行分析。
在家分娩意味着保留权威和自主权，即女性能够自主掌控局面。在家分娩女性的经历可分为三个主题，其内部差异被视为子主题。主要主题如下：“对自身能力有信心”；“按自己的条件选择支持”；以及“待在家中”。这种经历包含一个世俗维度，表现为对内在自然力量的依赖，以及一个存在主义、精神层面的维度，表现为对生命本身的信念，体现在分娩的神圣性、一种超凡体验以及对生命本身的智慧之中。
在家分娩的经历似乎与聚焦于医院分娩经历的研究结果有所不同。然而，医院产科护理的一个合理目标可以是，让所有女性都有机会在一个支持性且平静的环境中，在必要时能得到他人协助的情况下，按自己的条件分娩。
