Boras University College of Health Sciences, S-501 90 Boras, Sweden.
Midwifery. 2010 Apr;26(2):173-80. doi: 10.1016/j.midw.2008.05.002. Epub 2008 Jul 18.
to describe women's experiences of doula support during childbirth.
a qualitative study using a hermeneutic approach. Data were collected via tape-recorded interviews in the women's homes or at a place chosen by the women, one to eight months after the birth.
nine women, seven primiparous and two multiparous, aged between 15 and 40 years, who had received antenatal care at a special clinic for single mothers in Gothenburg, Sweden between 2006 and 2007.
the role of the doula lies between natural care and professional care, veering towards professional care. Professional aspects include being a mediator to the unknown, and a human life line to help the woman to play her part in the birth. Furthermore, the doula is a coach who mediates a belief in the woman's capacity to give birth. The midwives' supporting role is not clear to the women, which can be the result of doulas having a more professional supporting role than giving natural care. Midwives are unable to offer continuity of care and constant support during the birth.
the different supporting roles of doulas and midwives in maternity care should be addressed. Furthermore, maternity care should be organised in a way that gives the woman an opportunity to access continuity of care and constant support.
描述女性在分娩过程中接受导乐支持的体验。
采用解释学方法的定性研究。数据通过在女性家中或由女性选择的地点进行的录音访谈收集，访谈时间是分娩后 1 至 8 个月。
9 名女性，7 名初产妇和 2 名经产妇，年龄在 15 至 40 岁之间，2006 年至 2007 年期间在瑞典哥德堡的一家特殊单亲母亲产前诊所接受了产前护理。
导乐的角色介于自然护理和专业护理之间，倾向于专业护理。专业方面包括充当未知事物的调解者，以及作为人类生命线帮助女性在分娩中发挥作用。此外，导乐是一个教练，调解女性分娩能力的信念。女性对助产士的支持角色不明确，这可能是因为导乐的支持角色比提供自然护理更专业。助产士无法在分娩期间提供持续的护理和持续的支持。
应该解决导乐和助产士在产时护理中的不同支持角色问题。此外，应该以一种让女性有机会获得持续护理和持续支持的方式组织产时护理。
