Challenging the status quo: Women's experiences of opting for a home birth in Andalucia, Spain

Objective: To explore the perceptions, beliefs and attitudes of women who opted for a home birth in Andalusia (Spain). Background: Home birth is currently an unusual choice among Spanish women. It is not an option covered by the Spanish National Health Service and women who opt for a home birth have...

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Autores: León Larios, Fátima, Nuno-Aguilar, Cristina, Rocca-Ihenacho, Lucia, Castro-Cardona, Felipe, Escuriet, Ramón
Tipo de recurso: artículo
Estado:Versión aceptada para publicación
Fecha de publicación:2019
País:España
Institución:Universidad de Sevilla (US)
Repositorio:idUS. Depósito de Investigación de la Universidad de Sevilla
OAI Identifier:oai:idus.us.es:11441/153676
Acceso en línea:https://hdl.handle.net/11441/153676
https://doi.org/10.1016/j.midw.2018.12.001
Access Level:acceso abierto
Palabra clave:Home birth
Midwives
Private practice
Midwifery-led care
Phenomenological approach
Qualitative methodology
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spelling Challenging the status quo: Women's experiences of opting for a home birth in Andalucia, SpainLeón Larios, FátimaNuno-Aguilar, CristinaRocca-Ihenacho, LuciaCastro-Cardona, FelipeEscuriet, RamónHome birthMidwivesPrivate practiceMidwifery-led carePhenomenological approachQualitative methodologyObjective: To explore the perceptions, beliefs and attitudes of women who opted for a home birth in Andalusia (Spain). Background: Home birth is currently an unusual choice among Spanish women. It is not an option covered by the Spanish National Health Service and women who opt for a home birth have to pay for an independent midwife. Design: A qualitative study with a phenomenological approach was adopted. All participants who took part in this study had chosen to have a home birth and given written consent to take part in the study. Methods: Data collection was conducted in 2015–16. Face-to-face, semi-structured interviews were undertaken with women who chose a home birth in the last 5 years. Findings: The sample consisted of thirteen women. Seven themes were created through analysis: 1. Getting informed about home birth; 2. Home birth as a choice, despite feeling unsupported; 3. The best way to have a personalized and a physiological birth; 4. Seeking a healing and empowering experience 5. The need for emotional safety, establishing a relationship and trusting the midwife; 6. Preparing for birth and working on fears; 7. Inequality of access (because of financial implications). Conclusions: Women opted to plan birth at home because they wanted a personalised birth and control over their decision-making in labour, which they felt would not have been afforded to them in hospital settings. Andalusian maternity care leaders should strive to ensure that all pregnant women receive respectful and high-quality personalised care, by appropriately trained staff, both in the hospital and in the community.ElsevierEnfermeríaHUM873: Centro de Investigación y Acción Comunitaria de la Universidad de Sevilla2019info:eu-repo/semantics/articleinfo:eu-repo/semantics/acceptedVersionapplication/pdfapplication/pdfhttps://hdl.handle.net/11441/153676https://doi.org/10.1016/j.midw.2018.12.001reponame:idUS. Depósito de Investigación de la Universidad de Sevillainstname:Universidad de Sevilla (US)InglésMidwifery, 70, 15-21.https://www.sciencedirect.com/science/article/pii/S0266613818303474?via%3Dihubinfo:eu-repo/semantics/openAccessoai:idus.us.es:11441/1536762026-06-17T12:51:07Z
dc.title.none.fl_str_mv Challenging the status quo: Women's experiences of opting for a home birth in Andalucia, Spain
title Challenging the status quo: Women's experiences of opting for a home birth in Andalucia, Spain
spellingShingle Challenging the status quo: Women's experiences of opting for a home birth in Andalucia, Spain
León Larios, Fátima
Home birth
Midwives
Private practice
Midwifery-led care
Phenomenological approach
Qualitative methodology
title_short Challenging the status quo: Women's experiences of opting for a home birth in Andalucia, Spain
title_full Challenging the status quo: Women's experiences of opting for a home birth in Andalucia, Spain
title_fullStr Challenging the status quo: Women's experiences of opting for a home birth in Andalucia, Spain
title_full_unstemmed Challenging the status quo: Women's experiences of opting for a home birth in Andalucia, Spain
title_sort Challenging the status quo: Women's experiences of opting for a home birth in Andalucia, Spain
dc.creator.none.fl_str_mv León Larios, Fátima
Nuno-Aguilar, Cristina
Rocca-Ihenacho, Lucia
Castro-Cardona, Felipe
Escuriet, Ramón
author León Larios, Fátima
author_facet León Larios, Fátima
Nuno-Aguilar, Cristina
Rocca-Ihenacho, Lucia
Castro-Cardona, Felipe
Escuriet, Ramón
author_role author
author2 Nuno-Aguilar, Cristina
Rocca-Ihenacho, Lucia
Castro-Cardona, Felipe
Escuriet, Ramón
author2_role author
author
author
author
dc.contributor.none.fl_str_mv Enfermería
HUM873: Centro de Investigación y Acción Comunitaria de la Universidad de Sevilla
dc.subject.none.fl_str_mv Home birth
Midwives
Private practice
Midwifery-led care
Phenomenological approach
Qualitative methodology
topic Home birth
Midwives
Private practice
Midwifery-led care
Phenomenological approach
Qualitative methodology
description Objective: To explore the perceptions, beliefs and attitudes of women who opted for a home birth in Andalusia (Spain). Background: Home birth is currently an unusual choice among Spanish women. It is not an option covered by the Spanish National Health Service and women who opt for a home birth have to pay for an independent midwife. Design: A qualitative study with a phenomenological approach was adopted. All participants who took part in this study had chosen to have a home birth and given written consent to take part in the study. Methods: Data collection was conducted in 2015–16. Face-to-face, semi-structured interviews were undertaken with women who chose a home birth in the last 5 years. Findings: The sample consisted of thirteen women. Seven themes were created through analysis: 1. Getting informed about home birth; 2. Home birth as a choice, despite feeling unsupported; 3. The best way to have a personalized and a physiological birth; 4. Seeking a healing and empowering experience 5. The need for emotional safety, establishing a relationship and trusting the midwife; 6. Preparing for birth and working on fears; 7. Inequality of access (because of financial implications). Conclusions: Women opted to plan birth at home because they wanted a personalised birth and control over their decision-making in labour, which they felt would not have been afforded to them in hospital settings. Andalusian maternity care leaders should strive to ensure that all pregnant women receive respectful and high-quality personalised care, by appropriately trained staff, both in the hospital and in the community.
publishDate 2019
dc.date.none.fl_str_mv 2019
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/acceptedVersion
format article
status_str acceptedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/11441/153676
https://doi.org/10.1016/j.midw.2018.12.001
url https://hdl.handle.net/11441/153676
https://doi.org/10.1016/j.midw.2018.12.001
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Midwifery, 70, 15-21.
https://www.sciencedirect.com/science/article/pii/S0266613818303474?via%3Dihub
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv reponame:idUS. Depósito de Investigación de la Universidad de Sevilla
instname:Universidad de Sevilla (US)
instname_str Universidad de Sevilla (US)
reponame_str idUS. Depósito de Investigación de la Universidad de Sevilla
collection idUS. Depósito de Investigación de la Universidad de Sevilla
repository.name.fl_str_mv
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