A Qualitative Study of US Women's Perspectives on Confidence for Physiologic Birth in the Birth Center Model of Prenatal Care

Neerland, Carrie E.; Skalisky, Arielle E.

doi:10.1111/jmwh.13349

Cited by 3 publications

(3 citation statements)

References 32 publications

(53 reference statements)

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“…Training classes during pregnancy provide good opportunities for raising the awareness of women and their families and changing their attitudes toward childbirth. Based on these studies, improving women's knowledge and information through promoting their view of childbirth as a natural process and trust in the body's inherent ability to give birth can increase their self-confidence to choose physiologic birth ( 39 , 40 ). As such, childbirth preparation classes taught by midwives are required as an essential and standard part of prenatal care in healthcare centers.…”

Section: Discussionmentioning

confidence: 99%

Women's experiences with implementation of the physiologic birth program in Iran: a qualitative content analysis study

Moridi

Abedi

Iravani

et al. 2023

Front. Glob. Womens Health

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IntroductionIncreased rate of caesarean section (CS) without medical indication is a global concern. According to the guidelines of the World Health Organization (WHO), the physiologic birth program is one of the strategies for reducing the rate of unnecessary caesarean sections. The aim of this study is to explain women's experiences with the implementation of the physiologic birth program in Iran.Materials and methodsThis study is a part of a mixed-method study involving 15 targeted semi-structured interviews individually conducted with women attending physiologic birth classes between January 2022 and June 2022. Interviews continued until data saturation was achieved. Data were analyzed using conventional content analysis approach based on the criteria proposed by Graneheim and Lundman, using MAXQDA10 software.ResultsAnalysis of the findings of the study led to the emergence of 2 themes, 4 categories, and 10 subcategories. The first theme was the positive experiences of the women (“satisfaction with pregnancy” and “making the childbirth process pleasant”), and the second theme was their negative experiences with physiologic birth (“challenges and limitation of physiologic birth program” and “lack of high-quality obstetric services in the public health system”).ConclusionThe results of this study showed that childbirth preparation classes reduced women's fear and stress and enhanced their positive attitude toward vaginal delivery by preparing them for childbirth. Also, effective communication with midwives and their support along with efficient implementation of physiologic birth techniques led to successful pain management and satisfaction with the birth process. Policymakers should implement strategies to remove limitations and make this program accessible to all women.

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Section: Discussionmentioning

confidence: 99%

Women's experiences with implementation of the physiologic birth program in Iran: a qualitative content analysis study

Moridi

Abedi

Iravani

et al. 2023

Front. Glob. Womens Health

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“…Although the influence of external control is linked to the sense of gaining or losing internal control, there is a direct correlation between birth experiences and the “ Support ” that women feel from the health professionals and family during labour and birth [ 42 , 43 ]. Emotional support at the time of stress, can help labouring women feel that they were being taken care of [ 44 ].…”

Section: Discussionmentioning

confidence: 99%

Iranian women’s perception on the determinants of birth experience: a qualitative study

Mirghafourvand

Meedya

Mohammadi

et al. 2022

BMC Pregnancy Childbirth

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Background The prevalence of cesarean birth in Iran is very high. Having a negative childbirth experience is one of the reasons that primiparous women provide to prefer caesarean birth over a vaginal birth. This study is aimed to understand women’s perspective on what determines a positive or negative birth experience for them. Methods This qualitative study is a part a mixed method study that was conducted among primiparous women with a previous vaginal birth experience. The purpose of the main study was to develop a guideline based on Iranian primiparous women’s birth experiences. The quantitative phase of the study was a cross-sectional study where women’s childbirth experiences was measured in a survey via the Childbirth Experience Questionnaire-2. In the qualitative part of the study, women were invited for an in-depth interview via a random stratified sampling method based on their childbirth mean score (women with 10% of the upper bound score which indicated a positive birth experience and 10% of the lower bound indicating negative birth experience, n = 17). Conventional content analysis was used for data analysis. Results We extracted three main themes: (a) “Internal control”, (b) “External control”, and (c) “Support”. Possessing internal control, having a balanced external control to feel cared and feeling supported were the main reasons for women to feel positive about their birth experiences. Whereas, loss of internal control, imbalanced external control and unsupportive environment were related to their negative childbirth experiences. Conclusion Considering that women’s sense of control, the care and support that they receive can influence their childbirth experiences, there is a need for changing maternity policies and practices to highlight the importance of a woman-centred care to create a pleasant, respectful and positive memory for primirparous women who experience normal vaginal births.

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“…Due to the paucity of literature identifying the components of US birth center models of prenatal care and the relationship to confidence for physiologic birth, we designed a descriptive qualitative study aimed at eliciting the perspectives of birth center midwives and clients of birth centers in the Midwest US. The views of birth center clients have been reported separately 20 …”

Section: Methodsmentioning

confidence: 99%

Prenatal care in US birth centers: Midwives' perceptions of contributors to birthing People's confidence in physiologic birth

Neerland

Delkoski

Skalisky

et al. 2022

Birth

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ObjectiveThe purpose of this study was to describe US freestanding birth center models of prenatal care and to examine how the components of this care contribute to birthing people's confidence in their ability to have a physiologic birth.DesignThis was a qualitative descriptive study utilizing semi‐structured interviews with birth center midwives. Data were analyzed using thematic analysis, constant comparative method and consensus coding to ensure rigor.Setting and ParticipantsMidwives from six urban and rural freestanding birth centers in a Midwestern US state were interviewed. Twelve birth center midwives participated.FindingsSix themes emerged: the birth center physical space and organization of care, dimensions of midwifery care within the birth center, continuity of care and seamless service, the empowered birthing person, physiologic birth as normative, and the hospital paradigm and US cultures of birth.Key ConclusionsWe identified significant components of birth center models of prenatal care that midwives believe enhance birthing people's confidence for physiologic childbirth. These components may be considered for application to other settings and may improve perinatal care and outcomes.

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A Qualitative Study of US Women's Perspectives on Confidence for Physiologic Birth in the Birth Center Model of Prenatal Care

Cited by 3 publications

References 32 publications

Women's experiences with implementation of the physiologic birth program in Iran: a qualitative content analysis study

Women's experiences with implementation of the physiologic birth program in Iran: a qualitative content analysis study

Iranian women’s perception on the determinants of birth experience: a qualitative study

Prenatal care in US birth centers: Midwives' perceptions of contributors to birthing People's confidence in physiologic birth

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