Abstract：
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. Five main themes emerged as the most important factors: (1) resisting the biomedical model of birth by trusting intuition, (2) challenging the dominant discourse on risk by considering the hospital as a dangerous place, (3) feeling that true autonomous choice is only possible at home, (4) perceiving birth as an intimate or religious experience, and (5) taking responsibility as a reflection of true control over decision-making. KEY CONCLUSIONS:concerns over consent, intervention and loss of the birthing experience may be driving women away from formal healthcare. There is a lack of fit between the health needs of pregnant women and the current system of maternity care. Biomedical and alternative ׳outside the system׳ discourses on authoritative knowledge, risk, autonomy and responsibility must be negotiated to find a common ground wherein a dialogue can take place between client and health professional. IMPLICATIONS FOR PRACTICE:more research is needed to explore the scope of the phenomenon of women birthing outside the system and the experiences of midwives and obstetricians in the care of such women. This knowledge can be used to improve the maternity care system, so that fewer women will choose to withdraw from it.
journal_name
Midwiferyjournal_title
Midwiferyauthors
Holten L,de Miranda Edoi
10.1016/j.midw.2016.03.010subject
Has Abstractpub_date
2016-07-01 00:00:00pages
55-62eissn
0266-6138issn
1532-3099pii
S0266-6138(16)30010-9journal_volume
38pub_type
杂志文章,评审相关文献
MIDWIFERY文献大全abstract：OBJECTIVE:to explore the strategies Chinese midwives employed to work on their professional identity in hospital setting and the consequence of such identity work. DESIGN AND METHODS:this paper draws upon findings from a Constructivist Grounded Theory study that explored the professional identity construction of 15 Ch...
journal_title：Midwifery
pub_type： 杂志文章
doi：10.1016/j.midw.2014.11.013
更新日期：2015-03-01 00:00:00
abstract：OBJECTIVE:to gain insight into women's experiences and preferences for induction in the home as part of a trial investigating the feasibility and acceptability of outpatient induction of labour with remote monitoring. DESIGN:a qualitative study using semi-structured individual interviews. Interview transcripts were su...
journal_title：Midwifery
pub_type： 杂志文章
doi：10.1016/j.midw.2012.01.014
更新日期：2013-04-01 00:00:00
abstract：OBJECTIVE:to examine cultural expectations and experiences of breast feeding amongst first time mothers from low-income areas, in order to improve understanding of why many cease breast feeding in the early days of their babies' lives. DESIGN:qualitative interviews were carried out with 16 women, who expressed an inte...
journal_title：Midwifery
pub_type： 杂志文章
doi：10.1016/j.midw.2003.12.003
更新日期：2004-09-01 00:00:00
abstract：:Statistics available in the UK and in North America indicate that violence towards women by their partner is widespread but under-reported. Research shows that violence is likely to begin or escalate during pregnancy. It is suggested that violence to pregnant women may be more common than gestational diabetes or place...
journal_title：Midwifery
pub_type： 杂志文章
doi：10.1016/s0266-6138(05)80040-3
更新日期：1991-09-01 00:00:00
abstract：OBJECTIVE:to explore the postpartum experiences of Cambodian born migrant women who gave birth for the first time in Victoria, Australia between 2000 and 2010. DESIGN:an ethnographic study with 35 women using semi-structured and unstructured interviews and participant observation; this paper draws on interviews with 2...
journal_title：Midwifery
pub_type： 杂志文章
doi：10.1016/j.midw.2012.06.021
更新日期：2013-07-01 00:00:00
abstract：OBJECTIVE:To undertake a systematic review of available qualitative research literature to determine what women need to successfully transition to motherhood during the early postnatal period and whether postnatal home care delivered by midwives supports this process. DESIGN:The transition from woman to mother is a si...
journal_title：Midwifery
pub_type： 杂志文章
doi：10.1016/j.midw.2019.102552
更新日期：2019-12-01 00:00:00
abstract：OBJECTIVE:to gain insight into the association between satisfaction with childbirth and place of birth, in the context of two maternity-care systems, in Belgium and the Netherlands. The Belgian and Dutch societies have many similarities but differ in the organisation of maternity care. The Dutch way of giving birth is ...
journal_title：Midwifery
pub_type： 杂志文章
doi：10.1016/j.midw.2007.02.001
更新日期：2009-04-01 00:00:00
abstract：OBJECTIVE:To describe antenatal 'booking' interviews as regards content and illuminate the meaning of the ways midwives and expectant parents relate to each other. DESIGN:Content analysis and phenomenological hermeneutic analysis of transcribed texts from five video-recorded antenatal booking interviews. SETTING:Midw...
journal_title：Midwifery
pub_type： 杂志文章
doi：10.1016/s0266-6138(96)90003-0
更新日期：1996-06-01 00:00:00
abstract：OBJECTIVE:To describe African American and White women's perceptions of weight gain, physical activity, and nutrition during pregnancy and to explore differences in perceptions by race. DESIGN:Qualitative interview study. SETTING:Two Ob/Gyn clinics in South Carolina, USA. PARTICIPANTS:Thirty pregnant women (15 Afric...
journal_title：Midwifery
pub_type： 杂志文章
doi：10.1016/j.midw.2015.11.005
更新日期：2016-03-01 00:00:00
abstract：OBJECTIVE:to provide a thematic overview of the existing literature on existential meaning-making related to transition to motherhood among mothers of full term born babies in Western oriented countries and to discuss the themes from a existential psychology perspective. DESIGN:the review follows the approach of a sco...
journal_title：Midwifery
pub_type： 杂志文章,评审
doi：10.1016/j.midw.2013.06.021
更新日期：2014-06-01 00:00:00
abstract：OBJECTIVE:to investigate the relationship between information giving by midwives and decision-making by women offered nuchal translucency (NT) screening. To establish how risk figures are discussed in practice, with the intention of relating this to the existing, and often critical, literature on women's accounts of an...
journal_title：Midwifery
pub_type： 杂志文章
doi：10.1016/S0266-6138(03)00056-1
更新日期：2004-03-01 00:00:00
abstract：OBJECTIVE:The aim of this study was to explore women's experiences of dealing with the complexities of an unplanned pregnancy. DESIGN:Qualitative content analysis was used to analyse the reports of women experiencing unplanned pregnancy and provide meaning to the results. SETTING:Participants from Tabriz, Iran were r...
journal_title：Midwifery
pub_type： 杂志文章
doi：10.1016/j.midw.2018.03.023
更新日期：2018-07-01 00:00:00
abstract：OBJECTIVE:childbirth self-efficacy has been found to be a factor that influences women's decision about their choice of delivery. Greece is a country with a high caesarean section rate and the validation of the Childbirth Self-Efficacy Inventory (CBSEI) would help explore Greek pregnant women's emotional preparation of...
journal_title：Midwifery
pub_type： 杂志文章
doi：10.1016/j.midw.2015.03.013
更新日期：2015-07-01 00:00:00
abstract：OBJECTIVES:The primary objective of this study is to examine the differences between women following vaginal delivery and caesarean section (elective or emergency) in terms of early symptoms of postpartum depression, and to evaluate pain during labour and in the early puerperium. An additional goal was to determine if ...
journal_title：Midwifery
pub_type： 杂志文章
doi：10.1016/j.midw.2020.102731
更新日期：2020-08-01 00:00:00
abstract：BACKGROUND:the predicted midwifery workforce shortages in several countries have serious implications for the care of women during pregnancy, birth and post partum. There are a number of factors known to contribute to midwifery shortages and work attrition. However, midwives assessment of their own professional identit...
journal_title：Midwifery
pub_type： 杂志文章
doi：10.1016/j.midw.2016.06.008
更新日期：2016-09-01 00:00:00
abstract：OBJECTIVE:To ascertain the views of midwives, obstetricians and general practitioners (GPs) on possible changes in the provision of antenatal care, and to describe any differences in attitude between the three professional groups. DESIGN:survey using postal questionnaire. SETTING:Three hospitals in south-east London....
journal_title：Midwifery
pub_type： 杂志文章
doi：10.1016/0266-6138(95)90068-3
更新日期：1995-06-01 00:00:00
abstract：:The randomised controlled trial is currently the 'gold standard' that guides health-care practices. The implementation of new models of midwifery care often relies on results from randomised controlled trials. However, many randomised controlled trials exclude women who do not speak English or are designed in such a w...
journal_title：Midwifery
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1054/midw.2000.0230
更新日期：2000-12-01 00:00:00
abstract：BACKGROUND:overweight and obesity are growing public health problems and around 13% of women assigned to antenatal health care (AHC) in Sweden have obesity (Body Mass Index, BMI ≥30). The risk of complications during pregnancy and childbirth increase with increasing BMI. Excessive gestational weight gain (GWG) among ob...
journal_title：Midwifery
pub_type： 临床试验,杂志文章
doi：10.1016/j.midw.2015.03.014
更新日期：2015-07-01 00:00:00
abstract：:The dramatic increase of new HIV/AIDS cases in women and their babies continues to require midwives to be vigilant in their efforts to identify clients at risk for HIV. The role of STDs in HIV transmission and disease progression is evident. Research is lacking on the effect of AIDS drugs, pregnancy and birth on the H...
journal_title：Midwifery
pub_type：
doi：10.1016/s0266-6138(05)80007-5
更新日期：1992-12-01 00:00:00
abstract：OBJECTIVE:the aim of this study was to gain knowledge and a deeper understanding of the value attached by parents to relational continuity provided by midwifery students to the woman and her partner during the childbearing process. The focus of the study was on the childbirth and the postnatal home visit. DESIGN/SETTI...
journal_title：Midwifery
pub_type： 杂志文章
doi：10.1016/j.midw.2011.06.006
更新日期：2012-08-01 00:00:00
abstract：BACKGROUND:caseload midwifery and CenteringPregnancy™ (a form of group antenatal care) are two models of maternity care that are separately associated with better clinical outcomes, maternal satisfaction scores and positive experiences compared to standard care. One study reported exclusively on younger women׳s experie...
journal_title：Midwifery
pub_type： 杂志文章
doi：10.1016/j.midw.2015.01.009
更新日期：2015-05-01 00:00:00
abstract：:A follow-up descriptive survey of the employment practice of midwives has been undertaken in an attempt to identify factors associated with more long term midwifery practice. Existing data on Notification of Intention to Practise as a Midwife was used to follow up a cohort of midwives who qualified in 1981 and 1982 in...
journal_title：Midwifery
pub_type： 杂志文章
doi：10.1016/s0266-6138(89)80062-2
更新日期：1989-03-01 00:00:00
abstract：OBJECTIVES:to describe midwives' experiences with, and perceptions of, women with fear of childbirth. DESIGN:a qualitative study with a phenomenographic approach. Data were collected by means of interviews in focus groups. SETTING:four focus groups at four types of hospital in Southern Sweden over a period of 18 mont...
journal_title：Midwifery
pub_type： 杂志文章
doi：10.1016/j.midw.2008.07.003
更新日期：2010-06-01 00:00:00
abstract：OBJECTIVE AND DESIGN:An ethnographic study was undertaken in a birth centre to explore the model of care provided there from the perspectives of midwives and parents. SETTING:A five birthing-room, alongside, inner-city, birth centre in England, situated one floor below the hospital labour ward, separately staffed by p...
journal_title：Midwifery
pub_type： 杂志文章
doi：10.1016/j.midw.2010.10.014
更新日期：2012-02-01 00:00:00
abstract：OBJECTIVE:to report findings from a study performed prior to the introduction of publicly funded home birth programmes in Victoria, Australia, that investigated the incidence of planned home births attended by paramedics and explored the clinical support they provided as well as the implications for education and pract...
journal_title：Midwifery
pub_type： 杂志文章
doi：10.1016/j.midw.2016.02.007
更新日期：2016-07-01 00:00:00
abstract：OBJECTIVE:Our objective was to explore the socio-cultural factors that influence women's early and adequate utilisation of antenatal care (ANC) in rural Bangladesh. METHODS:A qualitative study was conducted in two rural settings of Bangladesh, including 32 in-depth interviews with pregnant or recently delivered women,...
journal_title：Midwifery
pub_type： 杂志文章
doi：10.1016/j.midw.2020.102881
更新日期：2021-02-01 00:00:00
abstract：OBJECTIVES:to identify the changes to early labour services, their triggers and monitoring. DESIGN AND SETTING:a mixed methods approach in two stages, firstly a postal questionnaire survey of Heads of Midwifery (HoM) services in NHS Trusts in England (cover sheet to each HoM and questionnaire for each unit in their ju...
journal_title：Midwifery
pub_type： 杂志文章
doi：10.1016/j.midw.2012.05.007
更新日期：2013-04-01 00:00:00
abstract：OBJECTIVE:This study aimed to characterize the Portuguese general population's knowledge and attitudes about postpartum depression, and analyze its sociodemographic and clinical correlates. DESIGN:A cross-sectional internet survey. SETTING:Participants were recruited through advertisements on social media websites, i...
journal_title：Midwifery
pub_type： 杂志文章
doi：10.1016/j.midw.2019.06.016
更新日期：2019-10-01 00:00:00
abstract：OBJECTIVE:to investigate the association between country of origin of women and their use of complementary pain reduction methods (i.e. non-pharmacological) during childbirth in Sweden. DESIGN:cross-sectional design. SETTING:a national register-based study. PARTICIPANTS:215,497 singleton deliveries (including the fi...
journal_title：Midwifery
pub_type： 杂志文章
doi：10.1016/j.midw.2008.10.005
更新日期：2010-08-01 00:00:00
abstract：BACKGROUND:With an increasing number of women attending antenatal care for the recommended number of contacts, focus now must be placed on the quality and utility of care; without understanding adherence, the true contribution of antenatal care to improved maternal health outcomes is difficult to determine. OBJECTIVE:...
journal_title：Midwifery
pub_type： 杂志文章
doi：10.1016/j.midw.2019.07.005
更新日期：2019-11-01 00:00:00
