Women's experience of unplanned out-of-hospital birth

Authors

  • Ksenija Kragelj Zdravstveni dom Tolmin, Prešernova ul. 6, 5220 Tolmin
  • Mirko Prosen University of Primorska, Faculty of Health Sciences, Polje 42, 6310 Izola

DOI:

https://doi.org/10.14528/snr.2016.50.2.93

Keywords:

Upper Soča region, distance, midwife, interpersonal relationship, empowerment

Abstract

Introduction: 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-of-hospital 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 investigate into the attitudes of health care professionals' assisting in home birth.

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Author Biographies

Ksenija Kragelj, Zdravstveni dom Tolmin, Prešernova ul. 6, 5220 Tolmin

Ksenija Kragelj, BSN

Mirko Prosen, University of Primorska, Faculty of Health Sciences, Polje 42, 6310 Izola

Mirko Prosen, PhD, MSc, BSc, RN, Senior Lecturer

References

Blondel, B., Drewniak, N., Pilkington, H. & Zeitlin, J., 2011. Out-of-hospital births and the supply of maternity units in France. Health Place, 17(5), pp. 1170−1173. http://dx.doi.org/10.1016/j.healthplace.2011.06.002 PMid:21727022

Bulmer, M., 2008. The ethics of social research. In: Gilbert, N. ed. Researching social life. 3rd ed. London: Sage, pp. 145−162.

Coxon, K., Sandall, J. & Fulop, N.J., 2015. How do pregnancy and birth experiences influence planned place of birth in future pregnancies? Findings from a longitudinal, narrative study. Birth, 42(2), pp. 141−148. http://dx.doi.org/10.1111/birt.12149 PMid:25676885

Davison, C., Hauck, Y.L., Bayes, S.J., Kuliukas, L.J. & Wood, J., 2015. The relationship is everything: women's reasons for choosing a privately practising midwife in Western Australia. Midwifery, 31(8), pp. 772−778. http://dx.doi.org/10.1016/j.midw.2015.04.012 PMid:26001949

DiCicco-Bloom, B. & Crabtree, B.F., 2006. The qualitative research interview. Medical Education, 40(4), pp. 314−321.http://dx.doi.org/10.1111/j.1365-2929.2006.02418.x PMid:16573666

Drglin, Z., 2007. Vse najboljše za rojstni dan! Ranljivost in moč žensk v sodobnih porodnih praksah. In: Drglin, Z. ed. Rojstna mašinerija: sodobne oporodne vednosti in prakse na slovenskem. Koper: Založba Annales, pp. 105−156.

Erlandsson, K., Lustig, H. & Lindgren, H., 2015. Women's experience of unplanned out-of-hospital birth in Sweden - a phenomenological description. Sexual & Reproductive Healthcare, 6(4), pp. 226−229.http://dx.doi.org/10.1016/j.srhc.2015.06.002 PMid:26614605

Flick, U., 2002. An introduction to qualitative research. 2nd ed. London: Sage, pp. 1−13.

Fusch, P.I. & Ness, L.R., 2015. Are we there yet? Data saturation in qualitative research. The Qualitative Report, 20(9), pp. 1408−1416.

Gibson, W.J. & Brown, A., 2009. Working with qualitative data. London: Sage, p. 127.

Gunnarsson, B., Smarason, A.K., Skogvoll, E. & Fasting, S., 2014. Characteristics and outcome of unplanned out-of-institution births in Norway from 1999 to 2013: a cross-sectional study. Acta Obstetricia et Gynecologica Scandinavica, 93(10), pp. 1003−1010. http://dx.doi.org/10.1111/aogs.12450

Hadjigeorgiou, E., Kouta, C., Papastavrou, E., Papadopoulos, I. & Martensson, L.B., 2012. Women's perceptions of their right to choose the place of childbirth: an integrative review. Midwifery, 28(3), pp. 380−390. http://dx.doi.org/10.1016/j.midw.2011.05.006 PMid:21683487

Kragelj, K. & Prosen, M. Organizacijski vidik poroda izven porodnišnice: vodenje poroda na primarni zdravstveni ravni. In: Zadnik, V., Štemberger Kolnik, T., Babnik, K., Bulič, M. & Kocbek Gajšt, M. eds. Sodobni koncepti cepljenj in preventive v osnovnem zdravstvenem varstvu: tretja znanstvena konferenca z mednarodno udeležbo: zbornik prispevkov, Izola, 19. junij 2015. Koper: Založba Univerze na Primorskem, pp. 131−137.

Kragelj, K., 2014. Porodi izven bolnišnice: kvalitativna analiza doživljanja žensk v Zgornjem Posočju: diplomsko delo. Izola: Univerza na Primorskem, Fakulteta za vede o zdravju, pp. 25−33.

Lee, S., Ayers, S. & Holden, D., 2012. Risk perception of women during high risk pregnancy: a systematic review. Risk and Society, 14(6), pp. 511−531. http://dx.doi.org/10.1080/13698575.2012.701277

Lindgren, H. & Erlandsson, K., 2010. Women's experiences of empowerment in a planned home birth: a Swedish population-based study. Birth, 37(4), pp. 309−317. http://dx.doi.org/10.1111/j.1523-536X.2010.00426.x PMid:21083723

McLelland, G., McKenna, L. & Archer, F., 2013. No fixed place of birth: unplanned BBAs in Victoria, Australia. Midwifery, 29(2), pp. e19−e25. http://dx.doi.org/10.1016/j.midw.2011.12.002 PMid:22726572

Nguyen, M.L., Lefèvre, P. & Dreyfus, M., 2016. Conséquences maternelles et néonatales des accouchements inopinés extrahospitaliers. Journal de Gynécologie Obstétrique et Biologie de la Reproduction, 45(1), pp. 86−91. http://dx.doi.org/10.1016/j.jgyn.2015.02.002

Njenjić, G. & Skela Savič, B., 2011. Koncept kontinuirane babiške skrbi: percepcija in vedenje nosečnic. Obzornik zdravstvene nege, 45(2), pp. 83−91. Available at: http://www.obzornikzdravstvenenege.si/2011.45.2.83 [27. 6. 2016]

Prelec, A., Verdenik, I. & Poat, A., 2014. A comparison of frequency of medical interventions and birth outcomes between the midwife led unit and the obstetric unit in low-risk primiparous women. Obzornik zdravstvene nege, 48(3), pp. 166−176. http://dx.doi.org/10.14528/snr.2014.48.3.16

Records, K. & Wilson, B.L., 2011. Reflections on meeting women's childbirth expectations. Journal of Obstetrics, Gynecologic & Neonatal Nursing, 40(4), pp. 394−398. http://dx.doi.org/10.1111/j.1552-6909.2011.01269.x

Scott, T. & Esen, U.I., 2005. Unplanned out of hospital births – who delivers the babies? Irish Medical Journal, 98(3), pp. 70−72. PMid:15869061

Serdinšek, T. & Takač, I., 2016. Načrtovan porod na domu: pregledni članek. Zdravniški vestnik, 85(3), pp. 213−222.

Sjöblom, I., Idvall, E. & Lindgren, H., 2012. Changing attitudes - women's experiences of negative reactions to their decision for home birth: a population-based study. Sexual & Reproductive Healthcare, 3(1), pp. 55−56. http://dx.doi.org/10.1016/j.srhc.2011.11.002

Sjöblom, I., Nordström, B. & Edberg, A.K., 2006. A qualitative study of women's experiences of home birth in Sweden. Midwifery, 22(4), pp. 348−355. http://dx.doi.org/10.1016/j.midw.2005.11.004

Spaich, S., Welzel, G., Berlit, S., Temerinac, D., Tuschy, B., Sutterlin, M., et al., 2013. Mode of delivery and its influence on women's satisfaction with childbirth. European Journal of Obstetrics & Gynecology and Reproductive Biology, 170(2), pp. 401−406. http://dx.doi.org/10.1016/j.ejogrb.2013.07.040

Stanek Zidarič, T., Mivšek, A.P., Skubic, M. & Zakšek, T., 2011. Kontinuirana babiška skrb: predstavitev projekta Oddelka za babištvo Zdravstvene fakultete Ljubljana in Mestne občine Ljubljana. Obzornik zdravstvene nege, 45(2), pp. 141−145. Available at: http://www.obzornikzdravstvenenege.si/2011.45.2.141 [27. 6. 2016]

Steen, M. & Roberts, T., 2011. The Handbook of midwifery research. Oxford: Wiley-Blackwell, pp. 73−101.

Zupan, J., 2013. Vitalna in zdravstvena statistika. In: Verdenik, I., Antolič Novak, Ž. & Zupan, J. eds. Perinatologia Slovenica II: pregled slovenskih perinatalnih rezultatov za obdobje 2002-11. Ljubljana: Združenje za perinatalno medicino SZD, Klinični oddelek za perinatologijo, pp. 14−18.

Published

2016-06-27

How to Cite

Kragelj, K., & Prosen, M. (2016). Women’s experience of unplanned out-of-hospital birth. Slovenian Nursing Review, 50(2). https://doi.org/10.14528/snr.2016.50.2.93

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Original scientific article

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