Planned Home Births: Challenges Midwives Face

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Table of Contents

Background Information
The awareness and Use of Collected Evidence
Search and selection of evidence
Works Cited

Considering the information about the birth, it is catching to notice that the home births become popular again. Even though, the popularity of the act is not the main reason for the problem consideration. Having chosen the home birth, both a future mother and a midwife will face a number of challenges. The main purpose of the paper is to conduct a research on the question of home birth and identify the widespread and main outcomes of the affair as it is predicted that the home birth may be as safe as the hospital ones.

Background Information

Women care greatly of the future of their children desiring to choose the better place for a baby to be born. The research conducted in Australia showed that women felt better when they were prepared for the home birth. Moreover, it is significant to notice that those who desired to give a birth to a child at home were better prepared to a process (Dahien Barclay and Homer 30). Still, nurses experience some difficulties as they have got out of the habit to follow home births. But, relating to the experience the computerization of the birth process has not made it saver (Lothian 43).

The tendency to the home birth cases increases. The problem of the home birth should be considered now, when the cases only began to increase. That is, 33% of maternities were at home in 1955, but in 1976 the rate was about 0.9%. The research shows the increase of the cases of home births since 1997 (Nove, Berrington and Matthews 21). The constant supporting care of nurses makes home birth comfortable and safe keeping (Hodnett 21).

It is significant to know that the research conducted on the problem states that if the home birth is planned and accomplished by professionals, the risk is associated with the “similar safety to low risk hospital births” (Johnson and Daviss 9). There are cases when the price for the home birth is higher, thus it is resulted from the high quality and innovative services use outside the hospital (Department of Health 21).

The awareness and Use of Collected Evidence

There should be a person at work who is responsible for the research and information collection. It is crucial to gather information and use it. For example, the use of information leaflets is extremely effective in maternity only in combination with another type of research (Stapleton, Kirkham and Thomas 641). One more research conducted in the relation to information leaflets showed that theoe leaflets did not influence women’s choice using maternity services (O’Cathain et al 1).

Most women still want to give birth at hospitals, but there are those who want to do it at home. Working at the clinic, there was an opportunity to check a number of those who remained at hospital for birth and those who decided to use the opportunity of home birth. For about a month we collected information on those who decided to give birth at home and those who stayed at hospital.

The policies at my work place are current and evidence-based. People who responsible for this try to gather the newest information in the medical sphere and deliver it to the staff. A Journal of Advances in Obstetrics and Gynecology is the one I have an opportunity to read as the department I work at is subscribed to it. My manager is interested in evidence-based health and tries to implement some new techniques at our department. Still, it is impossible to implement everything, so we try to choose the best for the present conditions.

Search and selection of evidence

PICO framework

If the home birth is the reason for concern, what should be done to increase people’s interest?

There are a number of ways on how to make people interested in home birth and release from anxiety. The reasons for concern exist, but most of them are not supported with true facts that confuse most of the patients. First of all, most people have the reasons for concern about home birth because they are not properly informed about the procedure. Most pregnant women imagine home birth as something unplanned, dirty and dangerous for mothers’ and children’s life. So, the lack of the credible information is the first reason for human concern and it may be easily removed by means of seminars, release of booklets, and use of other sources of information widespread. It is significant that the information should be delivered by the authoritative representatives, nurses or doctors, those whom women can trust. Still, it is significant to note that home birth is “a viable choice for women with uncomplicated pregnancies” (Janssen 378). Women should be informed that even if there are no any complications, home birth should be attended by a registered nurse or a midwife. Women should feel that they are supported with professional help in such a responsible and frightening moment as delivery.

Second, professionals should stress on a number of advantages of home birth. They are to know that home birth is better, in some cases, than hospital ones. It is important to explain and describe the whole procedure of delivery to those who have decided to take up home birth. The awareness of the stages and what is going to happen in each specific moment makes the procedure less frightening. Women might already know what they should be ready for. This information makes those feel better and eliminate the reasons for concern.

Population = women who decided to give birth at home
Intervention/Exposure considered = home birth and safety
Comparison = women who gave birth at home or in the hospital
Outcome = the awareness that home birth is as safe as the hospital ones, if the professionals are involved in the process. It is one of the main results that was concluded while research.

Works Cited

Cartwright, Elizabeth and Jan Thomas. “Constructing risk: Maternity care, law, and malpractice.” Birth by design: Pregnancy, maternity care, and midwifery in North America and Europe. Ed. Raymond G. De Vries. New York: Routledge, 2001. 218–228. Print.

Dahien, Hannah G., Barclay, Lesley M. and Caroline Homer. ”Preparing for the first birth: Mothers’ experiences at home and in hospital in Australia.” Journal of Perinatal Education, 17.4 (2008): 21-32. Web.

Department of Health/Partnerships for Children, Families and Maternity. “Maternity matters: Choice, access and continuity of care in a safe service.” Policy 7586. 2007. Web.

Greer, John J, Gregory D. Funk, and Klaus Ballanyi. “Preparing for the first breath: prenatal maturation of respiratory neural control.” The Journal of Physiology 570.Pt 3 (2006): 437-444. Print.

Hodnett, Ellen D., Gates Simon, Hofmeyr, G. Justus, and Carol Sakala. “Continuous support for women during childbirth.” Cochrane Database of Systematic Reviews, 3 (2007): 1-77. Web.

Janssen, Patricia A., et al. “Outcomes of planned home birth with registered midwife versus planned hospital birth with midwife or physician.” CMAJ: Canadian Medical Association Journal 181.6/7 (2009): 377-383. Academic Search Complete. EBSCO. Web.

Johnson, Kenneth C. and Betty-Anne Daviss. “Outcomes of planned home births with certified professional midwives: large prospective study in North America.” BMJ 330.1416 (2005): 1-11. Web.

Lothian, Judith A. “Home birth: The wave of the future?” Journal of Perinatal Education 15.3 (2006): 43-46. Web.

Macfarlane, Alison and Miranda Mugford. Birth Counts: statistics of pregnancy and childbirth. London: The Stationary Office, 2000.

Nove, Andrea, Berrington, Ann and Zoe Matthews. “Home births in the UK, 1955 to 2006.” Population Trends 133 (2008): 20-7. Web.

O’Cathain, A, et al. “Use of evidence based leaflets to promote informed choice in maternity care: randomised controlled trial in everyday practice.” BMJ 324.7338 (2002): 643. Web.

Redshaw, Margaret, Rowe, Rachel, Hockley, Christine, and Peter Brocklehurst. Recorded delivery: a national survey of women’s experience of maternity care 2006. National Perinatal Epidemiology Unit NPEU, 2007. Print.

Stapleton, Helen, Kirkham, Mavis and Gwenan Thomas. Qualitative study of evidence based leaflets in maternity care.” British Medical Journal 324.7338 (2002): 639-643. Web.

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