The Experience of Planned Home Birth: Views of the First 500 Women

Abstract

Women who planned a home birth with a registered midwife in British Columbia were overwhelmingly positive about their experience. Our qualitative report underscores the value women place on having the choice to give birth at home.

Childbirth traditions and cultural perceptions of safety in Nepal: Critical spaces to ensure the survival of mothers and newborns in remote mountain villages

“…Therefore, any understanding of women's pregnancy and childbirth experiences requires understanding their culture, tradition and social values because the degree of control and type of choice that women can make during pregnancy and childbirth depends on societal values and what societies offer to reproductive women (Janssen et al, 2009;Dahlen et al, 2010a;Lindgren and Erlandsson, 2010;Namey and Lyerly, 2010;Douglas, 2011;Snowden et al, 2011). Women have the right to control and decide freely and responsibly about their reproductive health and women giving birth have the right to make decisions according to their wishes and preferences (United Nations, 1995).…”

Planned and Unplanned Home Birth

“…Araştırmalar kadınların evde doğum yapmayı neden seçtikleri ile ilgili birçok nedeni belirlemiştir (12)(13)(14)(15)(16)(17)(18) . Bunlar, düşük müdahaleli doğum isteği, özel-likle oksitosin, epidural analjezi, farmakolojik ağrı kesici, epizyotomi, enstrümantal vajinal doğum ve sezaryen doğumdan kaçınma isteği, kültürel veya dini endişeler, hastane doğumunun iyatrojenik komplikasyonları hakkında bir endişe, hastane bakımından korkma ve memnuniyetsizlik, doğum sürecinde özgürlük ve kontrol arzusu, aile ve arkadaşlar tarafın-dan çevrili rahat, tanıdık bir ortamda doğum yapma arzusu, ulaşım erişimin olmaması (kırsal alanlar) ve ekonomik kaygılardır.…”

U.S. Nulliparas’ Reasons for Expected Provider Type and Childbirth Setting

“…Maternal desire for active involvement and control was a reason cited in multiple studies (Boucher, Bennett, McFarlin, & Freeze, 2009;Janssen, Henderson, & Vedam, 2009;Murray-Davis et al, 2012;Ng & Sinclair, 2002;van Haaren-ten et al, 2012;Viisainen, 2001), as was the belief that birth is a natural process and not an illness (Boucher et al, 2009;Jimenez et al, 2010;Neuhaus, Piroth, Kiencke, Göhring, & Mallman, 2002;Ng & Sinclair, 2002;Viisainen, 2001). Another commonly cited reason is that one's home is a familiar and familial environment that allows for comfort, intimacy, and privacy (Bashour & Abdulsalam, 2005;Boucher et al, 2009;Hildingsson, Waldenström, & Rådestad, 2003;Janssen et al, 2009;Murray-Davis et al, 2012;Ng & Sinclair, 2002; were asked to identify their expected childbirth setting (hospital, birth center inside a hospital, freestanding birth center, home, or unsure/don't know) followed by the free-response item "Why have you chosen the location you just indicated?" Items relating to demographics also were collected.…”

“…van Haaren-ten et al, 2012). Some women elected home birth as a way of avoiding pain medication and other medical interventions (Boucher et al, 2009;Hildingsson et al, 2003;Janssen et al, 2009;Murray-Davis et al, 2012;Neuhaus et al, 2002) and/or in response to a previous negative hospital experience (Boucher et al, 2009;Viisainen, 2001). In the few studies in which women reported reasons for selecting the hospital setting, safety was a prime motivator, especially in the event of complications (Hildingsson et al, 2003;Miller & Shriver, 2012;van Haaren-ten et al, 2012).…”