| Summary: | 碩士 === 國立臺灣大學 === 護理學研究所 === 92 === Abstract
The purpose of this study was to explore the home-birth experience of normal delivery mothers with midwifery care and the decision making process choosing midwifery care in the initial period. The research design is qualitative research method. The subjects were selected by purposive sampling. Semi-structure interview was conducted, by in-depth interview lasted about one hour. Verbatim recordings were made as a narrative process including verbal and non-verbal behavior expressed by the mothers during interview. Content analysis was used to systemically analyze and categorize the verbal behavior.
Study results from six subjects can be categorized into two parts. The first one was decision making process of mothers choosing midwifery care, the other was the home-birth experience of normal delivery mothers with midwifery care. The decision making process of choosing midwifery care included the motivations and influencing factors. The home-birth experience included antepartum and postpartum periods.
The motivations choosing midwifery care were: 1. uncomfortable feeling about hospital, 2. romantic curiosity, 3. physical condition problems, 4. natural delivery is the instincts. The influencing factors were: 1. measuring the dangerous degree, 2. seek for professional consultation, 3. friends’ advices.
In the antepartum phase of the home-birth experience, mothers’ behaviors can be categorized as: 1. search for channels of information of home-birth midwives, 2. express their self-confidence and self-determination. 3. using strategies to cope with the opposite opinions. In the postpartum phase, mothers’ behaviors can be categorized as: 1. persistence brings the success, 2. satisfied with self performance, 3. deeper love to her own mother, 4. the whole family participate in welcome the newborn, 5. pleased to share their experiences.
The result of this study revealed the lived home-birth experience and decision making process of normal delivery mothers with midwifery care, it can be applied as references for nurse-midwifery in providing appropriate care to the lying-in women.
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