Why home birth? A qualitative study exploring women's decision making about place of birth in two Canadian provinces

Murray‐Davis, Beth; McNiven, Patricia; McDonald, Helen; Malott, Anne; Elarar, Lehe; Hutton, Eileen K.

doi:10.1016/j.midw.2012.01.013

Cited by 66 publications

(51 citation statements)

References 15 publications

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“…In this way, mothers are empowered and actively participate in the childbirth process. Moreover, mothers feel in control of their environment, act based on their desires and preferences, meet their emotional, psychological, and physical needs, and feel comfortable during labor and delivery (35, 36). …”

Section: Discussionmentioning

confidence: 99%

Evaluation of Mackey Childbirth Satisfaction Rating Scale in Iran: What Are the Psychometric Properties?

Moudi

Tavousi

2016

Nurs Midwifery Stud

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BackgroundWith the integration of the evaluation of patient satisfaction in the overall assessment of healthcare services, authorities can be assured about the alignment of these services with patient needs and the suitability of care provided at the local level.ObjectivesThis study was conducted in 2013 in Zahedan, Iran, in order to assess the psychometric properties of the Iranian version of the mackey childbirth satisfaction rating scale (MCSRS).Patients and MethodsFor this study, a methodological design was used. After translating the MCSRS and confirming its initial validity, the questionnaires were distributed among women with uncomplicated pregnancies and no prior history of cesarean section. The participants had given birth to healthy, full-term, singletons (with cephalic presentation) via normal vaginal delivery at hospitals within the past six months. Cronbach’s alpha and test-retest (via the intraclass correlation coefficient) were applied to analyze the internal consistency and reliability of the scale. Moreover, the validity of the scale was tested via exploratory factor analysis, confirmatory factor analysis, and convergent validity.ResultsThe MCSRS consists of six subscales. Through the process of validation, two partner-related items (“partner” subscale) of the scale were excluded due to cultural barriers and hospital policies. Cronbach’s alpha for the total scale was 0.78. It ranged between 0.70 and 0.86 for five subscales, and was 0.31 for the “baby” subscale. Factor analysis confirmed the subscales of “nurse,” “physician,” and “baby,” which were identified in the original scale. However, in the translated version, the “self” subscale was divided into two separate dimensions. The six subscales explained 70.37% of the variance. Confirmatory factor analysis indicated a good fitness for the new model. Convergent validity showed a significant correlation between the MCSRS and the SERVQUAL scale (r = 0.72, P < 0.001). Moreover, the Farsi version of the MCSRS showed excellent repeatability (r = 0.81 - 0.96 for individual subscales and r = 0.96 for the entire scale).ConclusionsThe study findings indicated the Farsi version of the MCSRS is a reliable and valid instrument. However, according to the reliability assessment and factor analysis, the “baby” and “self” subscales need further revisions.

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Section: Discussionmentioning

confidence: 99%

Evaluation of Mackey Childbirth Satisfaction Rating Scale in Iran: What Are the Psychometric Properties?

Moudi

Tavousi

2016

Nurs Midwifery Stud

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“…Women who gave birth in hospital complained that they had to get into their car shortly after they gave birth and women who planned home birth mentioned the fact that medical help was not nearby as a disadvantage. In a Canadian study too, the thought of having to transport to hospital in established labour made some women choose home birth [30]. …”

Section: Discussionmentioning

confidence: 99%

Continuity of care: what matters to women when they are referred from primary to secondary care during labour? a qualitative interview study in the Netherlands

Jonge¹,

Stuijt²,

Eijke³

et al. 2014

BMC Pregnancy Childbirth

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BackgroundContinuity of care during labour is important for women. Women with an intrapartum referral from primary to secondary care look back more negatively on their birh experience compared to those who are not referred. It is not clear which aspects of care contribute to this negative birth experience. This study aimed to explore in-depth the experiences of women who were referred during labour from primary to secondary care with regard to the different aspects of continuity of care.MethodsA qualitative interview study was conducted in the Netherlands among women who were in primary care at the onset of labour and were referred to secondary care before the baby was born. Through purposive sampling 27 women were selected. Of these, nine women planned their birth at home, two in an alongside midwifery unit and 16 in hospital. Thematic analysis was used.ResultsContinuity of care was a very important issue for women because it contributed to their feeling of safety during labour. Important details were sometimes not handed over between professionals within and between primary and secondary care, in particular about women’s personal preferences. In case of referral of care from primary to secondary care, it was important for women that midwives handed over the care in person and stayed until they felt safe with the hospital team. Personal continuity of care, in which case the midwife stayed until the end of labour, was highly appreciated but not always expected.Fear of transportion during or after labour was a reason for women to choose hospital birth but also to opt for home birth. Choice of place of birth emerged as a fluid concept; most women planned their place of birth during pregnancy and were aware that they would spend some time at home and possibly some time in hospital.ConclusionsIn case of referral from primary to secondary care during labour, midwives should hand over their care in person and preferrably stay with women throughout labour. Planned place of birth should be regarded as a fluid concept rather than a dichotomous choice.

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“…It is essential to let adequate time for mother to become familiar with midwife, to sense confidence that midwife had sufficient time for mother and for midwife to be taught to the woman's requirements (33).…”

Section: Discussionmentioning

confidence: 99%

Respect to Women’s Autonomy in Childbirth: A Qualitative Study

Rabor¹,

Taghipour²,

Najmabadi³

et al. 2016

Iran Red Crescent Med J

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Background: Respect to women's autonomy in vaginal child birth is a key factor of maternity care. Engaging women in decisionmaking in vaginal delivery helps women have a positive experience of delivery. Objectives: In this content analysis of qualitative study we explored experiences of mothers and midwives in women's role in normal vaginal childbirth. Methods: This study was conducted in 2013 -2014 in Iran. Overall 23 women and midwives were evaluated in this study. Data collected from 12 women and 11 midwives via in-depth semi structured interviews. Participants were selected from governmental and private hospitals in Mashhad and Kerman, Iran. Data analysis was performed using conventional content analysis with MAXqda software (version, 2007). Results: Mothers' and midwives' experiences about women's role in vaginal childbirth could be organized and categorized in one theme, referred to "Empowerment of women in vaginal childbirth". This theme consists of two subthemes: "attempts to exhibit self-assertion" and "quest for information" and four categories of compromise with the labor process, cooperation with midwife, finding delivery sources during pregnancy and seeking delivery information in labor. Conclusions: Attention to women active role in vaginal child birth could improve women experience of vaginal delivery.

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Why home birth? A qualitative study exploring women's decision making about place of birth in two Canadian provinces

Cited by 66 publications

References 15 publications

Evaluation of Mackey Childbirth Satisfaction Rating Scale in Iran: What Are the Psychometric Properties?

Evaluation of Mackey Childbirth Satisfaction Rating Scale in Iran: What Are the Psychometric Properties?

Continuity of care: what matters to women when they are referred from primary to secondary care during labour? a qualitative interview study in the Netherlands

Respect to Women’s Autonomy in Childbirth: A Qualitative Study

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