Reactions to Transfer Out of a Hospital Birth Center: a Pilot Study

Shaw, Briony

doi:10.1111/j.1523-536x.1985.tb00953.x

Cited by 8 publications

(9 citation statements)

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“…Previous studies of transfer from “low‐tech” birthing units to consultant obstetric care indicate intrapartum transfer rates of about 12% (2), and 30% for antenatal transfer (3,4), similar to those in this article. Most outcome studies of midwife‐attended births (5–7) focus upon maternal and infant mortality and morbidity rates, but exclude psychological outcomes.…”

supporting

confidence: 83%

Women's Experiences of Transfer From a Midwife‐led to a Consultant‐led Maternity Unit in the Uk During Late Pregnancy and Labor

Walker

2000

J Midwife Womens Health

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supporting

confidence: 83%

Women's Experiences of Transfer From a Midwife‐led to a Consultant‐led Maternity Unit in the Uk During Late Pregnancy and Labor

Walker

2000

J Midwife Womens Health

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“…Other studies of women’s experience of transfer have not explicitly explored women’s experience of the ambulance or car journey from one birth setting to another [15-20]. Research on the journey from home to hospital in early labour for women in rural settings has also been carried out, but gives only limited insight into the experience of women who transfer, usually in established labour, from their planned birth setting to hospital [37,38].…”

Section: Discussionmentioning

confidence: 99%

“…There have been a number of evaluations of midwifery units, both in the UK and other parts of the world [8], some of which have explored women’s experience of being cared for within this type of unit [9-15]. A small number of mostly qualitative studies have explored women’s experience of transfer [15-20]. These studies give some indication of common themes, including feelings of disappointment after transfer [15,18-20], the importance of choice, control and continuity [15,18,19], and, from one study, a suggestion that women’s feelings of disappointment could be ameliorated by preparation and explanation during the antenatal period, during labour and postnatally [18].…”

Section: Introductionmentioning

confidence: 99%

Women’s experience of transfer from midwifery unit to hospital obstetric unit during labour: a qualitative interview study

Rowe

Kurinczuk

Locock

et al. 2012

BMC Pregnancy Childbirth

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BackgroundMidwifery units offer care to women with straightforward pregnancies, but unforeseen complications can arise during labour or soon after birth, necessitating transfer to a hospital obstetric unit. In England, 21% of women planning birth in freestanding midwifery units are transferred; in alongside units, the transfer rate is 26%. There is little high quality contemporary evidence on women’s experience of transfer.MethodsWe carried out a qualitative interview study, using semi-structured interviews, with women who had been transferred from a midwifery unit (freestanding or alongside) in England up to 12 months prior to interview. Maximum variation sampling was used. Interviews with 30 women took place between March 2009 and March 2010. Thematic analysis using constant comparison and exploration of deviant cases was carried out.ResultsMost women hoped for or expected a natural birth and did not expect to be transferred. Transfer was disappointing for many; sensitive and supportive care and preparation for the need for transfer helped women adjust to their changing circumstances. A small number of women, often in the context of prolonged labour, described transfer as a relief. For women transferred from freestanding units, the ambulance journey was a “limbo” period. Women wondered, worried or were fearful about what was to come and could be passive participants who felt like they were being “transported” rather than cared for. For many this was a direct contrast with the care they experienced in the midwifery unit. After transfer, most women appreciated the opportunity to talk about their experience to make sense of what happened and help them plan for future pregnancies, but did not necessarily seek this out if it was not offered.ConclusionsTransfer affects a significant minority of women planning birth in midwifery units and is therefore a concern for women and midwives. Transfer is not expected by women, but sensitive care and preparation can help women adjust to changing circumstances. Particular sensitivity around decision-making may be required by midwives caring for women during prolonged labour. Some apparently straightforward changes to practice have the potential to make an important difference to women’s experience of ambulance transfer.

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“…Zu nennen sind der Erhebungsort [27,36,37], die Methode der Befragung [38] und der Zeitpunkt der Befragung [39]. Bis auf wenige Ausnahmen [40] wird in den meisten Studien im frühen Wochenbett erhoben: kurz nach der Geburt [11], ein bis zwei Tage später [22,41], drei Tage später [40], vier bis fünf Tage später [42], drei Wochen nach der Geburt [43], sechs Wochen nach der Geburt [44] oder auch zwei Monate nach der Geburt [12,45].…”

Section: Gesundheitsförderliche Aspekte Des Gebärensunclassified

Die Geburtserfahrung - eine Übersichtsarbeit

2003

Geburtsh Frauenheilk

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EinleitungDie Befindlichkeit der Gebärenden erfreut sich seit über zwei Dekaden eines groûen Forschungsinteresses [1]. Während in der deutschen Umgangssprache verschiedene Ausdrücke gewählt werden (z. B. Geburtserleben), hat sich die Forschung im angloamerikanischen Raum längst auf den Terminus der Geburtserfahrung geeinigt, so dass dieser auch hier verwendet wird. Berichte über eine traumatisch erlebte Geburt sind nicht selten der Anlass für ein Interesse des Klinikers an diesem Thema [2, 3]. ZusammenfassungDie Geburtserfahrung ist ein multidimensionales Konstrukt mit ausgeprägter Forschungsaktivität. Vier Faktorengruppen beeinflussen im Wesentlichen die Geburtserfahrung: geburtshilfliche und analgetische Maûnahmen, Beziehungsfaktoren, anamnestische Faktoren sowie die intrapartale persönliche Erfahrung. Üblicherweise wird die Geburtserfahrung im Wochenbett im Rahmen eines Zufriedenheitsscores ermittelt. Da dieser Zufriedenheitsscore ein sehr allgemeines Konstrukt ist, der seinerseits auf Subdimensionen verweist, kommt es zu Verzerrungen bei der Erhebungssituation. Vorgeschlagen wird, die Erfahrungen während des Gebärens zu analysieren und damit den Pfad der Post-hoc-Rationalisierung zu verlassen. Dabei wird eine dynamisch angelegte Wohlbefindensforschung angestrebt, die zur Gesundheitsförderung in einer grenzwertig belasteten Situation beitragen soll. Schlüsselwörter Geburtserfahrung´Zufriedenheitsforschung´WohlbefindenǴ esundheitsförderung AbstractThe last two decades have seen an increasing interest in research in the area of birth experiences. The research has focussed on four areas with regard to their influence on the birth experience. These areas included obstetric and analgesic variables, relational parameters, prenatal development and intrapartum subjective experience. Birth experience is generally ascertained in the early puerperium with regard to an overall satisfaction score. Bias is due to various situational factors. Problems in satisfaction research arise from the fact that birth experience cannot be assessed through one single item. We suggest to analyse birth experience already during labour and therefore try to contribute towards a dynamic approach to well-being in birthing. Übersicht321 Institutsangaben Frauenklinik der MHH im Oststadtkrankenhaus, Hannover Korrespondenzadresse Dr. Mechthild M. Groû´Frauenklinik der MHH im Oststadtkrankenhaus´Podbielskistraûe 380´30659

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Reactions to Transfer Out of a Hospital Birth Center: a Pilot Study

Abstract: Whereas a questionnaire survey of reactions to transfer from a midwiferun birth center indicated that transfer was reasonably well tolerated, later interviews conducted at home by nonmedical personnel detected more negative and critical reactions. (BIRTH 12:3, Fall 1985)

Cited by 8 publications

References 2 publications

Women's Experiences of Transfer From a Midwife‐led to a Consultant‐led Maternity Unit in the Uk During Late Pregnancy and Labor

Women's Experiences of Transfer From a Midwife‐led to a Consultant‐led Maternity Unit in the Uk During Late Pregnancy and Labor

Women’s experience of transfer from midwifery unit to hospital obstetric unit during labour: a qualitative interview study

Die Geburtserfahrung - eine Übersichtsarbeit

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