Jouhki Maija-Riitta, Suominen Tarja, Åstedt-Kurki Päivi
University of Tampere, Tampere, Finland
University of Tampere, Tampere, Finland.
Am J Mens Health. 2015 Sep;9(5):421-9. doi: 10.1177/1557988314549413. Epub 2014 Sep 9.
The planned home birth has provoked discussion around the world. Home birth has been described as a positive experience, but results regarding the safety of home birth are controversial. To date, the phenomenon has mainly been examined from the mother's point of view, and there is only one previous study reporting fathers' perspective. The purpose of the present phenomenological qualitative interview study was to investigate fathers' experiences of planned home birth. Eleven fathers were interviewed, and the data were analyzed using Colaizzi's phenomenological method. The fathers followed the woman's wish in choosing the birthplace and set aside their own views. Furthermore, hospital birth was not an option for the fathers due to their own prior negative experiences of hospital births such as disturbing the natural progress of birth. The fathers' experience of home birth included sharing the responsibility, supporting the woman, and participating in the home birth process. The experience was challenging; fathers had to take the role of a midwife, and no support or information on organizing home birth was offered by public health services. The fathers felt that the home birth connected them as family, and the experience was empowering. Our study results suggest that the health care professionals need more education and information on home birth and that the families (including fathers) interested in home birth need greater support from health care professionals. There is a need for proper national home birth guidelines, while family-and client-centered care has to be improved in birthing hospitals.
计划在家分娩在全球引发了讨论。在家分娩被描述为一种积极的体验，但关于在家分娩安全性的结果存在争议。迄今为止，这一现象主要是从母亲的角度进行研究的，之前仅有一项研究报告了父亲的观点。本现象学质性访谈研究的目的是调查父亲对计划在家分娩的体验。对11位父亲进行了访谈，并使用科莱齐的现象学方法对数据进行了分析。父亲们尊重女性选择分娩地点的意愿，搁置了自己的观点。此外，由于他们自身之前在医院分娩时有诸如干扰自然分娩进程等负面经历，所以对他们来说在医院分娩并非选项。父亲们在家分娩的体验包括分担责任、支持女性以及参与在家分娩的过程。这种体验具有挑战性；父亲们不得不承担起助产士的角色，而且公共卫生服务机构没有提供关于组织在家分娩的支持或信息。父亲们觉得在家分娩让他们作为一家人紧密相连，这种体验赋予了他们力量。我们的研究结果表明，医疗保健专业人员需要接受更多关于在家分娩的教育和信息，并且对有在家分娩意愿的家庭（包括父亲）而言，需要医疗保健专业人员给予更大的支持。有必要制定适当的国家在家分娩指南，同时分娩医院必须改进以家庭和客户为中心的护理。
