Elsevier

Social Science & Medicine

Volume 36, Issue 4, February 1993, Pages 475-483
Social Science & Medicine

Experiences of Australian mothers who gave birth either at home, at a birth centre, or in hospital labour wards

https://doi.org/10.1016/0277-9536(93)90409-WGet rights and content

Abstract

In order to compare their antenatal education levels, reasons for choosing the birthplace, experiences during labor and childbirth, analgesia, satisfaction with birth attendants and others present, and related attitudes 395 Sydney-area mothers were recruited within one year of giving birth. Five sources were used to obtain mail-questionnaire responses from 239 who gave birth in a hospital labor ward, 35 at a birth centre, and 121 who chose to give birth at home. Homebirth mothers were older, more educated, more feminist, more willing to accept responsibility for maintaining their own health, better read on childbirth, more likely to be multiparous, and gave higher rating of their midwives than labour-ward mothers, with birth-centre mothers generally scoring between the other two groups. As well, homebirth and birth-centre mothers were more likely to feel the birthplace affected the bonding process and were less likely to regard birth as a medical condition than labour-ward mothers. In regression analysis birth venue (among other variables) significantly predicted satisfaction with doctor, if present during labour and delivery, and five variables correlated with birth venue significantly predicted satisfaction with midwife, husband/partner, and other support person. Findings are discussed in the light of the current struggle between medical and ‘natural’ models of childbirth.

References (38)

  • J. Balaskas

    Active Birth

    (1983)
  • D. Brook

    Naturebirth

    (1976)
  • S. Kitzinger et al.

    The Place of Birth

    (1978)
  • F. Leboyer

    Birth without Violence

    (1977)
  • M. Odent

    Birth Reborn

    (1984)
  • T.J. Abernathy et al.

    Planned and unplanned home births and hospital births in Calgary, Alberta, 1984–1987

    Publ. Hlth Rep.

    (1989)
  • R. Campbell et al.

    Where to be Born

    (1987)
  • H. Carpenter

    Domiciliary obstetrics

    Aust. Fam. Physician

    (1985)
  • K.A. Howe

    Home births in south-west Australia

    Med. J. Aust.

    (1988)
  • J. Hunter

    Carrying conviction

    Nurs. Times

    (1987)
  • W.F. Schramm et al.

    Neonatal mortality in Missouri home births, 1978–1984

    Am. J. publ. Hlth

    (1987)
  • M. Tew

    Do obstetric intranatal interventions make birth safer?

    Br. J. Obstet. Gynaecol.

    (1986)
  • D. Van Alten et al.

    Midwifery in the Netherlands. The Wormerveer study; selection, mode of delivery, perinatal mortality and infant morbidity

    Br. J. Obstet. Gynaecol.

    (1989)
  • R.A. Brown

    Midwifery and home birth: An alternative view

    Can. med. Assoc. J.

    (1987)
  • H. Corbishley

    In defence of the obstetrician

    Br. J. Obstet. Gynaecol.

    (1988)
  • C. Cox

    Home births

    J. R. Coll. Gen. Pract.

    (1988)
  • C.S. Harison

    Unsafe home births

    N.Z. med. J.

    (1989)
  • J.E. Holdsworth

    General practitioner obstetrics

    Br. med. J.

    (1989)
  • K.A. Howe

    Re: Unexpected problems in patients selected for birthing unit delivery [Letter]

    Aust. N. Zeal. J. Obstet. Gynaecol.

    (1987)
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