Exploring home births in Catalonia (Spain): A cross-sectional study of women's experiences and influencing factors.
birth experience
birthplace
childbearing
home birth
midwifery
place of birth
women's health
Journal
Journal of advanced nursing
ISSN: 1365-2648
Titre abrégé: J Adv Nurs
Pays: England
ID NLM: 7609811
Informations de publication
Date de publication:
27 Nov 2023
27 Nov 2023
Historique:
revised:
09
11
2023
received:
08
08
2023
accepted:
13
11
2023
medline:
28
11
2023
pubmed:
28
11
2023
entrez:
28
11
2023
Statut:
aheadofprint
Résumé
The study explores the experiences of women with low-risk pregnancies and no complications who planned a home birth. A cross-sectional study was conducted using an online questionnaire. The questionnaire included socio-demographic, obstetric and perinatal variables. Birth satisfaction was evaluated via the Spanish version of the childbirth experience questionnaire. The study group comprised home-birthing women in Catalonia, Spain. Data were collected from 1 January 2019 to 31 December 2021. Statistical analysis was performed using SPSS. A total of 236 women responded. They reported generally positive experiences, with professional support and involvement being the most highly rated dimensions. Better childbirth experiences were associated with labour lasting less than 12 h, no perineal injuries, no intrapartum transfers to hospital, euthocic delivery and the presence of a midwife. Women's positive home birth experiences were linked to active participation and midwife support. Multiparous women felt safer. Medical interventions, especially transfers to hospitals, reduced satisfaction, highlighting the need for improved care during home births. Home births should be included among the birthplace options offered by public health services, given the extremely positive feedback reported by women who gave birth at home. Home birth is not an option offered under Catalonia's public health system only as a private service. The experience of home-birthing women is unknown. This study shows a very positive birth experience due to greater participation and midwife support. The results help stakeholders assess home birth's public health inclusion and understand valued factors, supporting home-birthing women. The study followed the STROBE checklist guidelines for cross-sectional studies. Women who planned a home birth participated in the pilot test to validate the instrument, and their contributions were collected by the lead researcher. The questionnaire gathered the participants' email addresses, and a commitment was made to disseminate the study's results through this means.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Subventions
Organisme : Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana
ID : II Call for Nursing R&D&I Grants. 2020; UGP-20-245
Informations de copyright
© 2023 The Authors. Journal of Advanced Nursing published by John Wiley & Sons Ltd.
Références
Alcaraz-Vidal, L., Casadevall Castañé, L., Díaz-Maroto, S., Domínguez Cano, P., Franch Ferrer, M., García Morales, R., & Huerta Díaz, M. (2018). Guia d'assistència al part a casa (Associació Catalana de Llevadores, Ed.). http://llevadorespartacasa.org/wp-content/uploads/2018/06/Guia_PartCasa_2018-1.pdf
Alcaraz-Vidal, L., Escuriet, R., SarriesI, Z., & Robleda, G. (2021). Planned homebirth in Catalonia (Spain): A descriptive study. Midwifery, 98, 102977. https://doi.org/10.1016/j.midw.2021.102977
Benet, M., Escuriet, R., Palomar-Ruiz, L., Ruiz-Berdún, D., & Leon-Larios, F. (2020). Women's agenda for the improvement of childbirth care: Evaluation of the babies born better survey data set in Spain. Birth, 47(4), 365-377. https://doi.org/10.1111/birt.12505
Boie, S., Lauridsen, H. H., Glavind, J., Smed, M. K., Uldbjerg, N., & Bor, P. (2020). The childbirth experience questionnaire (CEQ)-Validation of its use in a Danish-speaking population of new mothers stimulated with oxytocin during labour. PLoS One, 15(5), e0233122. https://doi.org/10.1371/journal.pone.0233122
Carlhäll, S., Nelson, M., Svenvik, M., Axelsson, D., & Blomberg, M. (2022). Maternal childbirth experience and time in labor: A population-based cohort study. Scientific Reports, 12(1), 1-11. https://doi.org/10.1038/s41598-022-14711-y
Chabbert, M., Panagiotou, D., & Wendland, J. (2021). Predictive factors of women's subjective perception of childbirth experience: A systematic review of the literature. Journal of Reproductive and Infant Psychology, 39(1), 43-66. https://doi.org/10.1080/02646838.2020.1748582
de Jonge, A., Dahlen, H., & Downe, S. (2021). ‘Watchful attendance’ during labour and birth. Sexual & Reproductive Healthcare, 28, 100617. https://doi.org/10.1016/j.srhc.2021.100617
Dencker, A., Taft, C., Bergqvist, L., Lilja, H., & Berg, M. (2010). Childbirth experience questionnaire (CEQ): Development and evaluation of a multidimensional instrument. BMC Pregnancy and Childbirth, 10(1), 81. https://doi.org/10.1186/1471-2393-10-81
Donate-Manzanares, M., Rodríguez-Cano, T., Rodríguez-Almagro, J., Hernández-Martínez, A., Santos-Hernández, G., & Beato-Fernández, L. (2021). Mixed-method study of women's assessment and experience of childbirth care. Journal of Advanced Nursing, 77(10), 4195-4210. https://doi.org/10.1111/jan.14984
Downe, S., Finlayson, K., Oladapo, O., Bonet, M., & Gülmezoglu, A. M. (2018). What matters to women during childbirth: A systematic qualitative review. PLoS One, 13(4), e0194906. https://doi.org/10.1371/JOURNAL.PONE.0194906
Fenaroli, V., Molgora, S., Dodaro, S., Svelato, A., Gesi, L., Molidoro, G., Saita, E., & Ragusa, A. (2019). The childbirth experience: Obstetric and psychological predictors in Italian primiparous women. BMC Pregnancy and Childbirth, 19(1), 419. https://doi.org/10.1186/s12884-019-2561-7
Forster, D. A., McKay, H., Davey, M. A., Small, R., Cullinane, F., Newton, M., Powell, R., & McLachlan, H. L. (2018, August 10). Women's views and experiences of publicly-funded homebirth programs in Victoria, Australia: A cross-sectional survey. Women and Birth., 32, 221-230. https://doi.org/10.1016/j.wombi.2018.07.019
Forster, D. A., McLachlan, H. L., Davey, M. A., Biro, M. A., Farrell, T., Gold, L., Flood, M., Shafiei, T., & Waldenström, U. (2016). Continuity of care by a primary midwife (caseload midwifery) increases women's satisfaction with antenatal, intrapartum and postpartum care: Results from the COSMOS randomised controlled trial. BMC Pregnancy and Childbirth, 16, 28. https://doi.org/10.1186/s12884-016-0798-y
Fox, D., Sheehan, A., & Homer, C. (2018). Birthplace in Australia: Processes and interactions during the intrapartum transfer of women from planned homebirth to hospital. Midwifery, 57, 18-25. https://doi.org/10.1016/j.midw.2017.10.022
Galková, G., Böhm, P., Hon, Z., Heřman, T., Doubrava, R., & Navrátil, L. (2022). Comparison of frequency of home births in the member states of the EU between 2015 and 2019. Global pediatric health, 9, 2333794X211070916. https://doi.org/10.1177/2333794X211070916
Gaudernack, L. C., Michelsen, T. M., Egeland, T., Voldner, N., & Lukasse, M. (2020). Does prolonged labor affect the birth experience and subsequent wish for cesarean section among first-time mothers? A quantitative and qualitative analysis of a survey from Norway. BMC Pregnancy and Childbirth, 20(1), 1-13. https://doi.org/10.1186/s12884-020-03196-0
Geerts, C. C., van Dillen, J., Klomp, T., Lagro-Janssen, A. L. M., & de Jonge, A. (2017). Satisfaction with caregivers during labour among low risk women in The Netherlands: The association with planned place of birth and transfer of care during labour. BMC Pregnancy and Childbirth, 17(1), 229. https://doi.org/10.1186/s12884-017-1410-9
Gillen, P., Bamidele, O., & Healy, M. (2023a). Systematic review of women's experiences of planning home birth in consultation with maternity care providers in middle to high-income countries. Midwifery, 124, 103733. https://doi.org/10.1016/j.midw.2023.103733
Gillen, P., Bamidele, O., & Healy, M. (2023b). Women and maternity care providers experiences of planned home birth in Northern Ireland: A descriptive survey. Women and Birth., 36, e412-e420. https://doi.org/10.1016/J.WOMBI.2023.01.005
Gillen, P., & Clausen, J. A. (2018). Building intrapartum research through health- a whole system approach to understanding and contextualising physiological labour and BIRTH (BIRTH) (COST action IS1405) report of an STSM: Home birth in Denmark: Knowledge translation and research to inform H. https://eubirthresearch.files.wordpress.com/2018/08/stsm-
González-de la Torre, H., Miñarro-Jiménez, S., Palma-Arjona, I., Jeppesen-Gutierrez, J., Berenguer-Pérez, M., & Verdú-Soriano, J. (2021). Perceived satisfaction of women during labour at the Hospital Universitario Materno-Infantil of the Canary Islands through the childbirth experience questionnaire (CEQ-E). Enfermeria Clinica, 31(1), 21-30. https://doi.org/10.1016/j.enfcli.2020.05.022
Gregory, S., Caffrey, L., & Daly, D. (2023). “It could not have been more different.” Comparing experiences of hospital-based birth and homebirth in Ireland: A mixed-methods survey. Women and Birth, 36(4), e445-e452. https://doi.org/10.1016/j.wombi.2023.02.003
Grundström, H., Malmquist, A., Ivarsson, A., Torbjörnsson, E., Walz, M., & Nieminen, K. (2022). Fear of childbirth postpartum and its correlation with post-traumatic stress symptoms and quality of life among women with birth complications - A cross-sectional study. Archives of Women's Mental Health, 25(2), 485-491. https://doi.org/10.1007/S00737-022-01219-7/TABLES/3
Handelzalts, J. E., Waldman Peyser, A., Krissi, H., Levy, S., Wiznitzer, A., & Peled, Y. (2017). Indications for emergency intervention, mode of delivery, and the childbirth experience. PLoS One, 12(1), e0169132. https://doi.org/10.1371/journal.pone.0169132
Handelzalts, J. E., Zacks, A., & Levy, S. (2016). The association of birth model with resilience variables and birth experience: Home versus hospital birth. Midwifery, 36, 80-85. https://doi.org/10.1016/j.midw.2016.03.005
Hauck, Y., Nathan, E., Ball, C., Hutchinson, M., Somerville, S., Hornbuckle, J., & Doherty, D. (2020). Women's reasons and perceptions around planning a homebirth with a registered midwife in Western Australia. Women and Birth, 33(1), e39-e47. https://doi.org/10.1016/J.WOMBI.2018.11.017
Hildingsson, I., Karlström, A., & Larsson, B. (2020). Childbirth experience in women participating in a continuity of midwifery care project. Women and Birth, 34, e255-e261. https://doi.org/10.1016/j.wombi.2020.04.010
Hollander, M., De Miranda, E., Vandenbussche, F., Van Dillen, J., & Holten, L. (2019). Addressing a need. holistic midwifery in The Netherlands: A qualitative analysis. PLoS One, 14(7), e0220489. https://doi.org/10.1371/journal.pone.0220489
Hosseini Tabaghdehi, M., Kolahdozan, S., Keramat, A., Shahhossein, Z., Moosazadeh, M., & Motaghi, Z. (2019). Prevalence and factors affecting the negative childbirth experiences: A systematic review. The Journal of Maternal-Fetal & Neonatal Medicine, 33(22), 3849-3856. https://doi.org/10.1080/14767058.2019.1583740
Instituto Nacional de Estadística. (2023). Fenómenos demográficos y estadísticas de nacimientos. 2019 https://www.ine.es/dynt3/inebase/index.htm?padre=3428&capsel=3428
Janssen, P. A., Henderson, A. D., & Vedam, S. (2009). The experience of planned home birth: Views of the first 500 women. Birth, 36(4), 297-304. https://doi.org/10.1111/j.1523-536X.2009.00357.x
Lathrop, A., Bonsack, C. F., & Haas, D. M. (2018). Women's experiences with water birth: A matched groups prospective study. Birth, 45(4), 416-423. https://doi.org/10.1111/birt.12362
Leinweber, J., Fontein-Kuipers, Y., Karlsdottir, S. I., Ekström-Bergström, A., Nilsson, C., Stramrood, C., & Thomson, G. (2022). Developing a woman-centered, inclusive definition of positive childbirth experiences: A discussion paper. Birth, 49, 687-696. https://doi.org/10.1111/birt.12666
Magistretti, C. M., Downe, S., Lindstrøm, B., Berg, M., & Schwarz, K. T. (2016). Setting the stage for health: Salutogenesis in midwifery professional knowledge in three European countries. International Journal of Qualitative Studies on Health and Well-Being, 11(1), 33155. https://doi.org/10.3402/qhw.v11.33155
Maskálová, E., Mazúchová, L., Kelcíková, S., Samselyová, J., & Kukuciarová, L. (2021). Satisfaction of women with childbirth. Central European Journal of Nursing and Midwifery, 12(4), 537-544. https://doi.org/10.15452/CEJNM.2021.12.0031
McKelvin, G., Thomson, G., & Downe, S. (2021). The childbirth experience: A systematic review of predictors and outcomes. Women and Birth, 34(5), 407-416. https://doi.org/10.1016/j.wombi.2020.09.021
Nilvér, H., Begley, C., & Berg, M. (2017). Measuring women's childbirth experiences: A systematic review for identification and analysis of validated instruments. BMC Pregnancy and Childbirth, 17(1), 203. https://doi.org/10.1186/s12884-017-1356-y
Nugent, S. M., Lovejoy, T. I., Shull, S., Dobscha, S. K., & Morasco, B. J. (2021). Associations of pain numeric rating scale scores collected during usual care with research administered patient reported pain outcomes. Pain Medicine (United States), 22(10), 2235-2241. https://doi.org/10.1093/pm/pnab110
O'Brien, D., Butler, M. M., & Casey, M. (2021). The importance of nurturing trusting relationships to embed shared decision-making during pregnancy and childbirth. Midwifery, 98, 102987. https://doi.org/10.1016/j.midw.2021.102987
Olza, I., Leahy-Warren, P., Benyamini, Y., Kazmierczak, M., Karlsdottir, S. I., Spyridou, A., Crespo-Mirasol, E., Takács, L., Hall, P. J., Murphy, M., Jonsdottir, S. S., Downe, S., & Nieuwenhuijze, M. J. (2018). Women's psychological experiences of physiological childbirth: A meta-synthesis. BMJ Open, 8(10), e020347. https://doi.org/10.1136/bmjopen-2017-020347
Ortega Barreda, E., Rojas Linares, C., Ortega Barreda, E., & Pérez González, A. (2017). Panorámica internacional en relación a las recomendaciones, práctica clínica y legislación del parto en casa. ENE Revista de Enfermería, 11(1), 4.
Perdok, H., Verhoeven, C. J., van Dillen, J., Schuitmaker, T. J., Hoogendoorn, K., Colli, J., Schellevis, F. G., & de Jonge, A. (2018). Continuity of care is an important and distinct aspect of childbirth experience: Findings of a survey evaluating experienced continuity of care, experienced quality of care and women's perception of labor. BMC Pregnancy and Childbirth, 18(1), 13. https://doi.org/10.1186/s12884-017-1615-y
Place, K., Rahkonen, L., Verho-Reischl, N., Adler, K., Heinonen, S., & Kruit, H. (2022). Childbirth experience in induced labor: A prospective study using a validated childbirth experience questionnaire (CEQ) with a focus on the first birth. PLoS One, 17(10), e0274949. https://doi.org/10.1371/journal.pone.0274949
Quattrocchi, P. (2022). «Seguridad» y «respeto» durante el parto y el nacimiento. El aporte de las mujeres y de las matronas españolas e italianas desde un modelo de atención no medicalizado. Revista d'antropologia i Investigació Social, 10, 13-33.
Roqueta Vall-llosera, M. (2022). Intervencionisme obstètric i altres factors associats a la satisfacció materna en el part [Universitat de Girona]. http://hdl.handle.net/10803/675570
Sandall, J., Soltani, H., Gates, S., Shennan, A., & Devane, D. (2016). Midwife-led continuity models of care compared with other models of care for women during pregnancy, birth and early parenting. Cochrane Database of Systematic Reviews, 4, CD004667.
Selin, L., Berg, M., Wennerholm, U. B., & Dencker, A. (2021). Dosage of oxytocin for augmentation of labor and women's childbirth experiences: A randomized controlled trial. Acta Obstetricia et Gynecologica Scandinavica, 100(5), 971-978. https://doi.org/10.1111/aogs.14042
Shorey, S., Yang, Y. Y., & Ang, E. (2018). The impact of negative childbirth experience on future reproductive decisions: A quantitative systematic review. Journal of Advanced Nursing, 74(6), 1236-1244. https://doi.org/10.1111/JAN.13534
Sjöblom, I., Idvall, E., & Lindgren, H. (2014). Creating a safe haven-women's experiences of the midwife's professional skills during planned home birth in four Nordic countries. Birth (Berkeley, Calif.), 41(1), 100-107. http://www.ncbi.nlm.nih.gov/pubmed/24654642
Soriano-Vidal, F. J., Oliver-Roig, A., Cabrero-García, J., Congost-Maestre, N., Dencker, A., & Richart-Martínez, M. (2016). The Spanish version of the childbirth experience questionnaire (CEQ-E): Reliability and validity assessment. BMC Pregnancy and Childbirth, 16(1), 1-8. https://doi.org/10.1186/s12884-016-1100-z
Soriano-Vidal, F. J., Oliver-Roig, A., Richart-Martínez, M., & Cabrero-García, J. (2023). Predictors of childbirth experience: Prospective observational study in eastern Spain. Midwifery, 124, 103748. https://doi.org/10.1016/j.midw.2023.103748
Sosa, G. A., Crozier, K. E., & Stockl, A. (2018). The experiences of midwives and women during intrapartum transfer from one-to-one midwife-led birth environments to obstetric-led units. Midwifery, 65, 43-50. https://doi.org/10.1016/j.midw.2018.07.001
Sultan, A. H., Thakar, R., & Fenner, D. E. (2008). Perineal and anal sphincter trauma. Diagnosis and clinical management (a. H. Sultan, R. Thakar, & D. E. Fenner, eds.; 1st ed.). Springer. https://doi.org/10.1017/cbo9781107445161.037
Thies-Lagergren, L., Ólafsdóttir, Ó. Á., & Sjöblom, I. (2021). Being in charge in an encounter with extremes. A survey study on how women experience and work with labour pain in a Nordic home birth setting. Women and Birth, 34(2), 122-127. https://doi.org/10.1016/j.wombi.2020.01.015
Turkmen, S., Tjernström, M., Dahmoun, M., & Bolin, M. (2018). Post-partum duration of satisfaction with childbirth. Journal of Obstetrics and Gynaecology Research, 44(12), 2166-2173. https://doi.org/10.1111/jog.13775
Ulfsdottir, H., Saltvedt, S., & Georgsson, S. (2019). Women's experiences of waterbirth compared with conventional uncomplicated births. Midwifery, 79, 102547. https://doi.org/10.1016/j.midw.2019.102547
van Haaren-ten Haken, T. M., Hendrix, M. J., Nieuwenhuijze, M. J., de Vries, R. G., & Nijhuis, J. G. (2018). Birth place preferences and women's expectations and experiences regarding duration and pain of labor. Journal of Psychosomatic Obstetrics and Gynecology, 39(1), 19-28. https://doi.org/10.1080/0167482X.2017.1285900
van Stenus, C. M. V., Boere-Boonekamp, M. M., Kerkhof, E. F. G. M., & Need, A. (2017). Client satisfaction and transfers across care levels of women with uncomplicated pregnancies at the onset of labor. Midwifery, 48, 11-17. https://doi.org/10.1016/j.midw.2017.02.007
Vedeler, C., Nilsen, A. B. V., Blix, E., Downe, S., & Eri, T. S. (2022). What women emphasise as important aspects of care in childbirth - An online survey. BJOG: An International Journal of Obstetrics and Gynaecology, 129(4), 647-655. https://doi.org/10.1111/1471-0528.16926
Viirman, F., Hess Engström, A., Sjömark, J., Hesselman, S., Sundström Poromaa, I., Ljungman, L., Svanberg, A. S., & Wikman, A. (2023). Negative childbirth experience in relation to mode of birth and events during labour: A mixed methods study. European Journal of Obstetrics & Gynecology, 282, 146-154. https://doi.org/10.1016/j.ejogrb.2023.01.031
Vila-Candel, R., Soriano-Vidal, F. J., Mena-Tudela, D., Quesada, J. A., & Castro-Sánchez, E. (2021). Health literacy of pregnant women and duration of breastfeeding maintenance: A feasibility study. Journal of Advanced Nursing, 77(2), 703-714. https://doi.org/10.1111/jan.14625
Winkvist, A., Brantsaeter, A. L., Brandhagen, M., Haugen, M., Meltzer, H. M., & Lissner, L. (2015). Maternal prepregnant body mass index and gestational weight gain are associated with initiation and duration of breastfeeding among Norwegian mothers. The Journal of Nutrition, 145(6), 1263-1270. https://doi.org/10.3945/jn.114.202507
Winter, C., Junge-Hoffmeister, J., Bittner, A., Gerstner, I., & Weidner, K. (2022). Planned Place of birth-Impact of psychopathological risk factors on the choice of birthplace and its postpartum effect on psychological adaption: An exploratory study. Journal of Clinical Medicine, 11(2), 292. https://doi.org/10.3390/jcm11020292
World Health Organisation. (2018). WHO recommendations: Intrapartum care for a positive childbirth experience. World Health Organization. http://apps.who.int/iris/bitstream/handle/10665/260178/9789241550215-eng.pdf;jsessionid=B74230CF9B1BC0BECDF25FF364CD5917?sequence=1
Yildiz, P. D., Ayers, S., & Phillips, L. (2017). The prevalence of posttraumatic stress disorder in pregnancy and after birth: A systematic review and meta-analysis. Journal of Affective Disorders, 208, 634-645. https://doi.org/10.1016/j.jad.2016.10.009
Zhu, X., Wang, Y., Zhou, H., Qiu, L., & Pang, R. (2019). Adaptation of the childbirth experience questionnaire (CEQ) in China: A multisite cross-sectional study. PLoS One, 14(4), 1-16. https://doi.org/10.1371/journal.pone.0215373
Zielinski, R., Ackerson, K., & Low, L. K. (2015). Planned home birth: Benefits, risks, and opportunities. In International journal of Women's health (Vol. 7, pp. 361-377). Dove Medical Press Ltd. https://doi.org/10.2147/IJWH.S55561