Creating a Safe Haven—Women's Experiences of the Midwife's Professional Skills During Planned Home Birth in Four Nordic Countries

Sjöblom, Ingela; Idvall, Ewa; Lindgren, Helena

doi:10.1111/birt.12092

Cited by 20 publications

(18 citation statements)

References 31 publications

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“… 25 The number of patient experience studies roughly doubled each decade thereafter ( table 1 ). Three quarters of the studies took place in Iceland (n=24), 26–49 Norway (n=24) 49–72 and Sweden (n=22). 17 47–49 73–90 Nineteen studies were from North America; Canada (n=10) 25 91–99 and Alaska (USA) (n=9).…”

Section: Resultsmentioning

confidence: 99%

“… 17 26–36 47 50–62 73–83 91 92 100–102 108–110 115 116 Forty articles applied a solely qualitative research design of which 29 used only interview as a method, 37–43 48 63–70 84–86 93–97 103 104 111 112 118 6 applied only focus group discussions (n=4) 16 44 71 117 or text analysis (n=2) 87 105 as a method and 5 studies applied various qualitative methods. 25 88 98 113 114 Nine studies applied mixed methods (mix of quantitative and qualitative methods) of which six used a combination of a survey and interviews, 46 72 90 99 106 107 two survey and text analysis 49 89 and one survey and focus group discussions. 45 …”

Section: Resultsmentioning

confidence: 99%

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Patient experience studies in the circumpolar region: a scoping review

Ingemann

Hansen

et al. 2020

BMJ Open

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ObjectivesPatient experiences with health systems constitute a crucial pillar of quality care. Across the Arctic, patients’ interactions with the healthcare system are influenced by challenges of access, historical inequities and social determinants. This scoping review sought to describe the range and nature of peer-reviewed literature on patient experience studies conducted within the circumpolar region.DesignIn a partnership between Danish/Greenlandic, Canadian and American research teams, a scoping review of published research exploring patient experiences in circumpolar regions was undertaken.Data sourcesSeven electronic databases were queried: MEDLINE, Embase, Scopus, ‘Global Health 1910 to 2019 Week 11’, CINAHL, PsycINFO and SveMed+.Eligibility criteriaArticles were eligible for inclusion if they (a) took place in the circumpolar region, (b) reported patients’ perspective and (c) were focussed primarily on patient experiences with care, rather than satisfaction with treatment outcome.Data extraction and synthesisTitle and abstract screening, full-text review and data extraction was conducted by four researchers. Bibliometric information such as publication date and country of origin was extracted, as was information regarding study design and whether or not the article contained results relevant to the themes of Indigenous values, rural and remote context, telehealth and climate change. Two researchers then synthesised and characterised results relevant to these themes.ResultsOf the 2824 articles initially found through systematic searches in seven databases, 96 articles were included for data extraction. Findings from the review included unique features related to Indigenous values, rural and remote health, telehealth and climate change.ConclusionsThe review findings provide an overview of patient experiences measures used in circumpolar nations. These findings can be used to inform health system improvement based on patient needs in the circumpolar context, as well as in other regions that share common features. This work can be further contextualized through Indigenous methodologies such as sharing circles and community based participatory methods.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Patient experience studies in the circumpolar region: a scoping review

Ingemann

Hansen

et al. 2020

BMJ Open

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“…In the context of homebirth, safety was considered as having complete trust in the midwife's expertise and ability to deliver the baby safely and in the way the woman wants, as if the competence and presence of the midwife would create a ‘safe haven’ at the woman's own home, characterized by the midwife's ‘safe hands’, ‘caring approach’ and ‘peaceful presence’ (Sjöblom et al . : 100). Whatever the planned place of birth, Moberg () argues that ‘the mother needs to feel safe and protected and so the birthing place must be perceived as safe and welcoming’.…”

Section: Discussionmentioning

confidence: 98%

First‐time mothers’ choice of birthplace: influencing factors, expectations of the midwife's role and perceived safety

Borrelli

Walsh

Spiby

2017

Journal of Advanced Nursing

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Aim. To explore first-time pregnant women's expectations and factors influencing their choice of birthplace.Background. Although outcomes and advantages for low-risk childbearing women giving birth in midwifery-led units and home compared with obstetric units have been investigated previously, there is little information on the factors that influence women's choice of place of birth. Design.A qualitative Straussian grounded theory methodology was adopted. Fourteen women expecting their first baby were recruited from three large National Health Service organisations that provided maternity services free at the point of care. The three organisations offered the following birthplace options: home, freestanding midwifery unit and obstetric unit. Ethical approvals were obtained and informed consent was gained from each participant.Methods. Data collection was undertaken in 2013-2014. One tape-recorded face-to-face semistructured interview was conducted with each woman in the third trimester of pregnancy.Findings. Findings are presented as three main themes: a) influencing factors on the choice of birthplace; b) expectations on the midwife's 'being' and 'doing' roles; c) perceptions of safety. Conclusion. Midwives should consider each woman's expectations and approach to birthbeyond the planned birthplace, as these are often influenced by the intersection of various influencing factors. Several birthplace options should be made available to women in each maternity service and the alternatives should be shared with women by healthcare professionals during pregnancy to allow an informed choice. Virtual tours or visits to the birth units could also be offered to women to help them familiarise with the chosen setting.3 Keywords: midwifery; women's health; childbearing; choice; birthplace; place of birth; obstetric unit; homebirth; freestanding midwifery unit; pregnancy. 4 SUMMARY STATEMENT Why is this research needed? Although outcomes and advantages for women giving birth in different settings are demonstrated, there is little information on the factors that influence women's choice of birthplace. By understanding factors influencing women's choice of birthplace, healthcare professionals may be better able to facilitate informed choice; this is highlighted as a key factor in moving maternity provision forward. What are the key findings? This paper contributes novel evidence on women's expectations around choice of birthplace, increasing understanding of the factors that are important to them when choosing a preferred birth setting, including proximity; normality of childbirth; environment; model of care; TV programmes; recommendations from family and friends. Participants specified that the midwife's role should include both spheres of 'being' and 'doing'. Some participants planning to give birth in an obstetric unit confined the midwife's role to 'doing checks'.  Women's perceptions of birthplace safety varied, including having medical backup available in obstetric units, one-to-one dedicated midwifery care...

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“…According to Mozygemba [ 6 ], women strive for security during pregnancy and birth to orientate themselves during the processes of change. Further studies focusing on childbirth experiences indicate that the presence and professional support offered by midwives and hospital staff contribute to creating a sense of security for mothers [ 40 – 44 ] and fathers [ 43 , 45 – 48 ]. Additionally, the partner’s presence at the delivery is considered beneficial for the women’s sense of security [ 49 – 51 ].…”

Section: Introductionmentioning

confidence: 99%

Mothers’ and fathers’ sense of security in the context of pregnancy, childbirth and the postnatal period: an integrative literature review

Werner-Bierwisch

Pinkert

Niessen

et al. 2018

BMC Pregnancy Childbirth

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BackgroundFrom the individual perspective, security, which is essential to life quality, is characterised as an elementary human need that requires fulfilment. During the transition to parenthood, mothers and fathers are confronted with changes in physical and psychosocial processes that are accompanied by uncertainty and insecurity. Feelings of insecurity may have consequences affecting their pregnancy and childbirth experiences as well as their adaption to the parental role in the first weeks following childbirth. In this context, it is important to understand how parents express and interpret their sense of security to effectively support their security needs. This integrative review aimed to provide a critical synthesis of existing research on parents’ experiences of their sense of security associated with pregnancy, childbirth and the postnatal period.MethodsA literature search of the PubMed, CINAHL, PsycINFO and GESIS Sowiport databases was performed. Peer-reviewed papers that were published in English or German between 1990 and 2017 focusing on mothers’ and fathers’ experiences of sense of security in the context of maternity care were included. A thematic analysis was performed to organise and describe the findings.ResultsEleven research-based papers met the inclusion criteria. Four key themes among the data were analysed: the meaning and manifestation of sense of security, sense of security in relation to confidence and control, lack of feeling secure and coping strategies, and factors influencing sense of security.ConclusionsThe findings revealed a complex profile of the perception of security associated with pregnancy, childbirth and the postnatal period. Sense of security can depend on multiple internal and external factors, which can differ between mothers and fathers. Research on the experiences and perceptions associated with fathers’ sense of security is lacking. Further research focused on the experiences of security from the parents’ perspective is necessary. Midwives and other involved health professionals should be aware of their role in creating a sense of security among parents. Based on a local specific understanding of security experiences, professional caregivers have the opportunity to support parents more effectively with regard to their specific security needs.

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Creating a Safe Haven—Women's Experiences of the Midwife's Professional Skills During Planned Home Birth in Four Nordic Countries

Cited by 20 publications

References 31 publications

Patient experience studies in the circumpolar region: a scoping review

Patient experience studies in the circumpolar region: a scoping review

First‐time mothers’ choice of birthplace: influencing factors, expectations of the midwife's role and perceived safety

Mothers’ and fathers’ sense of security in the context of pregnancy, childbirth and the postnatal period: an integrative literature review

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