Akershus University College, Lillestrøm, Norway.
J Adv Nurs. 2012 Apr;68(4):796-805. doi: 10.1111/j.1365-2648.2011.05780.x. Epub 2011 Jul 22.
This paper is a report of a descriptive study of midwives' lived experiences of caring for lesbian women and their partners.
A growing body of qualitative studies describes lesbian women's experiences of maternity care. Studies about midwives' caring experiences in the encounter are needed to improve care for lesbian women and their partners.
A qualitative study, using a phenomenological-hermeneutical method influenced by Ricoeur was conducted. Eleven midwives were recruited by snowball method. Interviews were conducted in 2009 and participants were encouraged to share events in their midwifery practice encountering lesbian women.
The midwives described the lesbian love-relationship as strong and caring, but including elements of difference which could make the couple vulnerable. It was important for midwives to acknowledge their own attitudes and culturally sensitive non-verbal communication; also to consider the co-mother's needs and role as different compared with those of fathers. Although caring for lesbian couples was seen as unproblematic, midwives described experiences of ambivalence or anxiety in the encounter and they had noticed that some couples had had negative experiences with maternity care.
Studies are required to map content, consequences and coping strategies regarding the ambivalent or uncertain caring situations and to assess a co-mother's particular role and needs during pregnancy, labour and the postnatal period to provide tailored care for lesbian couples.
本文是对助产士照顾女同性恋者及其伴侣的体验的描述性研究报告。
越来越多的定性研究描述了女同性恋者的分娩经历。需要研究助产士在遇到女同性恋者时的护理体验,以改善对女同性恋者及其伴侣的护理。
采用受里克尔影响的现象学-解释学方法进行定性研究。通过滚雪球的方法招募了 11 名助产士。访谈于 2009 年进行,鼓励参与者分享她们在助产实践中遇到女同性恋者的事件。
助产士将女同性恋者的恋爱关系描述为强烈而关怀的,但其中包括可能使伴侣脆弱的差异因素。助产士承认自己的态度和文化敏感的非言语交流很重要;也要考虑到共同母亲的需求和角色与父亲的不同。尽管照顾女同性恋夫妇被视为没有问题,但助产士在遇到时描述了矛盾或焦虑的体验,并且注意到一些夫妇在分娩护理方面有过负面经历。
需要研究有关矛盾或不确定的护理情况的内容、后果和应对策略,并评估共同母亲在怀孕期间、分娩和产后的特殊角色和需求,为女同性恋夫妇提供定制的护理。