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A provoking choice: Swedish women's experiences of reactions to their plans to give birth at home
Sophiahemmet University.ORCID iD: 0000-0002-9672-7698
2012 (English)In: Women and birth : journal of the Australian College of Midwives, ISSN 1878-1799, Vol. 25, no 3, e11-e18 p.Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: The home birth rate in Sweden is less than 1 in 1000, and home birth is not included within the health care system. This study describes women's experiences concerning reactions to their decision to give birth at home. DESIGN AND SETTING: A nationwide survey (SHE - Swedish Homebirth Experience) in Sweden was conducted between 1992 and 2005 whereas 735 women had given birth to 1038 children. Of 1038 questionnaires 1025 were returned. MEASUREMENTS: In the questionnaires an open-ended question asked women to report their experience of reactions to their decision to give birth at home The question was answered by 594 women, and data were analysed using content analysis. FINDINGS: The analysis yielded one overarching theme; "To be faced with fear for life and death" including being exposed to reactions about risks. This describes attitudes of professionals and family towards life and death and suggests perceptions of risk and fear of unexpected events. Four main categories were identified; Seen as an irresponsible person, Met with emotional arguments, Exposed to persuasion and Alienation. CONCLUSION: Women who plan for a home birth were confronted with negative attitudes and persuasion to make them change their mind. This made them feel alienated, and they searched for support among like-minded. Negative attitudes from health care professionals may erode their confidence in conventional health services and turn them towards other options. IMPLICATION FOR PRACTICE: Women who want to give birth at home should be given evidence-based information about risks and benefits. Enhanced knowledge among public and professionals about home births would improve the options for respectful encounters.

Place, publisher, year, edition, pages
2012. Vol. 25, no 3, e11-e18 p.
Keyword [en]
Home birth, Reactions, Treatment, Risks
National Category
Obstetrics, Gynecology and Reproductive Medicine Nursing
Identifiers
URN: urn:nbn:se:shh:diva-916DOI: 10.1016/j.wombi.2011.07.147PubMedID: 21831738OAI: oai:DiVA.org:shh-916DiVA: diva2:463512
Available from: 2011-12-09 Created: 2011-12-09 Last updated: 2014-09-29Bibliographically approved

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Rådestad, Ingela
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CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf