Jouhki Maija-Riitta, Suominen Tarja, Åstedt-Kurki Päivi
University of Tampere, Faculty of Social Sciences, P.O. Box 100, FI-33014 Tampere, Finland.
University of Tampere, Faculty of Social Sciences, P.O. Box 100, FI-33014 Tampere, Finland; Pirkanmaa Hospital District, General Administration, Tampere, Finland.
Midwifery. 2017 Oct;53:35-41. doi: 10.1016/j.midw.2017.07.008. Epub 2017 Jul 16.
home births are quite rare and are not supported as part of mainstream health care services in most European countries. Women who choose home as the place of birth often do so because maternity services in hospitals do not offer the options that they want. The aim of the present study is to describe women's experiences of giving birth at home and to produce a comprehensive structure of meaning regarding giving birth at home.
a phenomenological study based on analysis of open-interview transcripts using Colaizzi's approach.
women who gave birth at home FINDINGS: women who have given birth at home experience having control over their own body, the care they are given, and the practical arrangements surrounding the birth. However, they also experience negative attitudes from other people about their decision to give birth at home, and challenges because of worries about how they and their baby will cope. During the birth women feel a sense of connection to their own body, which they trust to tell them what to do. They experience great happiness on successfully giving birth and feel connected to nature and the circle of life. Being able to celebrate with family members and be pampered by them after the birth made the women feel 'like queens'.
women's experience of childbirth at home is one of having control over the birthing process and its environment. The main challenge is exposure to negative attitudes from others, including health care professionals. Overall, the experience was full of happiness and good feelings. We conclude that more attention should be paid to the quality of birth experiences and women's individual needs and wishes within maternity care provision.
在家分娩相当罕见，在大多数欧洲国家并不作为主流医疗服务的一部分而得到支持。选择在家分娩的女性往往是因为医院的产科服务无法提供她们想要的选择。本研究的目的是描述女性在家分娩的经历，并构建一个关于在家分娩的全面意义结构。
一项基于使用科拉齐方法分析开放式访谈转录本的现象学研究。
在家分娩的女性
在家分娩的女性体验到对自己身体、所接受的护理以及分娩周围实际安排的掌控。然而，她们也感受到其他人对其在家分娩决定的负面态度，以及因担心自己和宝宝如何应对而面临的挑战。分娩期间，女性会感受到与自己身体的联系，她们相信身体会告诉自己该怎么做。成功分娩时她们会体验到巨大的幸福，并感受到与自然和生命循环的联系。产后能够与家人一起庆祝并受到家人的宠爱让这些女性感觉“像女王一样”。
女性在家分娩的体验是对分娩过程及其环境具有掌控感。主要挑战是受到包括医疗保健专业人员在内的其他人的负面态度影响。总体而言，这种体验充满了幸福和美好的感觉。我们得出结论，在产科护理服务中应更加关注分娩体验的质量以及女性的个人需求和愿望。
