Exploring home births in Catalonia (Spain): A cross-sectional study of women's experiences and influencing factors

Aim The study explores the experiences of women with low-risk pregnancies and no complications who planned a home birth. Design A cross-sectional study was conducted using an online questionnaire. Methods The questionnaire included socio-demographic, obstetric and perinatal variables. Birth satisfac...

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Detalles Bibliográficos
Autores: Alcaraz-Vidal, Lucía, León Larios, Fátima, Robleda, Gemma, Vila-Candel, Rafael
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2023
País:España
Institución:Universidad de Sevilla (US)
Repositorio:idUS. Depósito de Investigación de la Universidad de Sevilla
OAI Identifier:oai:idus.us.es:11441/153753
Acceso en línea:https://hdl.handle.net/11441/153753
https://doi.org/10.1111/jan.15989
Access Level:acceso abierto
Palabra clave:Birth experience
Birthplace
Childbearing
Home birth
Midwifery,
Place of birth
Women's health
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spelling Exploring home births in Catalonia (Spain): A cross-sectional study of women's experiences and influencing factorsAlcaraz-Vidal, LucíaLeón Larios, FátimaRobleda, GemmaVila-Candel, RafaelBirth experienceBirthplaceChildbearingHome birthMidwifery,Place of birthWomen's healthAim The study explores the experiences of women with low-risk pregnancies and no complications who planned a home birth. Design A cross-sectional study was conducted using an online questionnaire. Methods 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. Results 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. Conclusions 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. Implications for the Profession and Patient Care 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. Impact 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. Reporting Method The study followed the STROBE checklist guidelines for cross-sectional studies. Public Contribution 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.Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana II Call for Nursing R&D&I Grants. 2020Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana UGP-20-245WileyEnfermeríaHUM873: Centro de Investigación y Acción Comunitaria de la Universidad de Sevilla2023info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://hdl.handle.net/11441/153753https://doi.org/10.1111/jan.15989reponame:idUS. Depósito de Investigación de la Universidad de Sevillainstname:Universidad de Sevilla (US)InglésJAN. Journal of Advanced Nursing, 1-16.https://onlinelibrary.wiley.com/doi/10.1111/jan.15989info:eu-repo/semantics/openAccessoai:idus.us.es:11441/1537532026-06-17T12:51:07Z
dc.title.none.fl_str_mv Exploring home births in Catalonia (Spain): A cross-sectional study of women's experiences and influencing factors
title Exploring home births in Catalonia (Spain): A cross-sectional study of women's experiences and influencing factors
spellingShingle Exploring home births in Catalonia (Spain): A cross-sectional study of women's experiences and influencing factors
Alcaraz-Vidal, Lucía
Birth experience
Birthplace
Childbearing
Home birth
Midwifery,
Place of birth
Women's health
title_short Exploring home births in Catalonia (Spain): A cross-sectional study of women's experiences and influencing factors
title_full Exploring home births in Catalonia (Spain): A cross-sectional study of women's experiences and influencing factors
title_fullStr Exploring home births in Catalonia (Spain): A cross-sectional study of women's experiences and influencing factors
title_full_unstemmed Exploring home births in Catalonia (Spain): A cross-sectional study of women's experiences and influencing factors
title_sort Exploring home births in Catalonia (Spain): A cross-sectional study of women's experiences and influencing factors
dc.creator.none.fl_str_mv Alcaraz-Vidal, Lucía
León Larios, Fátima
Robleda, Gemma
Vila-Candel, Rafael
author Alcaraz-Vidal, Lucía
author_facet Alcaraz-Vidal, Lucía
León Larios, Fátima
Robleda, Gemma
Vila-Candel, Rafael
author_role author
author2 León Larios, Fátima
Robleda, Gemma
Vila-Candel, Rafael
author2_role 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 Birth experience
Birthplace
Childbearing
Home birth
Midwifery,
Place of birth
Women's health
topic Birth experience
Birthplace
Childbearing
Home birth
Midwifery,
Place of birth
Women's health
description Aim The study explores the experiences of women with low-risk pregnancies and no complications who planned a home birth. Design A cross-sectional study was conducted using an online questionnaire. Methods 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. Results 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. Conclusions 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. Implications for the Profession and Patient Care 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. Impact 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. Reporting Method The study followed the STROBE checklist guidelines for cross-sectional studies. Public Contribution 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.
publishDate 2023
dc.date.none.fl_str_mv 2023
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/11441/153753
https://doi.org/10.1111/jan.15989
url https://hdl.handle.net/11441/153753
https://doi.org/10.1111/jan.15989
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv JAN. Journal of Advanced Nursing, 1-16.
https://onlinelibrary.wiley.com/doi/10.1111/jan.15989
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 Wiley
publisher.none.fl_str_mv Wiley
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
repository.mail.fl_str_mv
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