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First-time mothers’ choice of birthplace: influencing factors, expectations of the midwife’s role and perceived safety

Borrelli, Sara E.; Walsh, Denis; Spiby, Helen

Authors

Sara E. Borrelli sara.borrelli@nottingham.ac.uk

Denis Walsh

Helen Spiby



Abstract

Aim

To explore first-time pregnant women's expectations and factors influencing their choice of birthplace.

Background

Although outcomes and advantages for low-risk childbearing women giving birth in midwifery-led units and home compared with obstetric units have been investigated previously, there is little information on the factors that influence women's choice of place of birth.

Design

A qualitative Straussian grounded theory methodology was adopted. Fourteen women expecting their first baby were recruited from three large National Health Service organizations that provided maternity services free at the point of care. The three organizations offered the following birthplace options: home, freestanding midwifery unit and obstetric unit. Ethical approvals were obtained and informed consent was gained from each participant.

Methods

Data collection was undertaken in 2013–2014. One tape-recorded face-to-face semistructured interview was conducted with each woman in the third trimester of pregnancy.

Findings

Findings are presented as three main themes: (i) influencing factors on the choice of birthplace; (ii) expectations on the midwife's ‘being’ and ‘doing’ roles; (iii) perceptions of safety.

Conclusion

Midwives should consider each woman's expectations and approach to birth beyond the planned birthplace, as these are often influenced by the intersection of various influencing factors. Several birthplace options should be made available to women in each maternity service and the alternatives should be shared with women by healthcare professionals during pregnancy to allow an informed choice. Virtual tours or visits to the birth units could also be offered to women to help them familiarize with the chosen setting.

Journal Article Type Article
Publication Date Jul 11, 2017
Journal Journal of Advanced Nursing
Print ISSN 0309-2402
Electronic ISSN 1365-2648
Publisher Wiley
Peer Reviewed Peer Reviewed
Volume 73
Issue 8
APA6 Citation Borrelli, S. E., Walsh, D., & Spiby, H. (2017). First-time mothers’ choice of birthplace: influencing factors, expectations of the midwife’s role and perceived safety. Journal of Advanced Nursing, 73(8), doi:10.1111/jan.13272
DOI https://doi.org/10.1111/jan.13272
Keywords Birthplace; Childbearing; Choice; Freestanding midwifery unit; Homebirth; Midwifery; Obstetric unit; Place of birth; Pregnancy; Women’s health
Publisher URL http://onlinelibrary.wiley.com/doi/10.1111/jan.13272/abstract
Copyright Statement Copyright information regarding this work can be found at the following address: http://eprints.nottingh.../end_user_agreement.pdf
Additional Information This is the peer reviewed version of the following article: Borrelli S.E., Walsh D. & Spiby H. (2017) First-time mothers’ choice of birthplace: influencing factors, expectations of the midwife's role and perceived safety. Journal of Advanced Nursing 73(8), 1937–1946. doi: 10.1111/jan.13272., which has been published in final form at http://onlinelibrary.wi...111/jan.13272/abstract. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.

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Copyright Statement
Copyright information regarding this work can be found at the following address: http://eprints.nottingham.ac.uk/end_user_agreement.pdf





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