Department of Nursing, School of Health Sciences, Cyprus University of Technology, PO Box 12715, Code 2252, Latsia, Nicosia, Cyprus.
Midwifery. 2012 Jun;28(3):380-90. doi: 10.1016/j.midw.2011.05.006. Epub 2011 Jun 16.
to provide a critical synthesis of published research concerning women's experiences in choosing where to give birth.
an integrative literature review was conducted using three databases (MEDLINE, CINAHL and Ovid) for 1997-2009. Inclusion criteria were: (1) publication in the English language; (2) research article; (3) focus on women's perceptions for their birthplace choices; and (4) data collected during pregnancy, at birth and post partum.
twenty-one research-based papers met the inclusion criteria, and these used a range of approaches and methods. Four themes were derived from the data: choice of birthplace and medicalisation of childbirth; the midwifery model of care and the rhetoric of birthplace choices; perceptions of safety shaped women's preferences; and choice is related to women's autonomy.
there is considerable evidence that women worldwide wish to be able to exercise their rights and make informed choices about where to give birth. The medical model remains a strong and powerful influence on women's decisions in many countries. The midwifery model offers birthplace choices to women, while policies and culture in some countries affect midwifery practise. Perceptions of safety shaped women's preferences, and women's autonomy facilitated birthplace choices.
these findings can be seen as a challenge for health professionals and policy makers to improve perinatal care based on women's needs. Local research is advisable due to cultural and health system differences.
对已发表的关于女性选择分娩地点的经验的研究进行批判性综合。
对 1997-2009 年的三个数据库（MEDLINE、CINAHL 和 Ovid）进行了综合文献回顾。纳入标准为：（1）用英文发表；（2）研究论文；（3）关注女性对其分娩地点选择的看法；（4）在怀孕期间、分娩时和产后收集的数据。
符合纳入标准的 21 篇研究论文采用了多种方法和方法。从数据中得出了四个主题：分娩地点的选择和分娩的医学化；助产模式的护理和分娩地点选择的修辞；对安全的看法影响了女性的偏好；选择与女性自主权有关。
有大量证据表明，全世界的妇女都希望能够行使自己的权利，对在哪里分娩做出明智的选择。在许多国家，医疗模式仍然对妇女的决定产生强大而有力的影响。助产模式为妇女提供了分娩地点的选择，而一些国家的政策和文化影响了助产实践。对安全的看法影响了女性的偏好，而女性的自主权促进了分娩地点的选择。
这些发现可以被视为对卫生专业人员和决策者的挑战，以根据妇女的需求改善围产期护理。由于文化和卫生系统的差异，建议进行本地研究。
