McCauley, Hannah, McCauley, Mary, Paul, Gillian and van den Broek, Nynke 
ORCID: 0000-0001-8523-2684
(2019)
‘We are just obsessed with risk’: healthcare providers' views on choice of place of birth for women.
British Journal of Midwifery, 27 (10).
pp. 633-641.
Abstract
<jats:p> Women make choices throughout pregnancy and childbirth and interactions with healthcare providers are integral to the journey. Healthcare providers have the potential to advise, influence and support women in their choices as to where to give birth. The aim of this study was to examine Northern Ireland healthcare providers' attitudes and experiences of women choosing place of birth, independent of risk profile. A qualitative study design was used to undertake key informant interviews with healthcare providers who were involved in caring for women antenatally, intrapartum and postnatally. Seven midwives and five obstetricians were interviewed. These interviews were transcribed, coded and presented in themes. Emerging themes included: informed decision-making among pregnant women; understanding and judgement of risk; autonomy and choice; culture of control and fear; and human rights. Interviewees highlighted barriers to women being able to access their chosen place of birth because of legal concerns, cultural perception of birth, and lack of senior managerial support for those providing clinical care to women who are considered at risk of complications during pregnancy or birth. Proposed solutions include developing a human rights-based approach which is about health and not isolated pathologies and focuses on empowering women, and not merely avoiding maternal morbidity or mortality. </jats:p>
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | Contraception/Reproduction, Clinical Research, Health Services, 8 Health and social care services research, 8.1 Organisation and delivery of services, 7.1 Individual care needs, 7 Management of diseases and conditions, Generic health relevance, Reproductive health and childbirth, 3 Good Health and Well Being |
| Divisions: | Faculty of Health and Life Sciences Faculty of Health and Life Sciences > Institute of Infection, Veterinary and Ecological Sciences |
| Depositing User: | Symplectic Admin |
| Date Deposited: | 13 May 2021 13:51 |
| Last Modified: | 17 Mar 2024 06:02 |
| DOI: | 10.12968/bjom.2019.27.10.633 |
| Open Access URL: | https://archive.lstmed.ac.uk/12882/ |
| Related URLs: | |
| URI: | https://livrepository.liverpool.ac.uk/id/eprint/3122579 |
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