Petrovska Karolina, Sheehan Athena, Homer Caroline S E
J Midwifery Womens Health. 2017 Jul;62(4):434-441. doi: 10.1111/jmwh.12609. Epub 2017 Jul 13.
Recent research has demonstrated that the media presentation of childbirth is highly medicalized, often portraying birth as risky and dramatic. Media representation of breech presentation and birth is unexplored in this context. This study aimed to explore the content and tone of news media reports relating to breech presentation and breech birth.
Google alerts were created using the terms breech and breech birth in online English-language news sites over a 3-year period from January 1, 2013, to December 31, 2015. Alerts were received daily and filed for analysis, and data were analyzed to generate themes.
A total of 138 web-based news reports were gathered from 9 countries. Five themes that arose from the data included the problem of breech presentation, the high drama of vaginal breech birth, the safe option of cesarean birth versus dangers of vaginal breech birth, the defiant mother versus the saintly mother, and vaginal breech birth and medical misadventure.
Media reports in this study predominantly demonstrated negative views toward breech presentation and vaginal breech birth. Cesarean birth was portrayed as the safe option for breech birth, while vaginal breech birth was associated with poor outcomes. Media presentations may impact decision making about mode of birth for pregnant women with a breech fetus. Health care providers can play an important role in balancing the media depiction of planned vaginal breech birth by providing nonjudgmental, evidence-based information to such women to facilitate informed decision making for birth.
近期研究表明，媒体对分娩的呈现高度医学化，常常将分娩描绘成具有风险且充满戏剧性。在此背景下，媒体对臀位分娩的呈现尚未得到探讨。本研究旨在探究与臀位及臀位分娩相关的新闻媒体报道的内容和基调。
在2013年1月1日至2015年12月31日的3年期间，通过在在线英文新闻网站上使用“臀位”和“臀位分娩”等术语创建谷歌快讯。每日接收快讯并归档以供分析，对数据进行分析以生成主题。
共收集到来自9个国家的138篇网络新闻报道。从数据中得出的五个主题包括臀位问题、阴道臀位分娩的高度戏剧性、剖宫产的安全选择与阴道臀位分娩的风险、反抗的母亲与圣洁的母亲以及阴道臀位分娩与医疗意外。
本研究中的媒体报道主要对臀位和阴道臀位分娩持负面看法。剖宫产被描绘为臀位分娩的安全选择，而阴道臀位分娩则与不良结局相关。媒体呈现可能会影响怀有臀位胎儿的孕妇对分娩方式的决策。医疗保健提供者可通过向此类孕妇提供无偏见的、基于证据的信息，在平衡媒体对计划中的阴道臀位分娩的描述方面发挥重要作用，以促进其做出明智的分娩决策。
