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保障安全:在美国决定选择计划在家分娩。

Being safe: making the decision to have a planned home birth in the United States.

作者信息

Lothian Judith A

机构信息

College of Nursing at Seton Hall University in South Orange, New Jersey, USA.

出版信息

J Clin Ethics. 2013 Fall;24(3):266-75.

PMID:24282853
Abstract

Although there is evidence that supports the safety of planned home birth for healthy women, less than 1 percent of women in the United States choose to have their baby at home. An ethnographic study of the experience of planned home birth provided rich descriptions of women's experiences planning, preparing for, and having a home birth.This article describes findings related to how women make the decision to have a planned home birth. For these women, being safe emerged as central in making the decision. For them, being safe included four factors: avoiding technological birth interventions, knowing the midwife and the midwife knowing them, feeling comfortable and protected at home, and knowing that backup hospital medical care was accessible if needed.

摘要

尽管有证据支持健康女性计划在家分娩的安全性,但在美国,只有不到1%的女性选择在家分娩。一项关于计划在家分娩经历的人种志研究,对女性计划、准备和进行在家分娩的经历进行了丰富的描述。本文描述了与女性如何做出计划在家分娩决定相关的研究结果。对这些女性来说,安全是做出这一决定的核心因素。对她们而言,安全包括四个方面:避免分娩时的技术干预、了解助产士且助产士了解她们、在家中感到舒适和受保护,以及知道如有需要可获得医院的后备医疗护理。

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引用本文的文献

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BMC Pregnancy Childbirth. 2020 Jun 10;20(1):343. doi: 10.1186/s12884-020-03023-6.
2
Mothers' and fathers' sense of security in the context of pregnancy, childbirth and the postnatal period: an integrative literature review.母亲和父亲在妊娠、分娩和产后期间的安全感:综合文献回顾。
BMC Pregnancy Childbirth. 2018 Dec 4;18(1):473. doi: 10.1186/s12884-018-2096-3.
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The Mothers on Respect (MOR) index: measuring quality, safety, and human rights in childbirth.
尊重母亲指数(MOR):衡量分娩中的质量、安全和人权
SSM Popul Health. 2017 Jan 19;3:201-210. doi: 10.1016/j.ssmph.2017.01.005. eCollection 2017 Dec.
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Autonomy in place of birth: a concept analysis.替代分娩地点的自主性:一项概念分析
Med Health Care Philos. 2015 Nov;18(4):591-600. doi: 10.1007/s11019-015-9624-y.
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The Canadian birth place study: examining maternity care provider attitudes and interprofessional conflict around planned home birth.加拿大出生地研究:审视产科护理提供者对计划在家分娩的态度及跨专业冲突。
BMC Pregnancy Childbirth. 2014 Oct 28;14:353. doi: 10.1186/1471-2393-14-353.
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They said so on the news: parsing media reports about birth.他们在新闻里这么说了:剖析关于出生的媒体报道。
J Perinat Educ. 2010 Winter;19(1):47-52. doi: 10.1624/105812410X481555.