scholarly journals Evitar la violencia obstétrica: motivo para decidir el parto en casa.

MUSAS ◽  
2019 ◽  
Vol 4 (2) ◽  
Author(s):  
Teresa Mª Martínez-Mollá ◽  
José Siles ◽  
Mª del Carmen Solano
Keyword(s):  
Software Package ◽  
Life Stories ◽  
Home Birth ◽  
Natural Process ◽  
Hospital Birth ◽  
Qualitative Research Design ◽  
Obstetric Violence ◽  
Beliefs And Values ◽  
Planned Home Birth ◽  
Depth Interviews

Objectives This study aims to identify the reasons why couples prefer home over hospital birth. Methodology The methodology is an ethnographic qualitative research design carried out in the Alicante Province between 2009 and 2014. Eleven couples that had had at least one planned home birth took part in the study. Twenty-one in-depth interviews and two life stories were carried out and five written records were obtained. For the analysis of the results, we relied on ethnography, the structural-dialectic model, and the software package ATLAS-ti v6.2. Results Three categories were identified: values, beliefs, and wishes. Among the values, it was highlighted that the participants were socially committed and critical with the system. The men were protective, respectful and participative, while the women were highly empowered, confident in their intuition and their capacity to give birth. They believe that delivery is a natural process that usually proceeds normally, a family act and a meaningful moment. Concerning home birth, they consider that there is less risk, their wishes are respected, and the father has a bigger role, contrary to what happens in a hospital birth. Participants wished to continue the tradition and for their rights to be respected and avoiding obstetric violence. Conclusions With their decision, these couples manifested their disagreement with some beliefs rooted in society and thus they refused hospital birth. When comparing the attention received both at home and at the hospital, they chose home birth to avoid obstetric violence and to have their beliefs and values respected.

scholarly journals Experience of women in the transfer from planned home birth to hospital

Rev Rene ◽  
2020 ◽  
Vol 21 ◽  
pp. e43948
Author(s):  
Marina Fabricio Ribeiro Pereira ◽  
Suéllen de Sousa Rodrigues ◽  
Mariana de Sousa Dantas Rodrigues ◽  
Wilma Ferreira Guedes Rodrigues ◽  
Morganna Guedes Batista ◽  
...  
Keyword(s):  
Oral History ◽  
Home Environment ◽  
Home Birth ◽  
Structured Interview ◽  
Motivating Factors ◽  
Obstetric Violence ◽  
Hospital Transfer ◽  
Positive Experiences ◽  
Planned Home Birth ◽  
Experiences Of Women

Objective: to describe the experiences of women in the transfer from planned home birth to the hospital. Methods: qualitative research, subsidized by Thematic Oral History, in which six women participated, attended by the home birth team and transferred to a maternity ward, during the parturition process. The semi-structured interview script with oral history generated five categories. Results: five thematic categories emerged: Motivating factors for choosing planned home birth; Positive experiences on intrapartum care in the home environment; Indications of hospital transfer; Feelings experienced during and after hospital transfer; Obstetric violence during hospitalization. Conclusion: the motivations for choosing planned home birth favored the positive experience of the parturition process, while hospitalization reflected obstetric violence.

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

2021 ◽  
Vol 74 (4) ◽  
Author(s):  
Franciele Volpato ◽  
Roberta Costa ◽  
Odaléa Maria Brüggemann ◽  
Juliana Jacques da Costa Monguilhott ◽  
Iris Elizabete Messa Gomes ◽  
...  
Keyword(s):  
Decision Making ◽  
Exploratory Study ◽  
Home Birth ◽  
Qualitative Approach ◽  
Natural Process ◽  
Structured Interviews ◽  
Documentary Sources ◽  
Analysis Process ◽  
Medical Structure ◽  
Planned Home Birth

ABSTRACT 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.

Planned home birth and the association with neonatal hypoxic ischemic encephalopathy

2017 ◽  
Vol 45 (9) ◽  
Author(s):  
Shane W. Wasden ◽  
Stephen T. Chasen ◽  
Jeffrey M. Perlman ◽  
Jessica L. Illuzzi ◽  
Frank A. Chervenak ◽  
...  
Keyword(s):  
Mode Of Delivery ◽  
Birth Certificate ◽  
Home Birth ◽  
Hypoxic Ischemic Encephalopathy ◽  
Hospital Birth ◽  
Head Cooling ◽  
Vital Records ◽  
Planned Home Birth ◽  
Ischemic Encephalopathy ◽  
Normal Controls

AbstractObjective:To evaluate the association between planned home birth and neonatal hypoxic ischemic encephalopathy (HIE).Methods:This is a case-control study in which a database of neonates who underwent head cooling for HIE at our institution from 2007 to 2011 was linked to New York City (NYC) vital records. Four normal controls per case were then randomly selected from the birth certificate data after matching for year of birth, geographic location, and gestational age. Demographic and obstetric information was obtained from the vital records for both the cases and controls. Location of birth was analyzed as hospital or out of hospital birth. Details from the out of hospital deliveries were reviewed to determine if the delivery was a planned home birth. Maternal and pregnancy characteristics were examined as covariates and potential confounders. Logistic regression was used to determine the odds of HIE by intended location of delivery.Results:Sixty-nine neonates who underwent head cooling for HIE had available vital record data on their births. The 69 cases were matched to 276 normal controls. After adjusting for pregnancy characteristics and mode of delivery, neonates with HIE had a 44.0-fold [95% confidence interval (CI) 1.7–256.4] odds of having delivered out of hospital, whether unplanned or planned. Infants with HIE had a 21.0-fold (95% CI 1.7–256.4) increase in adjusted odds of having had a planned home birth compared to infants without HIE.Conclusion:Out of hospital birth, whether planned home birth or unplanned out of hospital birth, is associated with an increase in the odds of neonatal HIE.

scholarly journals Why women chose unassisted home birth in Malaysia: A qualitative study

2019 ◽  
Author(s):  
Nur Amani @ Natasha Ahmad Tajuddin ◽  
Julia Suhaimi ◽  
Siti Nurkamilla Ramdzan ◽  
Ahmad Ihsan Abu Bakar ◽  
Khasnur Abdul Malek ◽  
...  
Keyword(s):  
Healthcare Delivery ◽  
Home Birth ◽  
Personal Beliefs ◽  
Healthcare Delivery System ◽  
Healthcare Facilities ◽  
Beliefs And Values ◽  
Decision Methods ◽  
Birth Processes ◽  
Birthing Practices ◽  
Depth Interviews

Abstract Background: Reports of unassisted home birthing practices have been increasing in Malaysia despite the accessibility to safe and affordable child delivery facilities. We aimed to explore the reasons for women to make such decision. Methods: Twelve mothers participated in-depth interviews. They were identified using snowballing approach. The interviews were supported by a topic guide which was developed based on the Theory of Planned Behaviour and previous literature. The interviews were audio recorded, transcribed verbatim and analysed using thematic analysis. Results: Women in this study described a range of birthing experiences and personal beliefs to why they chose unassisted home birth. Four themes emerged from the interviews; i) preferred birthing experience, ii) a natural process, iii) expressing autonomy and iv) faith, as reasons for choosing unassisted homebirth. Such decision was firm and strong despite the possible risks and complications that can occur during home birthing. Giving birth is perceived to occur naturally regardless of assistance and home birthing provide the preferred environment which health facilities may lack. Women believed that they were much in control of the birth processes apart from fulfilling the spiritual beliefs. Conclusions: Women may choose unassisted home birth to express their personal beliefs and values, at the expense of the health risks. Apart from increasing mothers’ awareness of the possible complications arising from unassisted home births, urgent efforts is needed to providing a better birth experiences in healthcare facilities that resonate with the mothers’ beliefs and values. Keywords: Home birth; free birth; unassisted home birth; Malaysia; healthcare delivery system; qualitative.

scholarly journals Why women chose unassisted home birth in Malaysia: A qualitative study

2020 ◽  
Author(s):  
Nur Amani @ Natasha Ahmad Tajuddin ◽  
Julia Suhaimi ◽  
Siti Nurkamilla Ramdzan ◽  
Khasnur Abd Malek ◽  
Ilham Ameera Ismail ◽  
...  
Keyword(s):  
Theory Of Planned Behaviour ◽  
Home Birth ◽  
Personal Beliefs ◽  
Spiritual Beliefs ◽  
Topic Guide ◽  
Healthcare Facilities ◽  
Beliefs And Values ◽  
Birth Processes ◽  
Birthing Practices ◽  
Depth Interviews

Abstract Background: Incidences of unassisted home birthing practices have been increasing in Malaysia despite the accessibility to safe and affordable child birthing facilities. We aimed to explore the reasons for women to make such decisions. Methods: Twelve women participated in in-depth interviews. They were recruited using a snowballing approach. The interviews were supported by a topic guide which was developed based on the Theory of Planned Behaviour and previous literature. The interviews were audio-recorded, transcribed verbatim and analysed using thematic analysis.Results: Women in this study described a range of birthing experiences and personal beliefs as to why they chose unassisted home birth. Four themes emerged from the interviews; i) preferred birthing experience, ii) birth is a natural process, iii) expressing autonomy and iv) faith. Such decision to birth at home unassisted was firm and steadfast despite the possible risks and complications that can occur. Giving birth is perceived to occur naturally regardless of assistance, and unassisted home birth provides the preferred environment which health facilities in Malaysia may lack. They believed that they were in control of the birth processes apart from fulfilling the spiritual beliefs.Conclusions: Women may choose unassisted home birth to express their personal views and values, at the expense of the health risks. Apart from increasing mothers' awareness of the possible complications arising from unassisted home births, urgent efforts are needed to provide better birth experiences in healthcare facilities that resonate with the mothers’ beliefs and values.

scholarly journals Why women chose unassisted home birth in Malaysia: A qualitative study

2020 ◽  
Author(s):  
Nur Amani @ Natasha Ahmad Tajuddin ◽  
Julia Suhaimi ◽  
Siti Nurkamilla Ramdzan ◽  
Khasnur Abd Malek ◽  
Ilham Ameera Ismail ◽  
...  
Keyword(s):  
Theory Of Planned Behaviour ◽  
Home Birth ◽  
Personal Beliefs ◽  
Spiritual Beliefs ◽  
Topic Guide ◽  
Healthcare Facilities ◽  
Beliefs And Values ◽  
Birth Processes ◽  
Birthing Practices ◽  
Depth Interviews

Abstract Background: Incidences of unassisted home birthing practices have been increasing in Malaysia despite the accessibility to safe and affordable child birthing facilities. We aimed to explore the reasons for women to make such decisions. Methods: Twelve women participated in in-depth interviews. They were recruited using a snowballing approach. The interviews were supported by a topic guide which was developed based on the Theory of Planned Behaviour and previous literatures. The interviews were audio recorded, transcribed verbatim and analysed using thematic analysis. Results: Women in this study described a range of birthing experiences and personal beliefs as to why they chose unassisted home birth. Four themes emerged from the interviews; i) preferred birthing experience, ii) birth is a natural process, iii) expressing autonomy and iv) faith. Such decision to birth at home unassisted was firm and strong despite the possible risks and complications that can occur. Giving birth is perceived to occur naturally regardless of assistance, and unassisted home birth provides the preferred environment which health facilities in Malaysia may lack. They believed that they were in control of the birth processes apart from fulfilling the spiritual beliefs. Conclusions: Women may choose unassisted home birth to express their personal beliefs and values, at the expense of the health risks. Apart from increasing mothers’ awareness of the possible complications arising from unassisted home births, urgent efforts are needed to provide better birth experiences in healthcare facilities that resonate with the mothers’ beliefs and values.

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