- 作者：Beth Murray-Davis ; RM ; PhD ; bmurray@mcmaster.ca" class="auth_mail (Assistant Professor) ; Helen McDonald ; RM ; MSc (Associate Professor) ; Angela Rietsma ; RM ; MSc (Lecturer) ; Melissa Coubrough ; RM ; MSc (Research Assistant) ; Eileen Hutton ; RM ; PhD (Assistant Dean ; Director Midwifery Education Program)
- 关键词：Choice of birthplace ; Decision-making ; Women壮s choice ; Survey research
- 刊名：Midwifery
- 出版年：July 2014
- 年：2014
- 卷：30
- 期：7
- 页码：869-876
- 全文大小：239 K
Design
a mixed methods survey completed by midwifery clients in Ontario pertaining to sources of information about choice of birthplace and decision-making priorities.
Findings
decisions about choice of birthplace are made before becoming pregnant or during the first trimester. Books and research are important sources of information for women when deciding where to give birth. Women who planned home birth wanted to avoid interventions and felt most comfortable at home. Those who planned hospital birth wanted access to pain medication and found the idea of home birth stressful. Questions about the safety of home birth are a critical barrier to those who are undecided about where to give birth.
Key conclusions
beliefs and values about birth and the desire for pain relief options play significant roles in women壮s decisions, but are balanced with views of safety and risk. Regardless of where they have their baby, midwifery clients believe that birth is a natural process.
Implications for practice
the findings provide health care providers and women with a deeper understanding of the factors for consideration when deciding where to give birth.