Arcia Adriana
J Perinat Educ. 2015;24(1):61-72. doi: 10.1891/1058-1243.24.1.61.
The objective of this study was to describe nulliparas' reasons for the type of provider (i.e., midwife, physician) and childbirth setting (i.e., home, hospital, hospital-based birth center) that respondents expected for their births. Data were collected via a cross-sectional, descriptive, self-administered, Web-based survey including both close- and open-ended questions and were analyzed using conventional content analysis. Respondents were 220 nulliparous women aged 18-40 years, living in the United States, and pregnant at 20 or fewer weeks' gestation. Women's reasons were categorized broadly as relating to provider/setting attributes, relationship with provider/setting, normative choices, respondent attributes, and practical considerations. Respondents' reasons highlight misconceptions about childbirth care options, especially regarding midwifery and nonhospital settings, which may be addressed by childbirth education.
本研究的目的是描述初产妇对于她们预期分娩时的医疗服务提供者类型（即助产士、医生）和分娩地点（即家中、医院、医院附属分娩中心）的选择原因。数据通过一项横断面、描述性、自填式的网络调查收集，该调查包括封闭式和开放式问题，并采用传统内容分析法进行分析。受访者为220名年龄在18至40岁之间、居住在美国且妊娠20周或更少周数的未生育女性。女性的原因大致可分为与医疗服务提供者/分娩地点属性、与医疗服务提供者/分娩地点的关系、规范选择、受访者属性以及实际考虑因素有关。受访者的原因凸显了对分娩护理选择的误解，尤其是关于助产和非医院分娩地点的误解，而分娩教育可能有助于解决这些误解。
