Department of Rural Health, University of Tasmania, Locked Bag 1372, Launceston, Tasmania 7250, Australia.
Women Birth. 2013 Mar;26(1):55-9. doi: 10.1016/j.wombi.2012.03.002. Epub 2012 Apr 12.
Home birth has attracted great controversy in the current context. There is a need for the public and health professionals to understand why maternity care providers have such different views on home birth, why they debate, what divides them into two opposite sides and if they have anything in common.
A qualitative study involving twenty maternity health providers in Tasmania was conducted. It used semi-structured interview which included closed and open-ended questions to provide opportunities for exploring emerging insights from the voices of the participants.
Health practitioners who support home birth do so for three reasons. Firstly, women have the right to choose the place of birth. Secondly, home birth may be more cost effective compared to hospital birth. Thirdly, if home birth is not supported, some women might choose to have a free birth. Those who opposed home birth argue that complications could occur at childbirth and the transfer time is critical for women's and babies' safety. These differences in opinions can be due to the differences in the training and philosophy of the maternity care providers. Despite the differing views on home births, health professionals share a common goal to protect the women and the newborns from unexpected situations during childbirth.
This article provides some significant insights derived from the study of home birth from the maternity health professionals' perspectives and could contribute to the enhancement of mutual understanding and collaboration of health professionals in their services to expectant mothers.
在当前背景下，家庭分娩引起了极大的争议。公众和卫生专业人员需要了解为什么产妇护理提供者对家庭分娩有如此不同的看法，为什么他们会争论，是什么将他们分为两个对立的阵营，以及他们是否有共同点。
在塔斯马尼亚州进行了一项涉及 20 名产妇健康提供者的定性研究。研究采用半结构化访谈，包括封闭式和开放式问题，为参与者的声音提供了探索新见解的机会。
支持家庭分娩的卫生工作者有三个原因。首先，妇女有权选择分娩地点。其次，与医院分娩相比，家庭分娩可能更具成本效益。第三，如果不支持家庭分娩，一些妇女可能会选择自由分娩。反对家庭分娩的人认为分娩时可能会出现并发症，转移时间对妇女和婴儿的安全至关重要。这些意见分歧可能是由于产妇护理提供者的培训和理念不同所致。尽管对家庭分娩的看法存在差异，但卫生专业人员的共同目标是保护妇女和新生儿在分娩过程中免受意外情况的影响。
本文从产妇健康专业人员的角度提供了一些关于家庭分娩的重要见解，并有助于增进卫生专业人员在为孕妇提供服务方面的相互理解和合作。
