Multiparous women's confidence to have a publicly-funded homebirth: a qualitative study

Catling-Paull, C; Dahlen, H; Homer, C

Multiparous women's confidence to have a publicly-funded homebirth: a qualitative study

Catling-Paull, C Dahlen, H Homer, C

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Publisher:: Elsevier Inc
Publication Type:: Journal Article
Citation:: Catling-Paull Christine, Dahlen Hannah, and Homer Caroline 2011, 'Multiparous women's confidence to have a publicly-funded homebirth: a qualitative study', Elsevier Inc, vol. 24, pp. 122-128.
Issue Date:: 2011

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Field	Value	Language
dc.contributor.author	Catling-Paull, C	en_US
dc.contributor.author	Dahlen, H	en_US
dc.contributor.author	Homer, C	en_US
dc.date.accessioned	2012-02-10T06:09:06Z
dc.date.available	2012-02-10T06:09:06Z
dc.date.issued	2011	en_US
dc.identifier	2009007726	en_US
dc.identifier.citation	Catling-Paull Christine, Dahlen Hannah, and Homer Caroline 2011, 'Multiparous women's confidence to have a publicly-funded homebirth: a qualitative study', Elsevier Inc, vol. 24, pp. 122-128.	en_US
dc.identifier.issn	1871-5192	en_US
dc.identifier.other	C1	en_US
dc.identifier.uri	http://hdl.handle.net/10453/16918
dc.description.abstract	Background Hospital birth is commonly thought to be a safer option than homebirth, despite many studies showing similar rates of safety for low risk mothers and babies when cared for by qualified midwives with systems of back-up in place. Recently in Australia, demand has led to the introduction of a small number of publicly-funded homebirth programs. Women's confidence in having a homebirth through a publicly-funded homebirth program in Australia has not yet been explored. Aim The aim of the study was to explore the reasons why multiparous women feel confident to have a homebirth within a publicly-funded model of care in Australia. Methods Ten multiparous English-speaking women who chose to have a homebirth with the St George Hospital Homebirth Program were interviewed in the postnatal period using semi-structured, open-ended questions. Interviews were transcribed, then a thematic analysis was undertaken. Results Women, having already experienced a normal birth, demonstrated a strong confidence in their ability to give birth at home and described a confidence in their bodies, their midwives, and the health system. Women weighed up the risks of homebirth through information they gathered and integration with their previous experience of birth, their family support and self-confidence. Discussion Women choosing publicly-funded homebirth display strong confidence in both themselves to give birth at home, and their belief in the health system's ability to cope with any complications that may arise.	en_US
dc.publisher	Elsevier Inc	en_US
dc.relation.ispartof	Verified OK	en_US
dc.relation.ispartof	Women and Birth	en_US
dc.relation.hasversion	Accepted manuscript version
dc.relation.isbasedon	http://dx.doi.org/10.1016/j.wombi.2010.09.001	en_US
dc.rights	NOTICE: this is the author’s version of a work that was accepted for publication in Women and Birth. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Women and Birth, [Volume 24, Issue 3, September 2011, Pages 122–128] DOI#http://dx.doi.org/10.1016/j.wombi.2010.09.001
dc.subject	Childbirth; Homebirth; Risk; Confidence; Decision-making	en_US
dc.subject.classification	Other Medical and Health Sciences	en_US
dc.title	Multiparous women's confidence to have a publicly-funded homebirth: a qualitative study	en_US
dc.type	Journal article
utslib.citation.volume	24	en_US
utslib.location	Australia	en_US
utslib.citation.startpage	122	en_US
utslib.citation.endpage	128	en_US
utslib.identifier.org	NMH.Faculty of Nursing, Midwifery and Health	en_US
utslib.for	119900	en_US
utslib.percentage	000100	en_US
utslib.copyright.status	open_access

Abstract:

Background Hospital birth is commonly thought to be a safer option than homebirth, despite many studies showing similar rates of safety for low risk mothers and babies when cared for by qualified midwives with systems of back-up in place. Recently in Australia, demand has led to the introduction of a small number of publicly-funded homebirth programs. Women's confidence in having a homebirth through a publicly-funded homebirth program in Australia has not yet been explored. Aim The aim of the study was to explore the reasons why multiparous women feel confident to have a homebirth within a publicly-funded model of care in Australia. Methods Ten multiparous English-speaking women who chose to have a homebirth with the St George Hospital Homebirth Program were interviewed in the postnatal period using semi-structured, open-ended questions. Interviews were transcribed, then a thematic analysis was undertaken. Results Women, having already experienced a normal birth, demonstrated a strong confidence in their ability to give birth at home and described a confidence in their bodies, their midwives, and the health system. Women weighed up the risks of homebirth through information they gathered and integration with their previous experience of birth, their family support and self-confidence. Discussion Women choosing publicly-funded homebirth display strong confidence in both themselves to give birth at home, and their belief in the health system's ability to cope with any complications that may arise.

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http://hdl.handle.net/10453/16918