Department of Nursing, Mid Sweden University, SE-851 70 Sundsvall, Sweden; Department of Clinical Science and Education, Karolinska Institutet Södersjukhuset, SE-118 83 Stockholm, Sweden; Department of Women's and Children's Health, Karolinska Institutet, SE-171 77 Stockholm, Sweden.
Department of Nursing, Mid Sweden University, SE-851 70 Sundsvall, Sweden; Department of Women's and Children's Health, Uppsala University, SE-751 85 Uppsala, Sweden; Department of Women's and Children's Health, Karolinska Institutet, SE-171 77 Stockholm, Sweden.
Women Birth. 2014 Sep;27(3):208-13. doi: 10.1016/j.wombi.2014.03.003. Epub 2014 May 2.
Decision-making in childbirth involves considerations about both the mother and her unborn baby's wellbeing. For men the safety of both is paramount.
To explore and describe Swedish fathers' beliefs and attitudes around the decision for a caesarean section.
Qualitative descriptive study. Twenty one Swedish men whose partners had experienced elective or emergency caesarean participated in a telephone interview. Thematic data analysis was used.
The theme, 'Childbirth is Risky', included "Caesarean birth has lots of advantages" and "Birth mode does not matter". In the context of having experienced a caesarean section male partners considered birth mode to be irrelevant. The majority considered caesarean to be a quick and efficient way of giving birth which equated to being safer. Most men could articulate some risks associated with caesarean but these were mainly minimised. The second theme, 'Simply a matter of trust: Birth mode is not my decision', reflected men's belief that they had little to contribute to the decisions made around birth mode. The decision for a caesarean section was considered to lie with the medical practitioner.
Mode of birth was regarded as unimportant. The recommendation for a caesarean section was readily accepted and appreciated, and shifted responsibility for birth to the medical practitioner. Involving men in the decision-making process by means of giving them information was valued. Men's limited knowledge about the risks of a caesarean may contribute to birth mode decisions. Professionals need to provide balanced and correct information within the context of individual circumstances.
分娩决策涉及到母亲和她未出生的婴儿的健康。对男性来说，两者的安全是最重要的。
探索和描述瑞典父亲在选择剖宫产时的信念和态度。
定性描述性研究。21 名瑞典男性的伴侣经历了选择性或紧急剖宫产，他们参加了电话访谈。使用了主题数据分析。
主题为“分娩有风险”，包括“剖宫产有很多优点”和“分娩方式不重要”。在经历了剖宫产的情况下，男性伴侣认为分娩方式无关紧要。大多数人认为剖宫产是一种快速有效的分娩方式，这等同于更安全。大多数男性可以说出一些与剖宫产相关的风险，但这些风险主要被最小化了。第二个主题是“只是信任的问题：分娩方式不是我的决定”，反映了男性的信念，即他们对分娩方式的决策几乎没有什么贡献。剖宫产的决定被认为是医疗从业者的决定。
分娩方式被认为不重要。对剖宫产的建议很容易被接受和赞赏，并将分娩的责任转移给医疗从业者。通过向男性提供信息来参与决策过程被重视。男性对剖宫产风险的了解有限可能会影响分娩方式的决策。专业人员需要在个人情况下提供平衡和正确的信息。
