Engström Helene Appelgren, Borneskog Catrin, Häggström-Nordin Elisabet, Almqvist Anna-Lena
School of Health, Care and Social Welfare, Mälardalen University, Västerås, Sweden.
Dalarna University, Inst Health and Welfare, Sweden.
Scand J Caring Sci. 2023 Mar;37(1):250-259. doi: 10.1111/scs.13111. Epub 2022 Aug 3.
In Sweden, antenatal and child health care are offered free of charge to all expectant and new parents. Professionals in antenatal and child health care play an important role in supporting parents. Previous research shows that same-sex mothers face heteronormative assumptions and insufficient support during their transition to parenthood.
To explore professionals' experiences of supporting two-mother families in antenatal and child health care.
A qualitative method with focus group discussions was used. An interview guide was followed, and the discussions were held online. The data was analysed according to inductive content analysis.
The participants were midwives (n = 8) and nurses (n = 5) in antenatal and child health care from different parts of Sweden. Participants were recruited through the coordinating midwives and child health care nurses in the different regions.
One main category was identified: Striving to be open-minded in supporting same-sex mothers. Health care professionals described meeting well-prepared mothers, with an equal commitment between each other, and mothers on guard against heteronormative views. Professionals provided support through empowerment by creating a safe environment and aiming at providing equal support to all parents or tailored support to same-sex mothers. Mothers described handling challenges, as a balancing act to acknowledge both mothers. Struggling with documents and communication and a lack of information were other challenges to be handled. Professionals reflected on their own professional competence and expressed that knowledge acquired through education, experience and personal interest all contributed to their competence.
Forms and documentation need to be updated to be gender neutral to be including to a variety of family constelleations. Health care professionals need time to reflect on norms and challenges to better support both mothers in a two-mother family.
在瑞典，为所有准父母和新生儿父母免费提供产前和儿童保健服务。产前和儿童保健专业人员在支持父母方面发挥着重要作用。先前的研究表明，同性母亲在向父母角色转变过程中面临异性规范假设和支持不足的问题。
探讨专业人员在产前和儿童保健中支持双母家庭的经验。
采用焦点小组讨论的定性方法。遵循访谈指南，讨论在网上进行。数据根据归纳性内容分析法进行分析。
参与者是来自瑞典不同地区的产前和儿童保健助产士（n = 8）和护士（n = 5）。通过不同地区的协调助产士和儿童保健护士招募参与者。
确定了一个主要类别：努力以开放的心态支持同性母亲。医疗保健专业人员描述遇到准备充分、彼此承诺平等的母亲，以及警惕异性规范观点的母亲。专业人员通过营造安全环境并旨在为所有父母提供平等支持或为同性母亲提供量身定制的支持来提供赋权支持。母亲们将应对挑战描述为承认两位母亲的平衡行为。处理文件和沟通问题以及信息不足是需要应对的其他挑战。专业人员反思了自己的专业能力，并表示通过教育、经验和个人兴趣获得的知识都有助于他们的能力。
表格和文件需要更新为性别中立，以包容各种家庭结构。医疗保健专业人员需要时间反思规范和挑战，以便更好地支持双母家庭中的两位母亲。
