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Abstract：
Some women in a high-risk pregnancy go against medical advice and choose to birth at home with a \"holistic\" midwife. In this exploratory multiple case study, grounded theory and triangulation were employed to examine 10 cases. The women, their partners, and (regular and holistic) health care professionals were interviewed in an attempt to determine whether there was a pattern to their experiences. Two propositions emerged. The dominant one was a trajectory of trauma, self-education, concern about paternalism, and conflict leading to a negative choice for holistic care. The rival proposition was a path of trust and positive choice for holistic care without conflict. We discuss these two propositions and make suggestions for professionals for building a trusting relationship using continuity of care, true shared decision making, and an alternative risk discourse to achieve the goal of making women perceive the hospital as safe again.
摘要：
一些高风险怀孕的妇女违背医疗建议，选择在家中与“整体”助产士一起分娩。在这个探索性的多案例研究中，采用扎根理论和三角测量法检查10例。女人，他们的合作伙伴,和(常规和整体)卫生保健专业人员接受了采访，试图确定他们的经历是否有模式。出现了两个命题。占主导地位的是创伤的轨迹，自我教育,关心家长制,和冲突导致整体护理的负面选择。竞争对手的主张是信任和积极选择的途径，可以在没有冲突的情况下实现整体护理。我们讨论了这两个命题，并为专业人士使用连续性护理建立信任关系提出建议，真正的共享决策，以及一种替代的风险话语，以实现使女性再次认为医院安全的目标。
