Meroz Michal Rosie, Gesser-Edelsburg Anat
J Perinat Educ. 2015;24(1):25-36. doi: 10.1891/1058-1243.24.1.25.
This study exposes doctors' and midwives' perceptions and misperceptions regarding home birth by examining their views on childbirth in general and on risk associated with home births in particular. It relies on an approach of risk communication and an anthropological framework. In a qualitative-constructive study, 19 in-depth interviews were conducted with hospital doctors, hospital midwives, home-birth midwives, and a home-birth obstetrician. Our findings reveal that hospital midwives and doctors suffer from lack of exposure to home births, leading to disagreement regarding norms and risk; it also revealed sexist or patriarchal worldviews. Recommendations include improving communication between home-birth midwives and hospital counterparts; increased exposure of hospital doctors to home birth, creating new protocols in collaboration with home-birth midwives; and establishing a national database of home births.
本研究通过考察医生和助产士对一般分娩尤其是家庭分娩相关风险的看法，揭示了他们对家庭分娩的认知与误解。该研究采用了风险沟通方法和人类学框架。在一项定性建构性研究中，对医院医生、医院助产士、家庭分娩助产士和一位家庭分娩产科医生进行了19次深度访谈。我们的研究结果表明，医院助产士和医生缺乏对家庭分娩的接触，导致在规范和风险方面存在分歧；研究还揭示了性别歧视或男权主义世界观。建议包括改善家庭分娩助产士与医院同行之间的沟通；增加医院医生对家庭分娩的接触，与家庭分娩助产士合作制定新的方案；以及建立全国家庭分娩数据库。
