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Abstract: Background: Opting for a home birth or requesting a cesarean section in a culture where vaginal birth in a hospital is the norm challenges the health care system. The aim of this study was to compare background characteristics of women who chose these very different birth methods and to see how these choices affected factors of care and the birth experience.
Methods: This descriptive...
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...
Abstract: Background: An earlier matched cohort study in the United Kingdom found a significantly higher perinatal mortality rate for births booked under an independent midwife compared with births in National Health Service units (1.7% [25/1,508] vs 0.6% [45/7,366]). This study examined independent midwives’ management and decision making in the 15 instances of perinatal death that occurred at...
Background: After a gradual decline from 1990 to 2004, the percentage of births occurring at home in the United States increased by 5 percent in 2005 and that increase was sustained in 2006. The purpose of the study was to analyze trends and characteristics in home births in United States by race and ethnicity from 1990 to 2006.
Methods: U.S. birth certificate data on home births were analyzed and...
Abstract: Background: After a gradual decline from 1990 to 2004, the percentage of births occurring at home increased from 2004 to 2008 in the United States. The objective of this report was to examine the recent increase in home births and the factors associated with this increase from 2004 to 2008.
Methods: United States birth certificate data on home births were analyzed by maternal demographic...
Abstract: Recent meta‐analyses of key areas in maternity care have covered home birth and epidural analgesia. In each of these cases serious issues have arisen from the use of subjective inclusion and exclusion criteria, heterogeneity of included studies, and inclusion of studies that were conducted in settings that were not representative of usual maternity care. This latter flaw is especially notable...
Home birth has emerged as a political issue in several states in the United States, and this essay examines two aspects of home births politics. First, legislative battles over home birth policy do not conform to our typical models of partisan (i.e., Democratic vs Republican) politics, and attempts at advocacy cannot rely on classical strategies of alignment with a dominant party in a state. Second,...
ObjectiveThe midwife assisting a birth has a considerable influence on the woman's experience of the birth. The aim of this study was to investigate the experience of the midwife's professional skills among women in Norway, Denmark, Iceland, and Sweden who chose a planned home birth.
Design and SettingAll known home birth midwives were asked to inform the mothers about the project and invite them...
BackgroundIn the United States, the number of planned home vaginal births after cesarean (VBACs) has increased. This study describes the maternal and neonatal outcomes for women who planned a VBAC at home with midwives who were contributing data to the Midwives Alliance of North America Statistics Project 2.0 cohort during the years 2004–2009.
MethodTwo subsamples were created from the parent cohort:...
ObjectiveNormal progress of labor is a subject for discussion among professionals. The aim of this study was to assess the duration of labor in women with a planned home birth and spontaneous onset who gave birth at home or in hospital after transfer.
MethodsThis is a population‐based study of home births in four Nordic countries (Denmark, Iceland, Norway, and Sweden). All midwives assisting at a...
BackgroundOut‐of‐hospital births are increasing in the United States. Our purpose was to examine trends in out‐of‐hospital births from 2004 to 2014, and to analyze newly available data on risk status and access to care.
MethodsNewly available data from the revised birth certificate for 47 states and Washington, DC, were used to examine out‐of‐hospital births by characteristics and to compare them...
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
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
In Bangladesh, over half of women give birth at home, generally without the support of a skilled birth attendant. In this article, we examined the decision‐making around birthplace and explored the reported reasons of preferring home birth over facility birth in a rural district of Bangladesh.
Methods
A cross‐sectional household survey with 1367 women was conducted in Brahmanbaria district...
Background
In The Netherlands, women with low‐risk pregnancy are routinely given the option of home birth, providing a unique opportunity to study the relationship between fear of childbirth (FOC) and preference for childbirth location, and whether women experience higher FOC when the actual location differs from their preference.
Methods
In this prospective cohort study, 331 nulliparous and parous...
Introduction
Continuity of midwifery carer improves outcomes, but there is significant variation in how such schemes are implemented and evaluated cross‐culturally. The Angus home birth scheme in Scotland incorporates continuity of carer throughout pregnancy, labor, birth, and the postnatal period.
Methods
Manual maternity case note review to evaluate the 80% continuity of carer and 3% planned...
Background
The aim of this retrospective population‐based cohort study was to determine whether the mode of delivery and maternal and neonatal outcomes differ between planned home VBAC (HBAC) and planned hospital VBAC.
Methods
All midwifery clients with at least one prior cesarean birth delivered between April 2000 and March 2017 (N = 4741; n = 4180 planned hospital VBAC, n = 561 planned HBAC)...
The authors describe the challenges they encountered, having attempted to retrospectively complete a home birth outcome data set for New York State. In addition, they provide a compelling argument for a midwifery data collective that would bring together health record data for all midwife‐attended births nationwide, regardless of setting.
Background
Anecdotal and emerging evidence suggested that the 2020 COVID‐19 pandemic may have influenced women's attitudes toward community birth. Our purpose was to examine trends in community births from 2019 to 2020, and the risk profile of these births.
Methods
Recently released 2020 birth certificate data were compared with prior years’ data to analyze trends in community births by socio‐demographic...
Background
Over one‐third of nulliparae planning births either at home or in freestanding midwife‐led birthing centers (community births) in high‐income countries are transferred during labor. Perinatal data are reported each year in Germany for women planning community birth. So far, data sets have not been linked to describe time‐related factors associated with nulliparous transfer to hospital...
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