Multiparous women's confidence to have a publicly-funded homebirth: a qualitative study

Background

Hospital birth is commonly thought to be a safer option than homebirth, despite many studies showing similar rates of safety for low risk mothers and babies when cared for by qualified midwives with systems of back-up in place. Recently in Australia, demand has led to the introduction of a small number of publicly-funded homebirth programs. Women's confidence in having a homebirth through a publicly-funded homebirth program in Australia has not yet been explored.

Aim

The aim of the study was to explore the reasons why multiparous women feel confident to have a homebirth within a publicly-funded model of care in Australia.

Methods

Ten multiparous English-speaking women who chose to have a homebirth with the St George Hospital Homebirth Program were interviewed in the postnatal period using semi-structured, open-ended questions. Interviews were transcribed, then a thematic analysis was undertaken.

Results

Women, having already experienced a normal birth, demonstrated a strong confidence in their ability to give birth at home and described a confidence in their bodies, their midwives, and the health system. Women weighed up the risks of homebirth through information they gathered and integration with their previous experience of birth, their family support and self-confidence.

Discussion

Women choosing publicly-funded homebirth display strong confidence in both themselves to give birth at home, and their belief in the health system's ability to cope with any complications that may arise.

Implications for practice

Many women may benefit from access to publicly-funded homebirth models of care. This should be further investigated.     

生态哲学--产品生态设计的哲学基础和理论指导

生态哲学研究人与自然相互作用的基本问题.生态哲学为人与自然、人与社会的综合优化发展提供了一般的方法论,也为工业设计的实践与发展提供了思路和原则.产品生态设计是生态学与工业设计相结合的产物,而马克思主义的生态哲学思想则为此提供了重要的理论指导.     

马克思哲学研究的诠释视域及其误区

马克思哲学在东西方的不同历史文化语境下的不同诠释,造就马克思哲学的不同历史命运。对马克思哲学的研究必须从对马克思哲学的诠释与反思入手,找到探究马克思哲学的新的诠释理路,为马克思主义哲学的进一步发展探索出一条可能的路向。     

陈云同志哲学思想特点及其启示--纪念陈云同志诞辰100周年

陈云哲学思想的特点是突出马克思主义哲学的重要价值和方法论本质,体现立场、观点和方法相统一的致思倾向,其"不唯上,不唯书,只唯实"和"交换、比较、反复"的思想是对马克思主义唯物论和辩证法的新概括.陈云哲学思想启示我们要进一步端正对学理论重要性的认识,打牢马克思主义哲学的根底,发扬"只唯实"的科学精神,把握正确的思想方法,全心全意为人民谋福利.     

Why good practice of OR is not enough—Ethical challenges for the OR practitioner

This paper develops the idea that following rules of good OR practice is necessary, but not sufficient for ethical OR. Several challenges of introducing ethical aspects into OR are discussed, evidencing difficulties and ambiguities in the relationship to be established between the OR practitioner and his/her clients, decision-makers or stakeholders. It shows that neither analysis nor modelling work nor the choice of analytical tools is entirely ethically neutral; incomparability, incommensurability and incertitude must be dealt with. The purpose of this article is to detail several difficulties or dilemmas an OR practitioner may be confronted with in the course of his or her assignment. In such situations, following rules of good practice may not be sufficient to indicate how to act in a morally good way. This paper aims at stimulating reflection by structuring the debate; it may leave the reader unsettled—unsettlement being a result and even aim of many discussions in moral philosophy.     

时下中国平民化人格的哲学解析

在后工业化时代,尤其是网络盛行的时代,人们的主体意识空前增强。追求独立的人格已经成为人们的主流意识。这种从传统精英型社会向平民化社会的转变现象,从本质上来讲是一种哲学观念的转变。可以这样讲,传统的精英哲学造就了以精英为主导的社会分工模式,平民化哲学造就了现代民本社会。这一切的转变都是每一个社会个体自我人格的强调,这些独立的个体最终汇聚成一个平民化的社会意识,这便是一种有别于传统意识的哲学解析。     

个人主体性的彰显与弘扬——王阳明心学的政治哲学解读

在普遍必然的层次上把握社会生活是思想家的自觉意识。在程朱理学的思想体系中,人们获得天理的过程只能靠外在的格物,而主体直接体悟天理是不可能的。但要将外在伦理内化为个体德性,却并不取决于理的绝对性,相反却要求行为主体必须通过自身的体悟和转化并外化为德行。陆九渊的心理并言,并不能从根本上解决理学的内在矛盾。明朝的王阳明通过"心外无理"说,对个人的主体性从本体和工夫两方面做了很好的彰显和弘扬。     

清代徽州義理學的产生及其重要性——一個地理與文化的觀察

清代新義理學主要奠基并發展於徽州學者,從戴震、程瑶田、到淩廷堪,形成一個以追求客觀物則为目標的基軸。要分析这一成因,就必须从以下三个方面进行说明:一、徽州的地理和學風特色;二、乾嘉學者對義理學的態度;三、徽州義理學之产生及其特色。     

评《土家族哲学通史》

《土家族哲学通史》是中国少数民族哲学研究的重要成果,具有严肃的理论与现实意义,这就是从选题到研究在中国少数民族哲学研究中,甚至在中国哲学史研究中,都具有填补空白的意义,并且显示一种哲学发展的人类学意义。该书以中国哲学发展的历史进程为宏观背景,从土家族精神传统的生成切入,并从历史观、文化观、政治哲学等层面系统、深入地揭示土家族哲学从远古到20世纪的历史发展,具有明显的前沿性特点。该书特别重视研究民族哲学的方法论问题,因而在中国哲学史研究中提出了一些具有独创性的见解。