U.S. Nulliparas' Reasons for Expected Provider Type and Childbirth Setting

Area of Science:

• Obstetrics and Gynecology
• Maternal Health
• Healthcare Consumer Behavior

Background:

• Understanding nulliparous women's preferences for childbirth providers and settings is crucial for tailoring maternity care.
• Previous research has not fully explored the multifaceted reasons behind these choices among pregnant individuals in the United States.

Purpose of the Study:

• To describe nulliparous women's reasons for selecting specific providers (midwife, physician) and birth settings (home, hospital, birth center).
• To identify potential gaps in knowledge regarding childbirth care options.

Main Methods:

• A cross-sectional, descriptive, web-based survey was administered to 220 nulliparous women.
• Data were collected through close- and open-ended questions and analyzed using conventional content analysis.

Main Results:

• Women's reasons for provider and setting preferences were categorized into provider/setting attributes, relationships, normative choices, respondent attributes, and practical considerations.
• Findings indicated misconceptions regarding midwifery and nonhospital birth settings.

Conclusions:

• Childbirth education may help address misconceptions about various childbirth care options.
• Informed decision-making regarding maternity care can be improved through comprehensive patient education.