Fahy Kathleen M, Parratt Jenny Anne
University of Newcastle, School of Nursing and Midwifery, Faculty of Health, Callaghan, NSW 2308, Australia.
Women Birth. 2006 Jul;19(2):45-50. doi: 10.1016/j.wombi.2006.05.001. Epub 2006 Jul 11.
The theory of Birth Territory describes, explains and predicts the relationships between the environment of the individual birth room, issues of power and control, and the way the woman experiences labour physiologically and emotionally. The theory was synthesised inductively from empirical data generated by the authors in their roles as midwives and researchers. It takes a critical post-structural feminist perspective and expands on some of the ideas of Michel Foucault. Theory synthesis was also informed by current research about the embodied self and the authors' scholarship in the fields of midwifery, human biology, sociology and psychology. In order to demonstrate the significance of the theory, it is applied to two clinical stories that both occur in hospital but are otherwise different. This analysis supports the central proposition that when midwives use 'midwifery guardianship' to create and maintain the ideal Birth Territory then the woman is most likely to give birth naturally, be satisfied with the experience and adapt with ease in the post-birth period. These benefits together with the reduction in medical interventions also benefit the baby. In addition, a positive Birth Territory is posited to have a broader impact on the woman's partner, family and society in general.
分娩领地理论描述、解释并预测了产妇分娩房间的环境、权力与控制问题，以及女性在生理和情感上体验分娩的方式。该理论是作者作为助产士和研究人员，从实证数据中归纳总结出来的。它采用了批判性后结构女性主义视角，并扩展了米歇尔·福柯的一些观点。理论的综合还受到当前关于具身自我的研究以及作者在助产、人类生物学、社会学和心理学领域的学术研究的影响。为了证明该理论的重要性，它被应用于两个均发生在医院但其他方面有所不同的临床案例。这一分析支持了核心观点，即当助产士运用“助产监护”来营造和维持理想的分娩领地时，女性最有可能自然分娩，对分娩体验感到满意，并在产后轻松适应。这些益处以及医疗干预的减少对婴儿也有益。此外，积极的分娩领地被认为会对女性的伴侣、家庭乃至整个社会产生更广泛的影响。
