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Swedish women's interest in homebirth and in- hospital birth center care
Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.ORCID iD: 0000-0001-6985-6729
Karolinska Institutet, Inst för kvinnors och barns hälsa.
Mälardalens högskola, Inst för Vård och folkhälsovetenskap.
Responsible organisation
2003 (English)In: Birth, ISSN 0730-7659, Vol. 30, no 1, 11-22 p.Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to determine women's interest in home birth and in-hospital birth center care in Sweden, and to describe the characteristics of these women. METHODS: Three questionnaires, completed after the first booking visit in early pregnancy, at 2 months, and 1 year after the birth, asked about the women's interest in two alternative birth options. RESULTS: One percent of participants consistently expressed an interest in home birth on all three occasions, and 8 percent expressed an interest in birth center care. A regression analysis showed five factors that were associated with an interest in home birth: a wish to have the baby's siblings (OR 20.2; 95% CI 6.2-66.5) and a female friend (OR 15.2; 95% CI 6.2-37.4) present at the birth, not wanting pharmacological pain relief during labor and birth (OR 4.7; 95% CI 1.4-15.3), low level of education (OR 4.5; 95% CI 1.8-11.4), and dissatisfaction with medical aspects of intrapartum care (OR 3.6; 95% CI 1.4-9.2). An interest in birth center care was associated with experience of being in control during labor and birth (OR 8.3; 95% CI 3.2-21.6), not wanting pharmacological pain relief (OR 2.3; 95% CI 1.3-4.1), and a preference to have a known midwife at the birth (OR 2.2; 95% CI 1.6-2.9). CONCLUSION: If Swedish women were offered free choice of place of birth, the home birth rate would be 10 times higher, and the 20 largest hospitals would need to have a birth center. Women interested in alternative models of care view childbirth as a social and natural event, and their needs should be considered.

Place, publisher, year, edition, pages
2003. Vol. 30, no 1, 11-22 p.
Keyword [en]
midwifery homebirth birth center care
National Category
Nursing
Identifiers
URN: urn:nbn:se:miun:diva-2861DOI: 10.1046/j.1523-536X.2003.00212.xISI: 000181304700002PubMedID: 12581035Local ID: 2436OAI: oai:DiVA.org:miun-2861DiVA: diva2:27893
Available from: 2008-12-10 Created: 2008-12-10 Last updated: 2008-12-10Bibliographically approved

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CiteExportLink to record
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Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
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More styles
Language
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Output format
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