Oslo University Hospital, Ullevål, ABC, Kirkeveien 166, 0450 Oslo, Norway.
Oslo University Hospital, Ullevål, ABC, Kirkeveien 166, 0450 Oslo, Norway.
Midwifery. 2020 Jul;86:102705. doi: 10.1016/j.midw.2020.102705. Epub 2020 Mar 12.
The aim of this study was to gain knowledge regarding how Norwegian nulliparous women experience planned home birth and why they choose this route of giving birth.
A qualitative approach was used, and the study data were derived from semi-structured individual interviews, which were analysed through systematic text condensation.
Ten Norwegian women aged nineteen to thirty-nine years were interviewed. They had each gone through with a successful planned home birth of their first child within the last two years. These women all resided in the middle, western and eastern areas of Norway. A certified midwife was present throughout the labour and birth, and no transfer to the hospital was necessary.
The following two main themes were identified: 'inner motivation' and 'giving birth in safe surroundings'. The women in this study had a strong inner faith in the normal physiological processes of labour and birth and had educated and prepared themselves carefully for their planned home birth. To be able to enter one's own inner world was considered crucial for labour, and the trusting relationship they had with their midwife made this possible.
Planned home birth may be experienced as a very positive occurrence for nulliparous women, and the care those women in this study received contained several elements that can help to promote normal labour and birth at a time in which reducing interventions in maternity care is of importance. Their positive birth experiences gave the women confidence both in their transition to motherhood as well as in other aspects of life.
本研究旨在了解挪威初产妇如何体验计划中的家庭分娩，以及她们为何选择这种分娩方式。
采用定性方法，研究数据来自半结构化的个人访谈，通过系统文本浓缩进行分析。
10 名年龄在 19 至 39 岁的挪威妇女接受了采访。她们都在过去两年中成功地进行了第一次计划中的家庭分娩。这些妇女都居住在挪威中部、西部和东部地区。分娩过程中有一名注册助产士全程陪同，且无需转院。
确定了以下两个主要主题：“内在动机”和“在安全的环境中分娩”。本研究中的妇女对分娩的正常生理过程有着强烈的内在信念，并为计划中的家庭分娩仔细地接受了教育和准备。能够进入自己的内心世界被认为对分娩至关重要，而她们与助产士之间的信任关系使这成为可能。
计划中的家庭分娩对初产妇来说可能是一次非常积极的经历，本研究中这些妇女所接受的护理包含了一些有助于促进正常分娩的要素，而此时减少产时干预至关重要。她们积极的分娩经历使这些妇女对自己成为母亲以及生活的其他方面都充满了信心。
