The father’s decision making in home birth

Martínez-Mollá, Teresa; Solano-Ruiz, MCarmen; González, José Siles; Sánchez-Peralvo, Marta; Méndez-Pérez, Gemma

doi:10.17533/udea.iee.v33n3a22

Cited by 4 publications

(4 citation statements)

References 19 publications

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“…In fact, most of them initially had no firm views about the impending birth and would not have raised the idea of going outside conventional care themselves. This is in line with other studies [18][19][20]22,33], where the pregnant woman initiated conversations about birth options that were against convention or medical recommendation. Often these plans originated in a previous traumatic experience in maternity care, where the women experienced a cascade of interventions and lack of shared decision making [18,20,24,28].…”

Section: The Women Take the Lead And Filter Informationsupporting

confidence: 89%

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‘She convinced me’- partner involvement in choosing a high risk birth setting against medical advice in the Netherlands: A qualitative analysis

Hollander¹,

Miranda

Smit

et al. 2020

PLoS ONE

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Home births in high risk pregnancies and unassisted childbirth seem to be increasing in the Netherlands. There is a lack of qualitative data on women's partners' involvement in these choices in the Dutch maternity care system, where integrated midwifery care and home birth are regular options in low risk pregnancies. The majority of available literature focuses on the women's motivations, while the partner's influence on these decisions is much less well understood. We aimed to examine partners' involvement in the decision to birth outside the system, in order to provide medical professionals with insight and recommendations regarding their interactions with these partners in the outpatient clinic. An exploratory qualitative research design with a constructivist approach and a grounded theory method were used. In-depth interviews were performed with twenty-one partners on their involvement in the decision to go against medical advice in choosing a high risk childbirth setting. Open, axial and selective coding of the interview data was done in order to generate themes. Four main themes were found: 1) Talking it through, 2) A shared vision, 3) Defending our views, and 4) Doing it together. One overarching theme emerged that covered all other themes: 'She convinced me'. These data show that the idea to choose a high risk birth setting almost invariably originated with the women, who did most of the research online, filtered the information and convinced the partners of the merit of their plans. Once the partners were convinced, they took a very active and supportive role in defending the plan to the outside world, as well as in preparing for the birth. Maternity care providers can use these findings in cases where there is a discrepancy between the wishes of the woman and the advice of the professional, so they can attempt to involve partners actively during consultations in pregnancy. That will ensure that partners also receive information on all options, risks and benefits of possible birth choices, and that they are truly in support of a final plan.

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Section: The Women Take the Lead And Filter Informationsupporting

confidence: 89%

“…Several studies have been done in countries where all home births are against medical advice. Three Scandinavian studies [19][20][21] and a Spanish study [22] have similar findings as the studies quoted above: the idea for a home birth came from the women. The men had doubts at first, but were eventually in agreement with the women.…”

Section: Introductionsupporting

confidence: 70%

‘She convinced me’- partner involvement in choosing a high risk birth setting against medical advice in the Netherlands: A qualitative analysis

Hollander¹,

Miranda

Smit

et al. 2020

PLoS ONE

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“…During decision making, the baby's partner/father assumes an important position as a motivator (6,32) , playing a significant role in decision making, as his support allows the woman to feel confident in choosing the place of delivery, as reported by E4. As a relational being, the mother's decision will not be isolated or independent.…”

Section: Discussionmentioning

confidence: 99%

“…That is, when the woman chooses the location of birth, several factors of the socio-cultural context in which she lives are influencing this decision. Thus, talking about her interests allows her to add information so that she can assertively choose the place of birth (32) .…”

Section: Discussionmentioning

confidence: 99%

Information that (de)motivate women’s decision making on Planned Home Birth

et al. 2021

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Objective: To understand how information about Planned Home Birth motivates or discourages women’s decisions on this location of birth. Method: Descriptive exploratory study, qualitative approach. Data collection carried out from February to April 2019, through semi-structured interviews with 14 women and documentary sources. The data were analyzed using Bardin’s content analysis process, with the help of ATLAS.ti 8.0. Results: The motivations for choosing Planned Home Birth are: respect for the autonomy and natural process of childbirth and delivery, support from a partner and trust in professionals. Aspects that discourage this choice are fear of complications, the need for a hospital medical structure, opinions that value risk. Conclusion: Women’s choices are based not only on information, but also on how that information is processed. This study demonstrated that the perception pertaining to the safety of Planned Home Birth is essential for making this decision.

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