Lindgren Helena, Erlandsson Kerstin, Berta Marta, Yimer Osman, Blomgren Johanna, Lundberg Christina, Dilnesa Tenagnework, Wells Michael, Hailemeskel Solomon
Department of Women's and Children's Health, Karolinska Institute, Stockholm, Sweden; Department of Health Promotion, Sophiahemmet University, Stockholm, Sweden.
Department of Women's and Children's Health, Karolinska Institute, Stockholm, Sweden; Department for Health and Welfare, Dalarna University and School of Health and Welfare, Dalarna University, Sweden.
Sex Reprod Healthc. 2024 Dec;42:101039. doi: 10.1016/j.srhc.2024.101039. Epub 2024 Oct 21.
The assessment of advantages and drawbacks associated with varying birthing positions has predominantly centered around medical or technical considerations and few studies have accounted for a woman's ability to attune to her bodily instincts during labor and birth. The objective of this study was to define the concept of dynamic birth positions and its significance within the birthing process.
This hybrid concept analysis consisted of three phases: theoretical, fieldwork, and analytical. Science Direct, PubMed and Google Scholar were searched with related terms in the theoretical phase. In the fieldwork phase, seven professionals and six mothers with the experience of dynamic birth positions were interviewed. After each interview, qualitative content analysis was conducted. During the final phase, descriptions and themes from the first two phases were combined.
In the theoretical phase, the definition of dynamic birth positions included descriptions answering the Who, What, When, Where, and Why questions. In the fieldwork phase, the results present two distinct categories that define dynamic birth positions: "Women's choice, women's power" and "A flow between rest and activity." The final analysis phase of this study indicated that dynamic birth positioning is characterized by the organic progression through a variety of postures that seamlessly merge rest and activity throughout the labor and birthing process, guided by the woman's individual preferences.
The definition of dynamic birth positions redefines birth as an evolving, dynamic journey characterized by a fluid interplay of movements and moments of rest, transcending conventional fixation on static positions.
对不同分娩姿势相关利弊的评估主要集中在医学或技术层面的考量，很少有研究考虑到女性在分娩过程中顺应身体本能的能力。本研究的目的是界定动态分娩姿势的概念及其在分娩过程中的意义。
这项混合概念分析包括三个阶段：理论阶段、实地调研阶段和分析阶段。在理论阶段，使用相关术语检索了科学Direct、PubMed和谷歌学术。在实地调研阶段，采访了7名专业人士和6名有动态分娩姿势体验的母亲。每次采访后，进行定性内容分析。在最后阶段，将前两个阶段的描述和主题进行了整合。
在理论阶段，动态分娩姿势的定义包括回答“谁”“什么”“何时”“何地”以及“为何”问题的描述。在实地调研阶段，结果呈现出界定动态分娩姿势的两个不同类别：“女性的选择，女性的力量”和“休息与活动之间的流动”。本研究的最终分析阶段表明，动态分娩姿势的特点是在整个分娩和生产过程中，通过各种姿势进行有机推进，这些姿势无缝融合了休息与活动，由女性的个人偏好引导。
动态分娩姿势的定义将分娩重新定义为一个不断演变的动态过程，其特点是动作与休息时刻的流畅相互作用，超越了对静态姿势的传统固定观念。
