A World Apart: The Experience of Prenatal Care for U.S. Women Who Plan Home Birth

2.50
Hdl Handle:
http://hdl.handle.net/10755/304419
Category:
Abstract
Type:
Presentation
Title:
A World Apart: The Experience of Prenatal Care for U.S. Women Who Plan Home Birth
Author(s):
Lothian, Judith A.
Lead Author STTI Affiliation:
Gamma Nu
Author Details:
Judith A. Lothian, RN, PhD, jalothian@aol.com
Abstract:

Session presented on: Friday, July 26, 2013

Purpose:  

The purpose of this research is to describe the experience of prenatal care for women planning a home birth.  Although the safety of planned home birth for healthy women is well established only 1% of US women choose a planned home birth.  There is little research on the experience of prenatal care for women who plan home birth in the US.

Methods: Ethnographic techniques of informal interview and participant observation were used to obtain rich descriptions of women’s experience planning (and then having) a home birth. Twenty women representing diverse backgrounds were interviewed and observed, including during prenatal visits, in their homes. Interviews were audio-recorded and transcribed. Guidelines to insure trustworthiness and protection of human subjects were followed. The data were analyzed using standard qualitative techniques—developing codes, categories and themes.

Results:

Both the content and the process of prenatal care were strikingly different than standard care. Prenatal visits were in the women’s homes, informal, lengthy, and included open discussions of concerns, information, choices, and day to day life. The prenatal care contributed to the women and midwives getting to know each other well and that worked to increase women’s knowledge of and confidence in both the process of birth and their own ability to give birth. Open, honest, relaxed communication helped the midwife identify areas of concern and personalize care. Women described prenatal care as “It’s all about me and my world”.  

Conclusion:  

The prenatal care that women who plan home birth receive is a world apart from standard prenatal care. Personalized prenatal care balances the power between women and their providers ultimately increasing confidence and decreasing fear. It also assists the midwife in meeting women’s physical, emotional and psychological needs. This model of prenatal care may reduce risk and increase safety for childbearing women.

Keywords:
home birth; prenatal care; childbirth
Repository Posting Date:
22-Oct-2013
Date of Publication:
22-Oct-2013
Conference Date:
2013
Conference Name:
24th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Prague, Czech Republic
Description:
24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleA World Apart: The Experience of Prenatal Care for U.S. Women Who Plan Home Birthen_GB
dc.contributor.authorLothian, Judith A.en_GB
dc.contributor.departmentGamma Nuen_GB
dc.author.detailsJudith A. Lothian, RN, PhD, jalothian@aol.comen_GB
dc.identifier.urihttp://hdl.handle.net/10755/304419-
dc.description.abstract<p>Session presented on: Friday, July 26, 2013</p><b>Purpose: </b>  <p>The purpose of this research is to describe the experience of prenatal care for women planning a home birth.  Although the safety of planned home birth for healthy women is well established only 1% of US women choose a planned home birth.  There is little research on the experience of prenatal care for women who plan home birth in the US. <p><b>Methods: </b>Ethnographic techniques of informal interview and participant observation were used to obtain rich descriptions of women’s experience planning (and then having) a home birth. Twenty women representing diverse backgrounds were interviewed and observed, including during prenatal visits, in their homes. Interviews were audio-recorded and transcribed. Guidelines to insure trustworthiness and protection of human subjects were followed. The data were analyzed using standard qualitative techniques—developing codes, categories and themes. <p><b>Results: </b> <p>Both the content and the process of prenatal care were strikingly different than standard care. Prenatal visits were in the women’s homes, informal, lengthy, and included open discussions of concerns, information, choices, and day to day life. The prenatal care contributed to the women and midwives getting to know each other well and that worked to increase women’s knowledge of and confidence in both the process of birth and their own ability to give birth. Open, honest, relaxed communication helped the midwife identify areas of concern and personalize care. Women described prenatal care as “It’s all about me and my world”.   <p><b>Conclusion: </b>  <p>The prenatal care that women who plan home birth receive is a world apart from standard prenatal care. Personalized prenatal care balances the power between women and their providers ultimately increasing confidence and decreasing fear. It also assists the midwife in meeting women’s physical, emotional and psychological needs. This model of prenatal care may reduce risk and increase safety for childbearing women.en_GB
dc.subjecthome birthen_GB
dc.subjectprenatal careen_GB
dc.subjectchildbirthen_GB
dc.date.available2013-10-22T20:35:28Z-
dc.date.issued2013-10-22-
dc.date.accessioned2013-10-22T20:35:28Z-
dc.conference.date2013en_GB
dc.conference.name24th International Nursing Research Congressen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationPrague, Czech Republicen_GB
dc.description24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.en_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.