Women's perceptions of their right to choose the place of childbirth: an integrative review

Hadjigeorgiou, Eleni; Kouta, Christiana; Papastavrou, Evridiki; Papadopoulos, Irena; Mårtensson, Lena

doi:10.1016/j.midw.2011.05.006

Cited by 57 publications

(39 citation statements)

References 45 publications

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“…In their international review of women’s perception of birth choice, Hadjigeourgiou et al [52] also identified that concerns about obstetric safety were prioritised, and that women struggled to assert their autonomy when they wished to plan birth at home. A prospective mixed-methods New Zealand study found similar perspectives on risk and safety in relation to different birth settings to those identified in this QES, but additionally reported that women in New Zealand consistently receive continuity of midwifery care and felt they were the ‘principal birthplace decision-maker’ [53].…”

Section: Discussionmentioning

confidence: 99%

What influences birth place preferences, choices and decision-making amongst healthy women with straightforward pregnancies in the UK? A qualitative evidence synthesis using a ‘best fit’ framework approach

Coxon

Chisholm

Malouf

et al. 2017

BMC Pregnancy Childbirth

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BackgroundEnglish maternity care policy has supported offering women choice of birth setting for over twenty years, but only 13% of women in England currently give birth in settings other than obstetric units (OUs). It is unclear why uptake of non-OU settings for birth remains relatively low. This paper presents a synthesis of qualitative evidence which explores influences on women’s experiences of birth place choice, preference and decision-making from the perspectives of women using maternity services.MethodsQualitative evidence synthesis of UK research published January 1992-March 2015, using a ‘best-fit’ framework approach. Searches were run in seven electronic data bases applying a comprehensive search strategy. Thematic framework analysis was used to synthesise extracted data from included studies.ResultsTwenty-four papers drawing on twenty studies met the inclusion criteria. The synthesis identified support for the key framework themes. Women’s experiences of choosing or deciding where to give birth were influenced by whether they received information about available options and about the right to choose, women’s preferences for different services and their attributes, previous birth experiences, views of family, friends and health care professionals and women’s beliefs about risk and safety. The synthesis additionally identified that women’s access to choice of place of birth during the antenatal period varied. Planning to give birth in OU was straightforward, but although women considering birth in a setting other than hospital OU were sometimes well-supported, they also encountered obstacles and described needing to ‘counter the negativity’ surrounding home birth or birth in midwife-led settings.ConclusionsOver the period covered by the review, it was straightforward for low risk women to opt for hospital birth in the UK. Accessing home birth was more complex and contested. The evidence on freestanding midwifery units (FMUs) is more limited, but suggests that women wanting to opt for an FMU birth experienced similar barriers. The extent to which women experienced similar problems accessing alongside midwifery units (AMUs) is unclear.Women’s preferences for different birth options, particularly for ‘hospital’ vs non-hospital settings, are shaped by their pre-existing values, beliefs and experience, and not all women are open to all birth settings.Electronic supplementary materialThe online version of this article (doi:10.1186/s12884-017-1279-7) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

What influences birth place preferences, choices and decision-making amongst healthy women with straightforward pregnancies in the UK? A qualitative evidence synthesis using a ‘best fit’ framework approach

Coxon

Chisholm

Malouf

et al. 2017

BMC Pregnancy Childbirth

View full text Add to dashboard Cite

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“…5 Moreover, it has been shown that having choice regarding the setting in which to give birth is important to women. 6,7 For many women, birthing locally within their own community is important for personal, social and cultural reasons. 6,8 Despite this, the trend in the location and number of public maternity units over the years has resulted in a reduction in the number of, and centralisation of, services.…”

Section: Introductionmentioning

confidence: 99%

Birthing in rural South Australia: The changing landscape over 20 years

Sweet

Boon

Brinkworth

et al. 2015

Australian J Rural Health

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This study has revealed that almost one quarter of all women residing in rural South Australia relocate to another area to give birth. This is a significant concern for rural women and their families through the expectation of separation, and for the local health services who might now not have the facilities and skills to manage an unplanned maternity presentation. These concerns need to be considered and addressed in order to provide safe and effective care for child-bearing women regardless of location.

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“…Porodnice v raziskavi, ki so izkusile nenačrtovan porod zunaj porodnišnice ob prisotnem zdravstvenem osebju, izkušnjo poroda opisujejo kot pozitivno in opolnomočeno. Občutek nadzora nad dogajanjem in opolnomočenje se hitreje razvijeta, če imata porodnica in babica že pred porodom vzpostavljen pristen medsebojni odnos (Lindgren & Erlandsson, 2010;Hadjigeorgiou, et al, 2012), kot je bilo v večini primerov, ki so bili vključeni v raziskavo. To govori v prid kontinuirani babiški skrbi, ki se začne že v predporodnem obdobju z vzpostavitvijo partnerskega odnosa, ki temelji na sodelovanju in medsebojnem spoštovanju (Stanek Zidarič, et al, 2011) ter pozitivno vpliva na doživljanje poroda in na njegov izid (Sjöblom, et al, 2006).…”

Section: Proces Rojevanja: Rituali Prakse In Doživljanjaunclassified

Izkušnje žensk ob nenačrtovanem porodu zunaj porodnišnice

Kragelj

Prosen

2016

Obzor Zdrav Neg

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IZVLEČEKUvod: Porodi zunaj porodnišnice so v Sloveniji redkost. Nekaj teh porodov se zgodi tudi v Zgornjem Posočju, ki je posebno zaradi svojega geografskega položaja in časovne oddaljenosti do najbližje porodnišnice. Cilj raziskave je bil pridobiti poglobljen vpogled v doživljajski svet porodnic, ki so nenačrtovan porod zunaj porodnišnice izkusile, in zaznati oceno kakovosti ponujene obporodne skrbi skozi občuteno zadovoljstvo. Metode: Raziskava je temeljila na kvalitativni metodologiji. V namenski vzorec je bilo vključenih 10 porodnic, ki so rodile med letoma 2004 in 2014. Podatki so bili pridobljeni s pomočjo delno strukturiranih intervjujev v juniju 2014 in analizirani z metodo analize besedila. Rezultati: Z metodo analize besedila je bilo identificiranih pet tem, in sicer (1) proces rojevanja -rituali, prakse in doživljanja, (2) podoživljanje poroda, (3) v žensko osredotočena skrb, (4) zaznana stopnja zadovoljstva z institucionalno obravnavo in (5) zaznavanje poroda med nosečnostjo -želje in pričakovanja. Diskusija in zaključek: Ugotovitve nakazujejo, da so med porodom v ospredju ljudje, ki so ob porodnici, in njihov odnos do nje. Čeprav se porodnice takrat morda res ne zavedajo vseh morebitnih tveganj, se tega zavedajo zdravstveni delavci ob njej. Vključene v raziskavo so svojo porodno izkušnjo izkusile kot pozitivno in obenem izrazile zadovoljstvo do obporodne zdravstvene oskrbe. Nadaljnje raziskovanje bi moralo vključevati vidik zdravstvenih delavcev. ABSTRACTIntroduction: Out-of-hospital births are rare in Slovenia. Some of these births occur also in the Upper Soča region, mainly due to its geographical location and the travel time to the nearest hospital, specifically. The aim of this study was to obtain a deeper insight into childbearing women's experience of unplanned out-ofhospital birth, and to evaluate the satisfaction with the quality of perinatal care provided. Methods: The study was based on a qualitative methodology. The purposive sample included 10 pregnant women who gave birth between 2004 and 2014. The data were obtained through semi-structured interviews in June 2014 and were analysed by using the method of content analysis. Results: The analysis yields five thematic clusters, namely (1) birth process -rituals, practices and experiences, (2) re-experiencing birth, (3) woman-centred care, (4) perceived level of satisfaction with institutional treatment, and (5) feelings, desires and perceptions of women during pregnancy which are related to birth. Discussion and conclusion: The findings suggest that during unplanned out-of-hospital birth, the most important is the active and passive support of persons present and their attitude towards the woman in labour. Although women are not fully aware of all potential risks, the health professional present should be prepared and take all the preventive measures. The study participants perceived home birth as a positive experience and also expressed high level of satisfaction with perinatal health care. Further research should be undertaken to investig...

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Women's perceptions of their right to choose the place of childbirth: an integrative review

Cited by 57 publications

References 45 publications

What influences birth place preferences, choices and decision-making amongst healthy women with straightforward pregnancies in the UK? A qualitative evidence synthesis using a ‘best fit’ framework approach

What influences birth place preferences, choices and decision-making amongst healthy women with straightforward pregnancies in the UK? A qualitative evidence synthesis using a ‘best fit’ framework approach

Birthing in rural South Australia: The changing landscape over 20 years

Izkušnje žensk ob nenačrtovanem porodu zunaj porodnišnice

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