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Autonomy in place of birth: a concept analysis.

Berglind Halfdansdottir1, Margaret E Wilson2, Ingegerd Hildingsson3,4,5

  • 1University of Iceland, Eirberg, Eiriksgata 34, 101, Reykjavik, Iceland. beh6@hi.is.

Medicine, Health Care, and Philosophy
|February 3, 2015
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Summary
This summary is machine-generated.

Autonomy in place of birth is defined by having information, capacity, and freedom. This concept analysis provides a framework for pregnant women and healthcare providers discussing childbirth location choices.

Keywords:
AutonomyChoiceConcept analysisHome birthMidwiferyPlace of birth

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Area of Science:

  • Maternal Health
  • Bioethics
  • Healthcare Decision-Making

Background:

  • The debate surrounding home birth involves complex ethical considerations, particularly concerning patient autonomy.
  • Understanding autonomy in the context of birthplace selection is crucial for informed decision-making in childbirth.
  • Existing literature lacks a clear conceptualization of autonomy specifically related to the place of birth.

Purpose of the Study:

  • To analyze the concept of autonomy in place of birth within general language, ethics, and healthcare literature.
  • To define the attributes, antecedents, and consequences of autonomy in birthplace selection.
  • To provide a framework for evaluating autonomy in decisions about where to give birth.

Main Methods:

  • A concept analysis guided by the Walker and Avant model was employed.
  • Literature review across general language, ethics, and childbirth healthcare domains.
  • Identification and analysis of model, borderline, and contrary cases of autonomy in place of birth.

Main Results:

  • Autonomy in place of birth is defined by three core attributes: access to information, capacity to understand, and freedom from coercion.
  • The antecedent condition for this autonomy is the principle of not harming others.
  • Accountability for the outcome is identified as a key consequence of autonomous birthplace decisions.

Conclusions:

  • The defined attributes of autonomy in place of birth offer a practical tool for pregnant women, midwives, and healthcare professionals.
  • This conceptualization aids in contemplating moral status and facilitating discussions regarding birthplace choices.
  • Empowering informed and autonomous decisions supports ethical and patient-centered maternity care.