A systematic review of women's experiences of planning a homebirth in consultation with maternity care providers
Notice bibliographique
Résumé
Background A woman’s chosen place of birth impacts not only the type of birth, but also the number of unnecessary interventions that the mother and baby are exposed to during labour and birth. Lower rates of unnecessary interventions are experienced by women who give birth at home. These include oxytocin augmentation, episiotomy, epidural analgesia, instrumental vaginal birth and caesarean section. They are also less likely to experience 3rd or 4th degree perineal tear, maternal infection or postpartum haemorrhage. However, little is known regarding women’s actual experiences of engaging with maternity care providers to plan for a home birth. Aim: To synthesise findings from previous studies, which have reported on women’s experiences of planning a home birth in consultation with maternity care providers. Methods: Nine bibliographic databases were systematically searched using the search terms: Home birth, childbirth, planned home birth, pregnant women and home birth, experience and homebirth. Studies published in English Language between January 2015 and May 2020 were included. Conference abstracts lacking sufficient data were excluded. Relevant papers from back chaining references of papers evidenced within the RQIA Planning birth at home guideline and professional networks were included. We managed search results and deduplication with Endnote, Refworks and Covidence. Screening, quality appraisal and data extraction were done independently by two authors and conflicts were resolved by discussion and agreement. Data analysis is ongoing using thematic synthesis (Thomas and Harden 2008). The review is registered on the International Prospective Register of Systematic Reviews (PROSPERO: Registration ID: CRD 42018095042 – updated 28th September 2020). Findings Search results yielded 586 papers. Following deduplication, title/abstract and full-text screening, 16 eligible studies were included in the review. The studies were qualitative and involved a total of 275 women aged 18 - 40 years old. The studies were conducted across nine countries: Australia, Brazil, USA, UK, Switzerland, Canada, Netherlands, Spain and Norway. Findings showed that preference for a natural birth served as a catalyst for women to be resilient in problem-solving, information-seeking and taking positive actions to actualise a planned home birth in consultation with their midwives. Their midwives’ competence, support and prioritisation of safety and woman-centred care also enhanced women’s confidence and positive experience of planning a home birth. Conclusions/Implications This review gives a more in-depth understanding of women’s information and support needs. In particular, the influence care providers can have on women’s plan to have a home birth has implications for service providers.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,021 | 0,081 |
| Méta-épidémiologie (sens strict) | 0,001 | 0,001 |
| Méta-épidémiologie (sens large) | 0,007 | 0,005 |
| Bibliométrie | 0,021 | 0,028 |
| Études des sciences et des technologies | 0,001 | 0,002 |
| Communication savante | 0,005 | 0,004 |
| Science ouverte | 0,002 | 0,003 |
| Intégrité de la recherche | 0,002 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,006 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».