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A qualitative study of women´s experinces of home birth in Sweden
Department of Health Sciences, Division of Nursing, Lund University, P.O. Box 157, SE-221 00 Lund, Sweden.
Department of Health Sciences, Division of Nursing, Lund University, P.O. Box 157, SE-221 00 Lund, Sweden.
Department of Health Sciences, Division of Nursing, Lund University, P.O. Box 157, SE-221 00 Lund, Sweden.
2006 (English)In: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 22, no 4, p. 348-355Article in journal (Refereed) Published
Abstract [sv]

Syftet med studien var att belysa kvinnors upplevelser av att föda hemma. Tolv kvinnor intervjuades om sina upplevelser och materialet bearbetades enligt fenomenologisk-hermeneutisk metod. Resultatet gav tre huvudtema med respektive subteman: 1. Att ha tilltro till sin egen förmåga. Subteman: a. att göra på sitt eget sätt, b. att äga sin kropp och c. att vara i kontakt med sitt barn. 2. Att få stöd på egna villkor Subteman: a. att få professionellt stöd och b. att ha en livlina. 3. Att känna sig hemma. Subteman: a. att vara kvar, b. att skapa ett eget rum och c. att syskonen blir delaktiga. En övergripande dimension är en andlig dimension av födandet som upplevdes som något större, något utöver det jordiska. Den tolkade helheten av upplevelsen är att ha tillit till sig själv och livet och att ha bibehållen auktoritet och autonomi.

Abstract [en]

OBJECTIVE: to illuminate the experiences of women who have given birth at home. METHODS: a descriptive design with a qualitative approach based on interviews with 12 women. The text was analysed using a phenomenological-hermeneutic method. FINDINGS: giving birth at home meant preserved authority and autonomy whereby the women themselves ruled the situation. The women's experiences of giving birth at home can be divided into three themes, with internal variations viewed as sub-themes. The main themes were as follows: 'having faith in one's own competence'; 'choosing support on one's own terms'; and 'being at home'. The experience embraced an earthly dimension, represented by reliance on inherent natural forces, and an existential, spiritual dimension, represented by faith in life itself, expressed in terms of the sacredness of giving birth, a heavenly experience, and wisdom about life itself. CONCLUSION: the experience of giving birth at home seems to differ from findings of studies focusing on the experience of giving birth in hospital. A reasonable goal for maternity care in hospital could, however, be that all women should have the opportunity to give birth on their own terms in a supportive and calm environment, surrounded by people who can assist if needed.

Place, publisher, year, edition, pages
Elsevier, 2006. Vol. 22, no 4, p. 348-355
Keywords [en]
Women's experince, Home birth, Phenomenological–hermeneutical analysis
National Category
Gynaecology, Obstetrics and Reproductive Medicine
Identifiers
URN: urn:nbn:se:mau:diva-4032DOI: 10.1016/j.midw.2005.11.004ISI: 000242903200007PubMedID: 16730107Scopus ID: 2-s2.0-33750509417Local ID: 3293OAI: oai:DiVA.org:mau-4032DiVA, id: diva2:1400856
Available from: 2020-02-28 Created: 2020-02-28 Last updated: 2025-02-11Bibliographically approved
In thesis
1. Planerade hemförlossningar i Norden: kvinnors och barnmorskors perspektiv
Open this publication in new window or tab >>Planerade hemförlossningar i Norden: kvinnors och barnmorskors perspektiv
2014 (Swedish)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Background: Home birth is common in an international perspective but in the West it is a rare occurrence. In the Nordic countries, Iceland and Denmark have the highest home birth rates with about two per cent, Norway and Sweden approximately one per thousand, and in Finland only a dozen women a year give birth to their children in the home. Background: Home birth is common in an international perspective but in the West it is a rare occurrence. In the Nordic countries, Iceland and Denmark have the highest home birth rates with about two per cent, Norway and Sweden approximately one per thousand, and in Finland only a dozen women a year give birth to their children in the home. Data collections and methods: Two interview studies (study I and V) and three questionnaire studies (study II, III and IV) were carried out. The interviews were analyzed with phenomenological-hermeneutical respectively phenomenological approach and the questionnaires with content analysis and descriptive statistical analysis, in study III as parts of the mixed method. Results: Women giving birth at home experience that they can give birth in their own terms with selected supporters around them in an environment where they feel safe (study I). They state that they are highly satisfied with their home birth midwives (study IV). The midwives described their work with assisting home birth as a lifestyle, with an opportunity to realize their full midwifery competence (study V). Women feel that they in a negative way are treated as irresponsible as they choose to give birth at home, and that this seems to strengthen their position to realize it (study II and III). Conclusion: The few women who choose to give home birth in Sweden are highly satisfied with their births experience. They have experienced that people around them, healthcare professionals as well as private individuals, were adverse to their choice and tried to make them change their minds. Women in the Nordic countries experienced that the midwife who assisted the home birth possessed good knowledge, medical as well as emotional and nurse care. Being a home birth midwife in the Nordic countries means to have chosen a lifestyle and a rewarding work, which allows her to use all her midwifery competencies to full extent.

Place, publisher, year, edition, pages
Malmö högskola, Hälsa och samhälle, 2014. p. 73
Series
Malmö University Health and Society Dissertations, ISSN 1653-5383 ; 7
Keywords
Planerad hemförlossning, Upplevelser, Hembarnmorska, Stöd, Miljö, Påverkan
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:mau:diva-7315 (URN)17690 (Local ID)9789171045997 (ISBN)9789171046000 (ISBN)17690 (Archive number)17690 (OAI)
Note

Note:The papers are not included in the fulltext online.

Paper V in dissertation as manuscript.

Available from: 2020-02-28 Created: 2020-02-28 Last updated: 2024-03-08Bibliographically approved

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