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Published on: January 12, 2018
A Swedish interview study: parents' assessment of risks in home births
Helena Lindgren1, Ingegerd Hildingsson, Ingela Rådestad
1Department of Caring and Public Health Sciences, Mälardalen University, Box 325, S-63105 Eskilstuna, Sweden. helena.lindgren@mdh.se
Objective:
to describe home-birth risk assessment by parents.
Design:
interviews using a semi-structured interview guide. Data were analysed using a phenomenological approach.
Setting:
independent midwifery practices in Sweden.
Participants:
five couples who had had planned home births.
Findings:
the parents had a fundamental trust that the birth would take place without complications, and they experienced meaningfulness in the event itself. Risks were considered to be part of a complex phenomenon that was not limited to births at home. This attitude seems to be part of a lifestyle that has a bearing on how risks experienced during the birth were handled. Five categories were identified as counterbalancing the risk of possible complications: (1) trust in the woman's ability to give birth; (2) trust in intuition; (3) confidence in the midwife; (4) confidence in the relationship; and (5) physical and intellectual preparation.
Key Conclusions:
although the parents were conscious of the risk of complications during childbirth, a fundamental trust in the woman's independent ability to give birth was central to the decision to choose a home birth. Importance was attached to the expected positive effects of having the birth at home.
Implications For Practice:
knowledge of parents' assessment can promote an increased understanding of how parents-to-be experience the risks associated with home birth.
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