Royal Hospital for Women, Randwick, Sydney and University of Technology, Sydney, Australia.
Midwifery. 2010 Aug;26(4):415-23. doi: 10.1016/j.midw.2008.07.009. Epub 2008 Nov 25.
to explore the experiences of a small group of first-time mothers giving birth at home or in hospital.
a grounded theory methodology was used. Data were generated from in-depth interviews with women in their own homes.
Sydney, Australia.
19 women were interviewed. Seven women who gave birth for the first time in a public hospital and seven women who gave birth for the first time at home were interviewed, and their experiences were contrasted with two mothers who gave birth for the first time in a birth centre, one mother who gave birth for the first time in a private hospital and two women who had given birth more than once.
these women shared common experiences of giving birth as 'novices'. Regardless of birth setting, they were all 'reacting to the unknown'. As they entered labour, the women chose different levels of responsibility for their birth. They also readjusted their expectations when the reality of labour occurred, reacted to the 'force' of labour, and connected or disconnected from the labour and eventually the baby.
knowing that first-time mothers, irrespective of birth setting, are essentially 'reacting to the unknown' as they negotiate the experience of birth, could alter the way in which care is provided and increase the sensitivity of midwives to women's needs. Most importantly, midwives need to be aware of the need to help women adjust their expectations during labour and birth. Identifying the 'novice' status of first-time mothers also better explains previous research that reports unrealistic expectations and fear that may be associated with first-time birthing.
探索一小群初次分娩的母亲在家中或医院分娩的经历。
采用扎根理论方法。数据来自对在家中的女性进行的深入访谈。
澳大利亚悉尼。
共访谈了 19 名女性。访谈了 7 名首次在公立医院分娩的女性和 7 名首次在家中分娩的女性，并将她们的经历与在分娩中心首次分娩的 2 名母亲、在私立医院首次分娩的 1 名母亲和 2 名多次分娩的女性进行了对比。
这些女性在分娩时都有着共同的“新手”经历。无论分娩地点如何，她们都在“应对未知”。当她们进入分娩时，这些女性选择了不同程度的分娩责任。当分娩的现实发生时，她们也重新调整了自己的期望，对分娩的“力量”做出反应，并与分娩以及最终的婴儿建立或断开联系。
了解到初次分娩的母亲，无论分娩地点如何，在分娩经历中本质上都是“应对未知”，这可能会改变护理方式，并提高助产士对女性需求的敏感性。最重要的是，助产士需要意识到在分娩和分娩过程中帮助女性调整期望的必要性。识别初次分娩母亲的“新手”状态也更好地解释了之前的研究报告，即初次分娩可能与不切实际的期望和恐惧有关。
