Maternal attitudes towards home birth and their effect on birth outcomes in Iceland: A prospective cohort study.
Cast your vote
You can rate an item by clicking the amount of stars they wish to award to this item.
When enough users have cast their vote on this item, the average rating will also be shown.
Your vote was cast
Thank you for your feedback
Thank you for your feedback
Olafsdottir, Olof A
Smarason, Alexander Kr
MetadataShow full item record
CitationHalfdansdottir B, Olafsdottir OA, Hildingsson I, Smarason AK, Sveinsdottir H. Maternal attitudes towards home birth and their effect on birth outcomes in Iceland: A prospective cohort study. Midwifery. 2016 Mar 1;34:95-104.
AbstractOBJECTIVE: to examine the relationship between attitudes towards home birth and birth outcomes, and whether women's attitudes towards birth and intervention affected this relationship. DESIGN: a prospective cohort study. SETTING: the study was set in Iceland, a sparsely populated island with harsh terrain, 325,000 inhabitants, high fertility and home birth rates, and less than 5000 births a year. PARTICIPANTS: a convenience sample of women who attended antenatal care in Icelandic health care centres, participated in the Childbirth and Health Study in 2009-2011, and expressed consistent attitudes towards home birth (n=809). FINDINGS: of the participants, 164 (20.3%) expressed positive attitudes towards choosing home birth and 645 (79.7%) expressed negative attitudes. Women who had a positive attitude towards home birth had significantly more positive attitudes towards birth and more negative attitudes towards intervention than did women who had a negative attitude towards home birth. Of the 340 self-reported low-risk women that answered questionnaires on birth outcomes, 78 (22.9%) had a positive attitude towards home birth and 262 (77.1%) had a negative attitude. Oxytocin augmentation (19.2% (n=15) versus 39.1% (n=100)), epidural analgesia (19.2% (n=15) versus 33.6% (n=88)), and neonatal intensive care unit admission rates (0.0% (n=0) versus 5.0% (n=13)) were significantly lower among women who had a positive attitude towards home birth. Women's attitudes towards birth and intervention affected the relationship between attitudes towards home birth and oxytocin augmentation or epidural analgesia. KEY CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: the beneficial effect of planned home birth on maternal outcome in Iceland may depend to some extent on women's attitudes towards birth and intervention. Efforts to de-stigmatise out-of-hospital birth and de-medicalize women's attitudes towards birth might increase women׳s use of health-appropriate birth services.
DescriptionTo access publisher's full text version of this article click on the hyperlink below
RightsCopyright © 2016 Elsevier Ltd. All rights reserved.
- Outcome of planned home and hospital births among low-risk women in Iceland in 2005-2009: a retrospective cohort study.
- Authors: Halfdansdottir B, Smarason AK, Olafsdottir OA, Hildingsson I, Sveinsdottir H
- Issue date: 2015 Mar
- Contraindications in planned home birth in Iceland: A retrospective cohort study.
- Authors: Halfdansdottir B, Hildingsson I, Smarason AK, Sveinsdottir H, Olafsdottir OA
- Issue date: 2018 Mar
- Place of birth and satisfaction with childbirth in Belgium and the Netherlands.
- Authors: Christiaens W, Bracke P
- Issue date: 2009 Apr
- Outcomes of independent midwifery attended births in birth centres and home births: a retrospective cohort study in Japan.
- Authors: Kataoka Y, Eto H, Iida M
- Issue date: 2013 Aug
- Perceptions of risk and risk management among 735 women who opted for a home birth.
- Authors: Lindgren HE, Rådestad IJ, Christensson K, Wally-Bystrom K, Hildingsson IM
- Issue date: 2010 Apr