Midwifery Education Program, McMaster University, 1280 Main Street West, MDCL 2210, Hamilton, ON L8S 4K1, Canada.
Midwifery. 2012 Oct;28(5):576-81. doi: 10.1016/j.midw.2012.01.013. Epub 2012 Aug 11.
the aim of this study was to increase our understanding of why Canadian women choose to give birth at home. Despite on-going debate regarding the safety of home birth, a small number of Canadian women choose home as a place to give birth. The factors influencing a woman's decision to plan a home birth remain poorly understood.
a qualitative, grounded theory approach using semi-structured interviews.
a purposive sample of women from two Canadian provinces, who planned to give birth at home in their current pregnancy or who had planned a home birth within the last 2 years.
thematic analysis highlighted key motivating factors as well as a decision-making framework by which women chose home birth. The decision making process includes an exploration of internal motivators for wanting home birth, a phase of information gathering and taking ownership for the decision to give birth at home.
the study showed that women in two geographically distinct parts of Canada approach decision making around home birth in a similar fashion and provides a framework for decision making for choosing to birth at home.
improved understanding of the decision making process for choice of birth place is useful for midwives for the provision of information to their clients and for midwifery policy and practice within Canada.
本研究旨在增进我们对加拿大女性选择在家分娩的原因的理解。尽管关于家庭分娩的安全性仍存在持续争议，但仍有少数加拿大女性选择在家分娩。影响女性选择家庭分娩计划的因素仍未得到很好的理解。
采用半结构式访谈的定性扎根理论方法。
来自加拿大两个省份的有目的的女性样本，她们目前计划在家中分娩，或在过去 2 年内计划在家中分娩。
主题分析突出了关键的动机因素以及女性选择家庭分娩的决策框架。决策过程包括对家庭分娩内在动机的探索、信息收集阶段以及对在家分娩的决策的所有权。
该研究表明，加拿大两个地理位置不同的地区的女性以类似的方式处理家庭分娩的决策，为选择在家分娩提供了决策框架。
更好地理解选择分娩地点的决策过程对于助产士为其客户提供信息以及加拿大的助产政策和实践是有用的。
