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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...
February 27, 2017: Midwifery
Helen Hazen
The Twin Cities, 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...
February 18, 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)...
January 24, 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...
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
Amos Grunebaum, Frank A Chervenak
INTRODUCTION: There has been an increase of vaginal births after cesarean (VBAC) among planned home births. The objective of this study was to evaluate the risks of Apgar score of zero and seizure or serious neurologic dysfunction for newborns of patients delivering at home with a VBAC. METHODS: Retrospective cohort analysis of the 2007-2013 CDC birth certificate data for infants at term (37 weeks and over) with a birthweights over 2,499 grams, and mothers with a prior cesarean delivery (pCD)...
May 2016: Obstetrics and Gynecology
A Dussart, J De Buyst, C Djeunang, M Janssens, M-F Müller, E Strebelle, K Mathe, S Infantino, G Malfilâtre
This is the clinical history of a term baby born at home who presents a severe hyperbilirubinémia. The medical monitoring was assessed by a private midwife according to parental choice. On the third day of life, the newborn presented an icterus and was exposed to natural daylight in the familial greenhouse under the midwife recommandations. On that day, no laboratory test precised the bilirubin level. On the fifth day, a blood sampling revealed a very high blood bilirubinémia (31 mg/dl or 527 mmol/L), the baby is refered to our NICU and underwent an exchange transfusion...
January 2016: Revue Médicale de Bruxelles
Alexander P Dahinten, Robert A Malkin
INTRODUCTION: Modern day antiretroviral therapy allows HIV+ pregnant women to lower the likelihood of viral transmission to their infants before, during, and after birth from 20-45% to less than 5%. In developing countries, where non-facility births may outnumber facility births, infant access to safe antiretroviral medication during the critical first three days after birth is often limited. A single-dose, polyethylene pouch ("Pratt Pouch") addresses this challenge by allowing the medication to be distributed to mothers during antenatal care...
2016: Open Biomedical Engineering Journal
Helen McLachlan, Heather McKay, Rhonda Powell, Rhonda Small, Mary-Ann Davey, Fiona Cullinane, Michelle Newton, Della Forster
OBJECTIVE: to explore midwives' and doctors' views and experiences of publicly-funded homebirthing models. DESIGN: cross-sectional survey implemented two years after the introduction of publicly-funded homebirthing models. SETTING: two public hospitals in Victoria, Australia. PARTICIPANTS: midwives and doctors (obstetric medical staff). MAIN OUTCOME MEASURES: midwives' and doctors' views regarding reasons women choose home birth; and views and experiences of a publicly-funded home birth program, including intrapartum transfers...
April 2016: Midwifery
Lianne Holten, Esteriek de Miranda
OBJECTIVE: to identify and analyze literature exploring women׳s motivations to 'birth outside the system'. DESIGN: scoping review and thematic analysis of (mostly) qualitative studies. FINDINGS: fifteen studies of women choosing an unassisted birth, homebirth in countries where homebirth was not integrated into the maternity care system, or a midwife-attended high-risk homebirth were identified from Sweden, USA, Australia, Canada and Finland...
July 2016: Midwifery
Suzanne Lee, Susan Ayers, Des Holden
OBJECTIVES: to investigate women's perceptions of interactions with obstetricians and midwives during high risk pregnancies. The intention was to examine differences and similarities between women planning to give birth at home or in hospital. DESIGN: qualitative study using semi-structured interviews. Setting Maternity department in a hospital in South East England. PARTICIPANTS: twenty-six women with high risk pregnancies, at least 32 weeks pregnant...
July 2016: Midwifery
Suzanne Lee, Susan Ayers, Des Holden
Objective To examine the perception of risk among a group of women with high risk pregnancies who were either planning to give birth in hospital, or at home despite medical advice to the contrary. The intention was to consider differences and similarities between the groups to examine how perception of risk relates to choice of place of birth. Design Qualitative study using semi-structured interviews. Setting Maternity department in a hospital in South East England. Participants Twenty-six women with high risk pregnancies, at least 32 weeks pregnant...
July 2016: Midwifery
Suzanne Lee, Susan Ayers, Des Holden
INTRODUCTION: Women consider factors including safety and the psychological impact of their chosen location when deciding whether to give birth in hospital or at home. The same is true for women with high-risk pregnancies who may plan homebirths against medical advice. This study investigated women's decision-making during high-risk pregnancies. Half the participants were planning hospital births and half were planning homebirths. METHODS: A qualitative study using semi-structured interviews set in a hospital maternity department in the UK...
2016: Journal of Psychosomatic Obstetrics and Gynaecology
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