The aim of this study was to describe and analyze first-time parents' experiences of factors that affect the quality of their intimate relationship and the way they cope with their situation six months after delivery. The method used was inductive qualitative content analysis of two open questions in a larger questionnaire. The data is based on 535 respondents' statements. The factors affecting the quality of the intimate relationship were available or missing and could be classified into four categories. 1. 'Coping by adjustment to parental role', e.g., mutual support as new parents, 2. 'The couple's 'intimacy', i.e., togetherness and love, 3. 'Coping by communication', i.e., verbal and non-verbal mutual confirmation, and 4. 'Coping with external conditions', e.g., by seeking social support. The results are described in a model, which could constitute a basis for the promotion of health in family health care, with the aim, if possible, of preventing unnecessary separations/divorces after couples become parents.
Risk and security are often defined as being complementary. Security is based on risk calculations, which undergo constant change. An increasing number of abnormalities can be uncovered in the human body, and more and more people are defined as being at risk for various diseases or at risk as child bearers. The aim of this paper is to examine the notion of risk, and to understand it in different ways as it is applied to childbirth. General and professional perspectives on risk are different; views vary as to what constitutes acceptable risk, and the association between normalcy and complications is socially and culturally determined. Figures for risk and reliability are not objective values. The safe and the risky are anchored in certain symbol systems. Alternative and dialogic notions have been introduced in conversations and thinking about risk, and medicalism and paternalism have been questioned. This questioning has thus far had little influence on clinical practice. The two opposite perspectives of risk and security in the area of pregnancy and birth should be taken into consideration. The childbearing woman has preferences of her own. Dialog with the health professional and information about professional facts and professional uncertainty should be offered.