Women and maternity care providers experiences of planned home birth in Northern Ireland: A descriptive survey

Gillen, Patricia; Bamidele, Olufikayo; Healy, Isobel Maria

doi:10.1016/j.wombi.2023.01.005

Cited by 4 publications

(6 citation statements)

References 29 publications

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“…Both reasons are associated with long labour and a higher likelihood of dystocic birth, which, in turn, are related to lower CEQ scores (Dencker et al., 2010; Handelzalts et al., 2016; Hildingsson et al., 2020; Selin et al., 2021). The change in expectations, uncertainty and fear lead to a loss of control over the process and a worse birth experience, as indicated by other authors (Fox et al., 2018; Gaudernack et al., 2020; Gillen et al., 2023b; Handelzalts et al., 2017; Sosa et al., 2018; van Stenus et al., 2017). That said, some authors did not find that women who were transferred during childbirth had worse birth experiences (Forster et al., 2018; Gillen & Clausen, 2018).…”

Section: Discussionmentioning

confidence: 76%

“…The change in expectations, uncertainty and fear lead to a loss of control over the process and a worse birth experience, as indicated by other authors (Fox et al., 2018; Gaudernack et al., 2020; Gillen et al., 2023b; Handelzalts et al., 2017; Sosa et al., 2018; van Stenus et al., 2017). That said, some authors did not find that women who were transferred during childbirth had worse birth experiences (Forster et al., 2018; Gillen & Clausen, 2018). However, it should be noted that professional support was the highest‐rated dimension of women who were transferred (3.6 of 4), which is also associated with a better birth experience despite transfer (Gillen et al., 2023a; Sosa et al., 2018).…”

Section: Discussionmentioning

confidence: 76%

“…Several studies have observed that women who planned a home birth had better experiences than women who chose to deliver in hospital. The home‐birthing women's better experiences were linked to the factors already mentioned: a greater sense of control over the environment, the ability to make their own decisions about the process, continuous support from midwives, and a lower risk of unnecessary interventions or disruptions (Geerts et al., 2017; Gillen et al., 2023b; Hauck et al., 2020; Zielinski et al., 2015).…”

Section: Introductionmentioning

confidence: 99%

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Exploring home births in Catalonia (Spain): A cross‐sectional study of women's experiences and influencing factors

Alcaraz‐Vidal,

Leon‐Larios,

Robleda

et al. 2023

Journal of Advanced Nursing

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AimThe study explores the experiences of women with low‐risk pregnancies and no complications who planned a home birth.DesignA cross‐sectional study was conducted using an online questionnaire.MethodsThe questionnaire included socio‐demographic, obstetric and perinatal variables. Birth satisfaction was evaluated via the Spanish version of the childbirth experience questionnaire. The study group comprised home‐birthing women in Catalonia, Spain. Data were collected from 1 January 2019 to 31 December 2021. Statistical analysis was performed using SPSS.ResultsA total of 236 women responded. They reported generally positive experiences, with professional support and involvement being the most highly rated dimensions. Better childbirth experiences were associated with labour lasting less than 12 h, no perineal injuries, no intrapartum transfers to hospital, euthocic delivery and the presence of a midwife.ConclusionsWomen's positive home birth experiences were linked to active participation and midwife support. Multiparous women felt safer. Medical interventions, especially transfers to hospitals, reduced satisfaction, highlighting the need for improved care during home births.Implications for the Profession and Patient CareHome births should be included among the birthplace options offered by public health services, given the extremely positive feedback reported by women who gave birth at home.ImpactHome birth is not an option offered under Catalonia's public health system only as a private service. The experience of home‐birthing women is unknown. This study shows a very positive birth experience due to greater participation and midwife support. The results help stakeholders assess home birth's public health inclusion and understand valued factors, supporting home‐birthing women.Reporting MethodThe study followed the STROBE checklist guidelines for cross‐sectional studies.Public ContributionWomen who planned a home birth participated in the pilot test to validate the instrument, and their contributions were collected by the lead researcher. The questionnaire gathered the participants' email addresses, and a commitment was made to disseminate the study's results through this means.

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Section: Discussionmentioning

confidence: 76%

Section: Discussionmentioning

confidence: 76%

Section: Introductionmentioning

confidence: 99%

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Exploring home births in Catalonia (Spain): A cross‐sectional study of women's experiences and influencing factors

Alcaraz‐Vidal,

Leon‐Larios,

Robleda

et al. 2023

Journal of Advanced Nursing

View full text Add to dashboard Cite

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“…While homebirth, when carefully planned and supervised by trained birth attendants, can be a good and safe alternative for low-risk pregnancies (25,84,85), it's crucial to be aware of potential health risks, unfavourable outcomes, and safety hazards. The following are the main concerns.…”

Section: Health Concerns Adverse Outcomes and Safety Issues Related T...mentioning

confidence: 99%

“…Limited availability of medical interventions: Access to medical procedures including assisted vaginal delivery, Caesarean sections, and pain management techniques may be restricted in homebirth settings. The ability to successfully manage emergencies may be compromised in the lack of timely access to these therapies (84,95). Additionally, homebirths might not have the emergency supplies, drugs, or equipment needed to handle difficulties quickly.…”

Section: Safety Issuesmentioning

confidence: 99%

Maternal and foeto-neonatal characteristics of home childbirth

Girma Alemu

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Home birth has emerged as a contemporary issue, one of the most controversial and hotly disputed topics in modern maternity care. The debate over home birth involves a wide range of concerns, including safety, accessibility, maternal autonomy, and healthcare system dynamics, revealing a complex interaction of medical, social, and cultural considerations. The studies demonstrate that homebirth can indeed be a safe option for low-risk, healthy pregnant individuals when attended by qualified and licensed birth attendants. While homebirth poses fewer significant health risks for these individuals, it's crucial to acknowledge potential complications such as postpartum haemorrhage and neonatal asphyxia, which may necessitate immediate medical attention. Delayed access to emergency assistance and limited availability of medical procedures in homebirth settings underline the importance of strict risk assessment and preparedness for timely transfer to a medical facility, prioritizing the safety of both the mother and newborn. Analysis of foetal-maternal outcomes suggests that planned home births exhibit consistent safety profiles across different levels of healthcare integration and parity in well developed countries. However, the lack of significant studies from “less-integrated” settings underscores the need for additional studies to draw definitive conclusions. It's imperative to recognize that deliveries with a higher likelihood of complications should still be managed at institutional levels. Achieving safety in homebirth necessitates collaboration among policymakers, healthcare providers, and expectant mothers, along with ongoing research, evaluation, and open dialogue to continually enhance practices and overall safety standards in homebirth settings.

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Health professionals’ perceptions of planned home birth care within the Brazilian health system

Beviláqua,

dos Reis,

Alves

et al. 2023

BMC Pregnancy Childbirth

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Background The American College of Obstetricians and Gynecologists, in its opinion of the Committee on Midwifery Practice, points out that planned home birth is a woman's and family's right to experience, but also to choose and be informed about, their baby's place of birth. The aim of this study was to understand obstetric nurses' perceptions of planned home childbirth care within the framework of the Brazilian obstetric model. Method A qualitative study, with Snowball Sampling recruitment, totaling 20 obstetric nurses through semi-structured interviews between September 2022 and January 2023, remotely, using the Google Meet application and the recording feature. After the data had been collected, the material was transcribed in full and subjected to content analysis in the thematic modality with the support of ATLAS.ti 8.0 software. Results Obstetric care at home emerged as a counterpoint to hospital care and the biomedical model, providing care at home based on scientific evidence and humanization, bringing qualified information as a facilitator of access and financial costs as an obstacle to effective home birth. Conclusion Understanding obstetric nurses' perceptions of planned home birth care in the context of the Brazilian obstetric model shows the need for progress as a public policy and for strategies to ensure quality and regulation.

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Women and maternity care providers experiences of planned home birth in Northern Ireland: A descriptive survey

Cited by 4 publications

References 29 publications

Exploring home births in Catalonia (Spain): A cross‐sectional study of women's experiences and influencing factors

Exploring home births in Catalonia (Spain): A cross‐sectional study of women's experiences and influencing factors

Maternal and foeto-neonatal characteristics of home childbirth

Health professionals’ perceptions of planned home birth care within the Brazilian health system

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