Deciding on Home Birth

Coburn, Jessica; Doering, Jennifer J.

doi:10.1016/j.jogn.2021.01.001

Cited by 4 publications

(17 citation statements)

References 25 publications

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“…A total of eight studies dichotomized choices between home and hospital births 41–48 . Seven studies focused solely on home birth 37,49–54 . Two studies reviewed experiences of women opting for a birth center or home birth 55,56 .…”

Section: Resultsmentioning

confidence: 99%

“…Thirteen (54.5%) of the 22 studies included self‐reported data on participant racial and ethnic identity. Two studies reported binary race/ethnicity categories among 194 participants: White or “Ethnic/Minority.” 40,42 The remaining 11 studies reported more specific race/ethnicity details among 952 participants 38,43–47,49–52,56 . Among these participants, 539 (56.6%) participants identified as White or Caucasian, 287 (30.1%) identified as Black or African American, 54 (5.7%) identified as Asian, 16 (1.7%) as Hispanic or Latinx, 9 (1.0%) as American Indian or Alaskan Native, 4 (0.4%) as Native Hawaiian or Pacific Islander, and 2 (0.2%) as Middle‐Eastern.…”

Section: Resultsmentioning

confidence: 99%

“…In 18 studies, participants discussed perceptions of the relative safety versus risk of birth setting options 17,37–39,41,43–52,55–57 . For participants who chose a home birth or desired a home birth option, they cited fear of unnecessary medical intervention at hospitals as a driver of decision making 37,39,43,47,49,51,52,55 .…”

Section: Resultsmentioning

confidence: 99%

“…17,46,57 3.4.2 | Influence of media, family, and friends on birth setting awareness Across 16 studies, external influences on participants' awareness of birth setting options and decision making most commonly included references to media exposure and birth narratives of friends and family. 37,38,40,[42][43][44][45][47][48][49][50][51][52][53][54][55] Resources such as the book Spiritual Midwifery by Ina May Gaskin and the film The Business of Being Born were cited as key resources informing specific interest in home birth and midwifery care. 50,52,54 Four studies focused on whether exposure to specific education or media programs could influence a person's knowledge of various birth settings.…”

Section: Birth Setting Safety Vs Riskmentioning

confidence: 99%

“…[41][42][43][44][45][46][47][48] Seven studies focused solely on home birth. 37,[49][50][51][52][53][54] Two studies reviewed experiences of women opting for a birth center or home birth. 55,56 One study explored hospital choice as the sole setting of interest 57 and one study focused on women electing a hospital option while receiving prenatal care at a birth center.…”

Section: Settingmentioning

confidence: 99%

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Factors influencing birth setting decision making in the United States: An integrative review

George

Shorten

Lyons

et al. 2022

Birth

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Background The United States has the highest perinatal morbidity and mortality (M&M) rates among all high‐resource countries in the world. Birth settings (birth center, home, or hospital) influence clinical outcomes, experience of care, and health care costs. Increasing use of low‐intervention birth settings can reduce perinatal M&M. This integrative review evaluated factors influencing birth setting decision making among women and birthing people in the United States. Methods A search strategy was implemented within the CINAHL, PubMed, PsycInfo, and Web of Science databases. The Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA) guided the review, and the Johns Hopkins Nursing Evidence‐Based Practice model was used to evaluate methodological quality and appraisal of the evidence. The Whittemore and Knafl integrative review framework informed the extraction and analysis of the data and generation of findings. Results We identified 23 articles that met inclusion criteria. Four analytical themes were generated that described factors that influence birth setting decision making in the United States: “Birth Setting Safety vs. Risk,” “Influence of Media, Family, and Friends on Birth Setting Awareness,” “Presence or Absence of Choice and Control,” and “Access to Options.” Discussion Supporting women and birthing people to make informed decisions by providing information about birth setting options and variations in models of care by birth setting is a critical patient‐centered strategy to ensure equitable access to low‐intervention birth settings. Policies that expand affordable health insurance to cover midwifery care in all birth settings are needed to enable people to make informed choices about birth location that align with their values, individual pregnancy characteristics, and preferences.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%