Shared Responsibility in Home Birth Practice: Collaborating With Clients

Bailes, Alice; Jackson, Marsha E.

doi:10.1016/s1526-9523(00)00073-8

Cited by 15 publications

(13 citation statements)

References 16 publications

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“…Bailes and Jackson [47], in a case study, describe the non-hierarchical collaborative approach between women, midwives and the medical system in a homebirth scenario. This is reflected clearly in the St George homebirth program, and appears to be a factor that serves to strengthen the confidence and trust women have in their caregivers, and facilitates women's overall confidence in their decision to give birth at home.…”

Section: Discussionmentioning

confidence: 99%

Multiparous women's confidence to have a publicly-funded homebirth: A qualitative study

2011

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Background: Hospital birth is commonly thought to be a safer option than homebirth, despite many studies showing similar rates of safety for low risk mothers and babies. Recently in Australia, demand has led to the introduction of a small number of publicly-funded homebirth programs. These offer homebirth to selected women who previously would not have considered this option. Women's confidence in having a homebirth through a publicly-funded homebirth program in Australia has not yet been explored. Aim: The aim of the study was to explore the reasons why women feel confident to have a homebirth within a publicly-funded model of care in Australia. Methods: Ten multiparous English-speaking women who chose to have a homebirth with the St George Hospital Homebirth Program were interviewed using semistructured, open-ended questions. A thematic analysis of transcriptions was undertaken. Data were part of a wider set collected as part of a doctoral study. Results: Women demonstrated a strong confidence in their ability to give birth at home and described a confidence in their bodies, their midwives, and the health system. Women weighed up the risks of homebirth through information they gathered and integration with their previous experience of birth, their family support and selfconfidence. Discussion: The publicly-funded hospital homebirth program strengthened the confidence of women to choose this model of care. Conclusion: Women choosing publicly-funded homebirth display strong confidence in both themselves to give birth at home, and their belief in the health system's ability to cope with any complications that may arise.

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Section: Discussionmentioning

confidence: 99%

Multiparous women's confidence to have a publicly-funded homebirth: A qualitative study

2011

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“…James (1997), whose doctoral work examined the midwife-woman relationship, speaks of midwives being with women through the 'physical and emotional care they provide during pregnancy' and further suggests that 'midwives and women experience birth together' (vii). Overall, working in partnership with women is prominently advised and Bailes and Jackson (2000), whose study focuses on home birth, discuss the 'client and midwife work[ing] together in partnership [to] create ... the process of care' (537). Throughout, there is little suggestion that the formation of this relationship is ever other than seamless and it is difficult to find studies that critique the bond.…”

Section: Is This Intimate Midwife-woman Relationship Always Achievable?mentioning

confidence: 99%

‘With woman’ philosophy: examining the evidence, answering the questions

Carolan

Hodnett

2007

Nursing Inquiry

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'With woman', 'woman centred' and 'in partnership with women' are new terms associated with midwifery care in Australia, and the underlying philosophy has emerged both as an antidote to the medicalisation of pregnancy and in a bid to reacquaint women with their natural capacity to give birth successfully and without intervention. A reorientation of midwifery services in the 1990s, a shift towards midwifery-led care (MLC) and the subsequent introduction of direct entry midwifery programs all contributed to this new direction. Central concepts are a focus on the childbearing woman and a valuing of women's experiences. While this philosophical re-alignment has been applauded by many midwives in terms of maternal empowerment and improved autonomy for midwives, there are nonetheless some concerns that, with its emphasis on normality, midwifery-led care is in danger of becoming an exclusionary model. Particular concerns include meeting the needs of a growing cohort of women, those with 'high risk' pregnancies, and the educational adequacy of direct entry midwifery programs. To date, there has been no thorough evaluation of this emerging midwifery philosophy in Australia. In order to open the debate, this paper aims to initiate a discussion of 'with woman' midwifery care as it applies to Australian practice.

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“…7,29 When meeting with a woman who is exploring the option of a planned home birth, the midwife reviews the midwife's responsibilities and the woman's role in preparing for a birth at home. 31 Responsibilities of the midwife, which are similar in all birth settings, include the following: During pregnancy, preexisting conditions or changes in the woman's health status may require consultation, collaboration, or referral with other health care professionals to determine the potential for a spontaneous vaginal birth and a healthy newborn, in order to identify the optimal site for birth. 26 Similarly, during labor or after the birth, changes in the health status of the woman, fetus, or newborn may require transfer of care to a hospital to access resources that may optimize health outcomes.…”

Section: Planning a Home Birth: Informed Choice And Shared Responsibimentioning

confidence: 99%

Midwifery Provision of Home Birth Services

2015

J Midwife Womens Health

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The number of women in the United States choosing to give birth at home has risen substantially in the past decade, creating an increased need for understanding of the evidence regarding the provision of midwifery care to women and families considering this option. The safety of home birth has been evaluated in observational studies in several industrialized nations, including the United States. Most studies find that women who are essentially healthy at term with a singleton fetus and give birth at home have positive outcomes and a lower rate of interventions during labor. Although some studies have found increased neonatal morbidity and mortality in newborns born at home when compared to newborns born in a hospital, the absolute numbers reported in both birth sites are very low. The purpose of this clinical bulletin is to review the evidence on provision of care to women and families who plan to give birth at home, including roles and responsibilities, shared decision making, informed consent, and ongoing assessment for birth site selection.

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Shared Responsibility in Home Birth Practice: Collaborating With Clients

Cited by 15 publications

References 16 publications

Multiparous women's confidence to have a publicly-funded homebirth: A qualitative study

Multiparous women's confidence to have a publicly-funded homebirth: A qualitative study

‘With woman’ philosophy: examining the evidence, answering the questions

Midwifery Provision of Home Birth Services

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