Department of Public Health and Primary Health Care, University of Bergen, Norway.
Midwifery. 2013 Jun;29(6):674-81. doi: 10.1016/j.midw.2012.06.008. Epub 2012 Aug 16.
to explore research knowledge about lesbian women's experiences with health-care providers in the birthing context.
a systematic search for relevant qualitative studies in selected databases identified 13 articles of sufficient quality. The findings were synthesized using a meta-ethnographic approach as described by Noblit and Hare. SYNTHESIS AND FINDINGS: issues related to covert or overt homophobia and prejudice were demonstrated and were sometimes mediated by subtle mechanisms that were difficult to understand and to manage. On the other hand, small gestures of support were described to make a huge difference. A lack of knowledge was demonstrated, contrasted by staff showing a positive and informed attitude. Disclosure was an important issue, but due to the risk involved the women demonstrated a need to be in control. Finally, being acknowledged, both as individuals and as family were considered vital. In this regard, it was essential to recognize and include co-mother as equal parent and to look upon lesbian sexuality as normal and natural.
midwives' emotional involvement in the situation is significant for moral perception of the women's intimate citizenship, even when they are distressed by lesbian sexuality.
our findings reveal the importance of including sexuality as an issue deserving reflection in maternity wards, whether or not this might cause unrest in midwives who do not feel comfortable with intimate citizenships beyond mainstream.
探索研究医护人员在分娩环境中为女同性恋者提供医疗服务的经验。
在选定的数据库中进行了系统的检索，以寻找足够质量的相关定性研究，共确定了 13 篇文章。采用 Noblit 和 Hare 描述的元民族志方法对研究结果进行综合。
研究结果表明存在与隐性或显性恐同和偏见相关的问题，这些问题有时受到难以理解和应对的微妙机制的影响。另一方面，也有一些微小的支持性举措被描述为产生了巨大的影响。研究结果还表明医护人员缺乏相关知识，而他们的态度则是积极且知情的。披露问题很重要，但由于涉及风险，女性希望能够掌控局面。最后，女性希望自己能得到认可，无论是作为个体还是作为家庭的一部分，都被认为是至关重要的。在这方面，必须承认并平等对待共同母亲，同时将女同性恋者的性行为视为正常和自然的现象。
助产士对这种情况的情感投入对于理解女性的亲密公民身份具有重要意义，即使他们对女同性恋者的性行为感到困扰。
我们的研究结果表明，在妇产科中，将性行为作为一个值得反思的问题纳入考虑范围是很重要的，即使这可能会引起那些对主流之外的亲密公民身份感到不自在的助产士的不安。
