Johansson Margareta, Thies-Lagergren Li
Department of Clinical Science and Education, Karolinska Institutet Södersjukhuset, SE-118 83 Stockholm, Sweden.
The Department of Health Sciences: Child, Family & Reproductive Health, Health Sciences Centre, Lund University, PO Box 157, S-221 00 Lund, Sweden.
Women Birth. 2015 Dec;28(4):e140-7. doi: 10.1016/j.wombi.2015.06.001. Epub 2015 Jul 9.
Fathers often want to be involved in labour and birth.
To investigate how maternal birth position during second stage of labour may influence fathers' experience of childbirth.
Mixed method study with 221 Swedish fathers completing an on-line questionnaire. Descriptive statistics and qualitative content analysis were used.
In total 174 (78.7%) had a positive overall birth experience. The theme An emotional life-changing event influenced by the birth process and the structure of obstetrical care was revealed and included the categories; Midwives ability to be professional, The birth process' impact, and Being prepared to participate. The most frequently utilised birth position during a spontaneous vaginal birth was birth seat (n=83; 45.1%), and the fathers in this group were more likely to assess the birth position as very positive (n=40; 54.8%) compared to other upright and horizontal birth positions. Fathers with a partner having an upright birth position were more likely to have had a positive birth experience (p=0.048), to have felt comfortable (p=0.003) and powerful (p=0.019) compared to women adopting a horizontal birth position during a spontaneous vaginal birth. When the women had an upright birth position the fathers deemed the second stage of labour to have been more rapid (mean VAS 7.01 vs. 4.53) compared to women in a horizontal birth position.
An upright birth position enhances fathers' experience of having been positively and actively engaged in the birth process. Midwives can enhance fathers' feelings of involvement and participation by attentiveness through interaction and communicating skills.
父亲通常希望参与分娩过程。
探讨分娩第二阶段产妇的分娩体位如何影响父亲的分娩体验。
采用混合方法研究，221名瑞典父亲完成了一份在线问卷。使用描述性统计和定性内容分析。
总计174名（78.7%）父亲有积极的总体分娩体验。揭示了“受分娩过程和产科护理结构影响的情感生活改变事件”这一主题，包括以下类别：助产士的专业能力、分娩过程的影响以及准备参与。自然阴道分娩中最常采用的分娩体位是分娩座椅（n = 83；45.1%），与其他直立和水平分娩体位相比，该组父亲更有可能将分娩体位评价为非常积极（n = 40；54.8%）。与自然阴道分娩时采用水平分娩体位的女性相比，伴侣采用直立分娩体位的父亲更有可能有积极的分娩体验（p = 0.048），感觉舒适（p = 0.003）和有力（p = 0.019）。当女性采用直立分娩体位时，与采用水平分娩体位的女性相比，父亲认为分娩第二阶段更快（平均视觉模拟评分7.01对4.53）。
直立分娩体位可增强父亲积极主动参与分娩过程的体验。助产士可以通过互动和沟通技巧提高关注度，从而增强父亲的参与感。
