Faculty of Medicine, University of New South Wales, Randwick, New South Wales, Australia.
Midwifery and Women's Health Nursing Research Unit, Royal Hospital for Women and University of Sydney, Sydney, New South Wales, Australia.
BJOG. 2016 Feb;123(3):376-82. doi: 10.1111/1471-0528.13594. Epub 2015 Sep 4.
Despite low rates of home birth throughout most Western countries, the topic generates considerable debate. This is reflected by the differing positions on home birth adopted by professional colleges representing obstetricians and midwives. We reviewed position statements of midwifery and obstetric colleges in the UK, USA, Australia, New Zealand, and Canada to explore how the same body of research evidence leads to different positions. Aside from a joint statement from the UK we found widely differing stances, reflecting traditional midwifery perspectives of birth as a physiological process versus obstetric perspectives of potential pathology. We feel the differences in position statements are largely the end product of significant confirmatory bias.
Review of organisational position on home birth suggests bias in literature interpretation.
尽管在大多数西方国家，家庭分娩的比例都很低，但这个话题还是引发了相当大的争议。这反映在代表产科医生和助产士的专业学院对家庭分娩的不同立场上。我们审查了英国、美国、澳大利亚、新西兰和加拿大的助产士和产科学院的立场声明，以探讨相同的研究证据如何导致不同的立场。除了来自英国的一份联合声明外，我们发现立场大相径庭，这反映了传统的助产士观点，即分娩是一个生理过程，而产科医生则认为分娩可能存在潜在的病理。我们认为立场声明中的差异主要是确认性偏见的最终结果。
对家庭分娩的组织立场的回顾表明，文献解释存在偏见。
