Relationships in the Birth Space
摘要
In this chapter we focus on and discuss the importance of two central aspects related to humanising birth: relationships and the birth space. We start with pointing out that birth is a neurohormonal physiological and psychological process, also influenced by stress, and by environmental factors, including in the birthing room. We further discuss how the place and space for birth impact the birthing process and the promotion of normal healthy physiological birth, and how relationships within it, both humanising and dehumanising, are influencing. Furthermore, we address the guidance of midwifery models of care and focus specifically on one model developed in Nordic countries by us, the authors of this chapter. This Midwifery Model of woman-centred care, MiMo, includes the cultural context and the balancing act of the midwife to enhance optimal experiences and outcomes in childbearing care, and which is based on grounded knowledge, reciprocal relationships, and the creation of a birthing atmosphere. Wherever the woman gives birth, at home or at any kind of healthcare service, it is pivotal and an ethical duty for midwives as well as other healthcare professionals, to create a birth space that promotes healthy outcomes, including positive experiences.