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Mathilde Bouychou
There are relatively few homebirths in France. They represent around 1% of births. However, more and more women and couples are demanding this choice. Jacqueline Lavillonnière, a midwife for 40 years, practises homebirths. Here, she describes her career and her particular practice in tune with the physiology of birth.
March 2018: Soins. Pédiatrie, Puériculture
Charlene Eliza Thornton, Hannah Grace Dahlen
OBJECTIVES: To determine incidence, associated factors, outcomes and geographical occurrence of born before arrival (BBA) in New South Wales, Australia. DESIGN: A linked population data study involving population-based surveillance systems was undertaken for the years 2000-2011. SETTING: New South Wales, Australia. PARTICIPANTS: All women who underwent BBA compared with women who birthed in hospital/birth centre settings...
March 14, 2018: BMJ Open
Karen M Lawford, Audrey R Giles, Ivy L Bourgeault
BACKGROUND: Aboriginal peoples in Canada are comprised of First Nations, Métis, and Inuit. Health care services for First Nations who live on rural and remote reserves are mostly provided by the Government of Canada through the federal department, Health Canada. One Health Canada policy, the evacuation policy, requires all First Nations women living on rural and remote reserves to leave their communities between 36 and 38 weeks gestational age and travel to urban centres to await labour and birth...
February 10, 2018: Women and Birth: Journal of the Australian College of Midwives
Deborah Fox, Athena Sheehan, Caroline Homer
OBJECTIVE: the aim of the study was to explore the views and experiences of women, midwives and obstetricians on the intrapartum transfer of women from planned homebirth to hospital in Australia. DESIGN: a Constructivist Grounded Theory approach was taken, to conceptualise the social interactions and processes grounded in the data. SETTING: urban and regional areas in four states of south-eastern Australia. PARTICIPANTS: semi-structured qualitative interviews were conducted with 36 women, midwives and obstetricians who had experienced an intrapartum homebirth transfer within three years prior to the interview...
February 2018: Midwifery
Fabiola Moshi, Tumaini Nyamhanga
BACKGROUND: There is limited information on the effect of expectant parents' socio-cultural perceptions and practices on the use of skilled birth attendants (SBAs) in rural Tanzania. The purpose of this study was to explore the socio-cultural barriers to health facility birth and SBA among parents choosing home birth in rural Tanzania, specifically in the Rukwa Region. METHODS: This study used a descriptive exploratory methodology. Purposive sampling was used to recruit study participants for both in-depth interviews (IDIs) and focused group discussions (FGDs)...
October 17, 2017: Reproductive Health
Souleymane Sidibe, Maxime Coulibaly, Salman Ghazwani
BACKGROUND: Scrotoschisis is a rare congenital anomaly of the scrotal wall with idiopathic etiology and unknown prevalence. This pathology is extremely rare. We report a new case and review the literature for relevant data. CASE PRESENTATION: A 3-day-old full-term baby boy of African ethnicity, who had a homebirth, with birth weight of 2.7 kg presented to our emergency department with exteriorization of left testis; after clinical examination and proper investigations the diagnosis was scrotoschisis...
September 13, 2017: Journal of Medical Case Reports
Rebekah McWhirter
BACKGROUND: Australian midwives are regulated under the National Registration and Accreditation Scheme. Unregistered birth workers may provide midwifery services at homebirths without any regulatory oversight. To address this issue, several states have passed legislation enabling prohibition orders to be made (negative licensing) against unregistered health practitioners who fail to comply with a statutory code of conduct developed for those not covered by the National Scheme. AIM: To explore the consequences for the availability of birth choices for women that arise from the introduction of negative licensing...
July 13, 2017: Women and Birth: Journal of the Australian College of Midwives
Jacoba van der Kooy, Erwin Birnie, Semiha Denktas, Eric A P Steegers, Gouke J Bonsel
BACKGROUND: To compare the mode of delivery between planned home versus planned hospital births and to determine if differences in intervention rates could be interpreted as over- or undertreatment. METHODS: Intervention and perinatal mortality rates were obtained for 679,952 low-risk women from the Dutch Perinatal Registry (2000-2007). Intervention was defined as operative vaginal delivery and/or caesarean section. Perinatal mortality was defined as the intrapartum and early neonatal mortality rate up to 7 days postpartum...
June 8, 2017: BMC Pregnancy and Childbirth
Caroline Se Homer, Nicky Leap, Nadine Edwards, Jane Sandall
OBJECTIVE: in 1997, The Albany Midwifery Practice was established within King's College Hospital NHS Trust in a South East London area of high social disadvantage. The Albany midwives provided continuity of care to around 216 women per year, including those with obstetric, medical or social risk factors. In 2009, the Albany Midwifery Practice was closed in response to concerns about safety, amidst much publicity and controversy. The aim of this evaluation was to examine trends and outcomes for all mothers and babies who received care from the practice from 1997-2009...
May 2017: Midwifery
Helen Hazen
The Twin Cities (Minneapolis-St. Paul), Minnesota, has seen a recent increase in the number of mothers seeking an out-of-hospital birth. This research uses in-depth interviews with 24 mothers who intended an out-of-hospital birth in the previous two years, exploring their reasons for pursuing an alternative approach to birth. For many women, an out-of-hospital birth fits within a philosophy that rejects the pathologizing of birth. Escaping rigid hospital protocols is seen as critical to avoiding what many mothers described as unnecessary interventions...
December 2017: Medical Anthropology Quarterly
Helena E Lindgren, Kristina Nässén, Ingela Lundgren
OBJECTIVE: There are no national guidelines or financial support for planned homebirths in Sweden. Some women choose to give birth at home without the assistance of a midwife. The objective of this study was to describe eight women's experience of unassisted planned homebirth in Sweden. DESIGN: Women who had the experience of an unassisted planned home birth were interviewed. The material was analysed using a phenomenological approach. RESULTS: The essential meaning of the phenomenon giving birth at home without the assistance of a midwife is understood as a conflict between, on one hand, inner responsibility, power and control and on the other hand insecurity in relation to the outside, to other people and to the social system...
March 2017: Sexual & Reproductive Healthcare: Official Journal of the Swedish Association of Midwives
Tina Lavin, David B Preen, Elizabeth A Newnham
Background The impact of birth with poor access to skilled obstetric care such as home birth on children's long term development is unknown. This study explores the health, growth and cognitive development of children surviving homebirth in the Vietnam Young Lives sample during early childhood. Methods The Young Lives longitudinal cohort study was conducted in Vietnam with 1812 children born in 2001/2 with follow-up at 1, 5, and 8 years. Data were collected on height/weight, health and cognitive development (Peabody Picture Vocabulary test)...
June 2017: Maternal and Child Health Journal
Franz Castro, Julio Zúñiga, Gladys Higuera, María Carrión Donderis, Beatriz Gómez, Jorge Motta
BACKGROUND: This is the first study in Panama and Central America that has included indigenous populations in an assessment of the association between socioeconomic variables with delayed diagnosis and mortality due to congenital heart defects (CHD). METHODS: A retrospective observational study was conducted. A sample calculation was performed and 954 infants born from 2010 to 2014 were randomly selected from clinical records of all Panamanian public health institutions with paediatric cardiologists...
2016: PloS One
Rebecca Coddington, Christine Catling, Caroline S E Homer
BACKGROUND: Over the past two decades, 14 publicly-funded homebirth models have been established in Australian hospitals. Midwives working in these hospitals now have the opportunity to provide homebirth care, despite many having never been exposed to homebirth before. The transition to providing homebirth care can be daunting for midwives who are accustomed to practising in the hospital environment. AIM: To explore midwives' experiences of transitioning from providing hospital to homebirth care in Australian public health systems...
February 2017: Women and Birth: Journal of the Australian College of Midwives
Tanya Caulfield, Pamela Onyo, Abbey Byrne, John Nduba, Josephat Nyagero, Alison Morgan, Michelle Kermode
BACKGROUND: Kenya's high maternal mortality ratio can be partly explained by the low proportion of women delivering in health facilities attended by skilled birth attendants (SBAs). Many women continue to give birth at home attended by family members or traditional birth attendants (TBAs). This is particularly true for pastoralist women in Laikipia and Samburu counties, Kenya. This paper investigates the socio-demographic factors and cultural beliefs and practices that influence place of delivery for these pastoralist women...
August 9, 2016: BMC Women's Health
Malin Edqvist, Ellen Blix, Hanne K Hegaard, Olöf Ásta Ólafsdottir, Ingegerd Hildingsson, Karen Ingversen, Margareta Mollberg, Helena Lindgren
BACKGROUND: Whether certain birth positions are associated with perineal injuries and severe perineal trauma (SPT) is still unclear. The objective of this study was to describe the prevalence of perineal injuries of different severity in a low-risk population of women who planned to give birth at home and to compare the prevalence of perineal injuries, SPT and episiotomy in different birth positions in four Nordic countries. METHODS: A population-based prospective cohort study of planned home births in four Nordic countries...
July 29, 2016: BMC Pregnancy and Childbirth
Rebecca J Wood, Javier Mignone, Maureen I Heaman, Kristine J Robinson, Kerstin Stieber Roger
OBJECTIVE: the primary objective for this study was to explore women's experiences of choosing to plan a birth at an out-of-hospital birth centre. We sought to understand how women make the choice to plan for an out-of-hospital birth and the meaning that women ascribe to this decision-making process. DESIGN, SETTING, AND PARTICIPANTS: a qualitative phenomenological study was conducted in Winnipeg, Canada with a sample of seventeen post partum women who represent the socio-demographic characteristics of the actual users of the Birth Centre in Winnipeg...
August 2016: Midwifery
Margaret Flood, Wendy Pollock, Susan McDonald, Mary-Ann Davey
OBJECTIVE: This paper reports on the logistics of conducting a validation study of a routinely collected dataset against medical records at hospitals to inform planning of similar studies. METHOD: A stratified random sample of 15 hospitals and two homebirth practitioners was included. Site visits were arranged following consent. In addition to the validation of perinatal data, information was collected regarding logistics. RESULTS: Records at 14 metropolitan and rural hospitals up to 500 km from the research centre, and two homebirth practitioners, were audited...
October 2016: Australian and New Zealand Journal of Public Health
Amos Grünebaum, Laurence B McCullough, Birgit Arabin, Robert L Brent, Malcolm I Levene, Frank A Chervenak
INTRODUCTION: Over the last decade, planned home births in the United States (US) have increased, and have been associated with increased neonatal mortality and other morbidities. In a previous study we reported that neonatal mortality is increased in planned home births but we did not perform an analysis for the presence of professional certification status. PURPOSE: The objective of this study therefore was to undertake an analysis to determine whether the professional certification status of midwives or the home birth setting are more closely associated with the increased neonatal mortality of planned midwife-attended home births in the United States...
2016: PloS One
Colleen Ball, Yvonne Hauck, Lesley Kuliukas, Lucy Lewis, Dorota Doherty
BACKGROUND: Women's experience of homebirth has been a focus of research, with limited international research and no Australian evidence of the experiences of midwives in relation to their experience of intrapartum transfers within the context of a planned homebirth. OBJECTIVE: To explore the experience of Western Australian midwives involved in an intrapartum transfer from home to hospital. METHODS: A descriptive phenomenological study was conducted...
June 2016: Sexual & Reproductive Healthcare: Official Journal of the Swedish Association of Midwives
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