School of Health and Social Science, Dalarna University, Falun, Sweden.
Birth. 2010 Dec;37(4):309-17. doi: 10.1111/j.1523-536X.2010.00426.x.
Childbirth can be an empowering event in a woman's life. However, little is known about women's own perceptions of power and empowering sources during childbirth. This study aimed to describe the factors experienced as empowering during a planned home birth.
The inclusion criteria were women in Sweden who had a planned home birth between 1992 and 2005. All the women (n = 735) who agreed to participate received one questionnaire for each planned home birth. A total of 1,038 questionnaires were sent to the women. The written birth stories were analyzed using content analysis and descriptive statistics.
In the analysis of the participants' birth experience four categories and one overall theme emerged from the stories. The categories identified were sensations, guidance, tacit support, and identification of needs. Greater emphasis was put on guidance among first-time mothers than among multiparas, for whom tacit support was identified as the most empowering factor. The overall theme was identified as "resting in acceptance of the process." The empowerment women expressed by achieving and maintaining a sense of control allowed them to rest in acceptance of the efforts that are part of a normal birth.
Women who choose to give birth at home find empowering sources within themselves from their environment and from the active and passive support of persons they have chosen to be present at the birth.
分娩在女性生活中可能是一件赋权的事。然而，人们对女性在分娩过程中对权力的自身认知和赋权来源知之甚少。本研究旨在描述在计划中的家中分娩时经历的赋权因素。
纳入标准为在 1992 年至 2005 年间在瑞典计划在家中分娩的女性。所有同意参与的女性（n=735）在每个计划中的家中分娩时都收到一份问卷。共向女性发送了 1,038 份问卷。使用内容分析和描述性统计对书面分娩故事进行分析。
在对参与者分娩体验的分析中，故事中出现了四个类别和一个总体主题。确定的类别包括感觉、指导、默契支持和需求识别。初产妇比多产妇更强调指导，而多产妇则认为默契支持是最赋权的因素。总体主题是“在接受过程中休息”。女性通过实现和保持控制感来表达的赋权，使她们能够在接受正常分娩过程中的努力中休息。
选择在家中分娩的女性从自身环境以及从她们选择在场的人的积极和被动支持中找到赋权的来源。
