一位接受助產士居家生產服務產婦之主觀經驗

A Woman's Perception of the Experience of Homebirth Assisted by Midwife

本文以胡塞爾現象學的研究方法，探討一位初產婦從懷孕到生產及產後時期接受居家生產助產士照顧的感受，以期瞭解助產士居家生產照顧的本質。由助產所獲得助產士接生的居家生產產婦聯絡資料，說明訪談目的並且獲得同意書後，開始於個案家中訪談，訪談過程全程錄音，共訪談兩次，訪談時間總共花費90分鐘。訪談資料依循Colaizzi分析步驟分析、整理及歸納的結果，得到四個主題：（1）和個人主體感受相契合時的順理成章；（2）主導照顧措施時的自由；（3）激勵自己可以完成生產時的堅持；（4）擁有家庭親密感時的耕耘。分析結果的嚴謹度合乎真實性、推廣性、一致性、與原質性。筆者發現個案經歷合乎心意的生產過程，建議推展助產士居家生產服務，讓符合自覺身體健康、希望擁有自主性、準備好和接生者共同維護安全責任的婦女，得以有自主、自我控制、與家庭親密感的正向生產經驗。

The purpose of this study was to understand the essence of midwife care throughout the pregnancy period, ending with the homebirth. Upon learning that the client had given birth at home, the investigator phoned her three months after she had done so. After having explained the purpose of this study, the investigator obtained the client's consent form on arrival at her house. With two 90-minute interviews being conducted, the investigator did not consider the data to be complete until they stopped producing new issues. In accordance with Husserl's phenomenology and the steps of Colaizzi's analysis method, the data's rigor was sustained. Data were classified into four majors themes relating to the client's feelings. These were (1) receiving care in accordance with the woman’s wishes, (2) having the right to involve herself indecision making, (3) being supported in her ability to give birth by herself, (4) Strengthening family intimacy. This study shows that homebirth can become a positive experience, only if the pregnant woman has got full support from her family and health professionals before and during the homebirth. It is suggested that homebirth should be encouraged for those women who are healthy and strong enough to undertake it.