Halfdansdottir Berglind, Wilson Margaret E, Hildingsson Ingegerd, Olafsdottir Olof A, Smarason Alexander Kr, Sveinsdottir Herdis
University of Iceland, Eirberg, Eiriksgata 34, 101, Reykjavik, Iceland.
University of Nebraska Medical Center, Omaha, Nebraska.
Med Health Care Philos. 2015 Nov;18(4):591-600. doi: 10.1007/s11019-015-9624-y.
This article examines one of the relevant concepts in the current debate on home birth-autonomy in place of birth-and its uses in general language, ethics, and childbirth health care literature. International discussion on childbirth services. A concept analysis guided by the model of Walker and Avant. The authors suggest that autonomy in the context of choosing place of birth is defined by three main attributes: information, capacity and freedom; given the antecedent of not harming others, and the consequences of accountability for the outcome. Model, borderline and contrary cases of autonomy in place of birth are presented. A woman choosing place of birth is autonomous if she receives all relevant information on available choices, risks and benefits, is capable of understanding and processing the information and choosing place of birth in the absence of coercion, provided she intends no harm to others and is accountable for the outcome. The attributes of the definition can serve as a useful tool for pregnant women, midwives, and other health professionals in contemplating their moral status and discussing place of birth.
本文探讨了当前关于在家分娩自主性（分娩地点的选择）这一相关概念，以及它在日常用语、伦理学和分娩保健文献中的应用。关于分娩服务的国际讨论。以沃克和阿万特的模型为指导进行概念分析。作者认为，在选择分娩地点的背景下，自主性由三个主要属性定义：信息、能力和自由；前提是不伤害他人，且对结果负有责任。文中呈现了分娩自主性的模型、边界和相反案例。如果一名女性在选择分娩地点时，能收到关于所有可用选择、风险和益处的所有相关信息，有能力理解和处理这些信息，且在没有胁迫的情况下选择分娩地点，同时她无意伤害他人并对结果负责，那么她在选择分娩地点时就是自主的。该定义的属性可作为孕妇、助产士和其他卫生专业人员思考其道德地位和讨论分娩地点的有用工具。
