家庭分娩、自由分娩和导乐：破碎的孕产体系的伤亡和后果。
Homebirth, freebirth and doulas: casualty and consequences of a broken maternity system.
机构信息
School of Nursing and Midwifery, Family and Community Health Group, University of Western Sydney, Penrith South DC, NSW 1797, Australia.
出版信息
Women Birth. 2011 Mar;24(1):47-50. doi: 10.1016/j.wombi.2010.11.002. Epub 2010 Dec 15.
In Australia private homebirth remains unfunded and uninsured and publicly funded homebirth models are not widely available. Doulas are increasingly hired by women for support during childbirth and freebirth (birth intentionally unattended by a health professional) appears to be on the rise. The recently released Improving Maternity Services in Australia--The Report of the Maternity Services Review (MSR) exclude homebirth from the funding and insurance reforms proposed. Drawing on recent research we argue that homebirth has become a casualty of a broken maternity system. The recent rise in the numbers of women employing doulas and choosing to birth at home unattended by any health professional, we argue, is in part a consequence of not adequately meeting the needs of women for continuity of midwifery care and non-medicalised birthing options.
在澳大利亚，私人家庭分娩仍然没有资金支持和保险，公共资金支持的家庭分娩模式也不广泛。越来越多的女性在分娩期间聘请导乐来提供支持，而且自由分娩（指未经任何医疗专业人员照料而进行的分娩）的情况似乎有所增加。最近发布的《改善澳大利亚的产妇服务——产妇服务审查报告》（MSR）将家庭分娩排除在拟议的资金和保险改革之外。我们利用最近的研究结果认为，家庭分娩已经成为一个支离破碎的产妇系统的牺牲品。我们认为，最近越来越多的女性聘请导乐并选择在没有任何医疗专业人员在场的情况下在家中分娩，这在一定程度上是因为未能充分满足女性对助产护理连续性和非医疗化分娩选择的需求。
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