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Abstract: Background: Childbirth can be an empowering event in a woman’s life. However, little is known about women’s own perceptions of power and empowering sources during childbirth. This study aimed to describe the factors experienced as empowering during a planned home birth.
Methods: The inclusion criteria were women in Sweden who had a planned home birth between 1992 and 2005. All the women...
Background: A challenge of obstetric care is to optimize maternal and infant health outcomes and the mother’s experience of childbirth with the least possible intervention in the normal process. The aim of this study was to investigate the effects of modified birth center care on obstetric procedures during delivery and on maternal and neonatal outcomes.
Methods: In a cohort study 2,555 women who...
Abstract: Background: Breastfeeding involves learning for women and their infants. For emotional, social, and developmental reasons this type of feeding is recommended for all newborn infants but for those in exceptional circumstances. The objective of this study was to gain a better understanding of what is needed in the early days to enable women to initiate and continue breastfeeding their infants...
Abstract: Background: The media both creates and reflects public opinion. The way in which health professionals are depicted in the media is likely to influence views held by and about different health professions. The aim of this study was to examine how midwives and obstetricians are reported in English language web‐based news reports from around the world.
Methods: News alerts from the Internet...
The “Birthplace in England” study compared low‐risk pregnancies by planned place of birth at the onset of labor: home, midwifery unit, or obstetric unit. The study showed that childbirth interventions were less frequent in all nonobstetric settings than in obstetric units, confirming what has been noted elsewhere. For parous women, there was no difference in perinatal outcomes by place of birth. For...
Background“Place of birth” studies have consistently shown reduced rates of obstetric intervention in low‐technology birth settings, but the extent to which the place of birth per se has influenced the outcomes remains unclear. The objective of this study was to compare birth outcomes for nulliparous women giving birth at home or in hospital, within the practice of the same midwives.
MethodsAn innovative...
Our language both reflects and influences our attitudes and behavior. This Roundtable Discussion explores the language used in obstetrics and in the interactions between caregivers and women or their families: What do practitioners say to mothers and families during labor? At birth? In consultations? To describe what is happening? To encourage a woman's efforts? To lighten the atmosphere? When advising...
BackgroundFor safety reasons an in‐hospital birth center was replaced by a modified form of birth center care with the same medical guidelines and equipment as in standard care. The aim of this study was to investigate women's and men's satisfaction with modified care compared with standard care.
MethodsWomen in both groups gave birth from July 2007 to July 2008. The same medical low‐risk criteria...
BackgroundThe Inuulitsivik midwifery service is a community‐based, Inuit‐led initiative serving the Hudson coast of the Nunavik region of northern Québec. This study of outcomes for the Inuulitsivik birth centers, aims to improve understanding of maternity services in remote communities.
MethodsWe used a retrospective review of perinatal outcome data collected at each birth at the Inuulitsivik birth...
Global recognition is increasing of the contribution of midwifery services to optimal outcomes for women and babies, and evidence around how to organize services and the roles of maternity providers. However, a sociological analysis can provide some insight into why the role of midwives varies so widely in different countries. Evidence is necessary, but more important is the role of the state in legalizing...
BackgroundThe impact of childhood sexual abuse on birth experiences was highlighted 20 years ago in Birth. Subsequent accounts in the midwifery press testify to the emotional trauma that women who were sexually abused as children may suffer during childbirth and the potential for caregivers to make the situation worse. This study synthesizes research on the maternity care experiences of women who...
BackgroundThere are concerns about the Dutch maternity care system, characterized by a strict role division between primary and secondary care. The objective of this study was to describe trends in referrals and in perinatal outcomes among labors that started in primary midwife‐led care.
MethodsWe performed a descriptive study of all 789,795 labors that started in primary midwife‐led care during...
BackgroundThe percentage of referrals during labor from primary midwife‐led care to obstetrician‐led care has increased over the past years in The Netherlands. Most women are referred for indications with a moderate increase in risk and are looked after by clinical midwives. This study aims to provide insight into the opinions of maternity care professionals about integration of care and involvement...
BackgroundAt 2.2 percent in 2012, the home birth rate in Iceland is the highest in the Nordic countries and has been rising rapidly in the new millennium. The objective of this study was to compare the outcomes of planned home births and planned hospital births in comparable low‐risk groups in Iceland.
MethodsThe study is a retrospective cohort study comparing the total population of 307 planned...
BackgroundIn the Dutch maternity care system, primary care midwives provide care to low‐risk women and refer to obstetricians if risks or complications occur. We examined reasons for referral, management of labor, and maternal and neonatal outcomes among women who were referred during labor.
MethodsIn a retrospective cohort study, descriptive analyses were performed on data obtained from patient...
BackgroundThe objective of this prospective cohort study was to assess whether the 45‐minute prehospital limit for ambulance transfer is met in case of postpartum hemorrhage (PPH) after midwifery‐supervised home birth in The Netherlands and evaluate the process of ambulance transfer, maternal condition during transfer, and outcomes in relation to whether this limit was met.
MethodsUsing ambulance...
Background
There is little agreement on who is a good candidate for community (home or birth center) birth in the United States.
Methods
Data on n=47 394 midwife‐attended, planned community births come from the Midwives Alliance of North America Statistics Project. Logistic regression quantified the independent contribution of 10 risk factors to maternal and neonatal outcomes. Risk factors included:...
Background
Prenatal care provided by midwives provides a safe and cost‐effective alternative to care provided by physicians. However, no studies have evaluated the frequency of women who leave midwifery care, in a hospital setting. Our study objectives were to measure the frequency of transfers of care to physicians, to describe the sociodemographic and pregnancy‐related characteristics of women...
Background
Approximately 22% of women in the United States live in rural areas with limited access to obstetric care. Despite declines in hospital‐based obstetric services in many rural communities, midwifery care at home and in free standing birth centers is available in many rural communities. This study examines maternal and neonatal outcomes among planned home and birth center births attended...
Background
Satisfaction is a key component of the care experience and part of the health system “triple aim,” along with improving population health and reducing per capita health care costs, the other two parts of the “triple aim.” The objectives of the study were to examine birth‐experience satisfaction among women in Ontario, Canada, who received care from midwives, family physicians, and obstetricians...
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