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Women's experiences with giving birth before arrival.

Eline Skirnisdottir Vik1, Gunn Terese Haukeland1, Bente Dahl1

  • 1Centre for Women's, Family and Child Health, Faculty of Health Sciences, University College of Southeast Norway. Postboks 235, 3603 Kongsberg, Norway.

Midwifery
|October 5, 2016
PubMed
Summary

Women describe giving birth before arrival (BBA) as dramatic yet empowering, though their experiences were not always validated by midwives. This highlights a need for improved maternity care communication and capacity.

Keywords:
BBABirthBorn-before-arrivalExperienceOut-of-hospital birthPatient safety

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Area of Science:

  • Maternal Health
  • Qualitative Research
  • Sociology of Health

Background:

  • Giving birth before arrival (BBA) presents unique challenges and experiences for women.
  • Current maternity care systems may not fully acknowledge or support women's experiences with BBA.
  • Understanding women's perspectives is crucial for improving care and patient safety.

Purpose of the Study:

  • To explore the lived experiences of women who have given birth before arrival.
  • To identify themes and patterns in women's encounters with healthcare services during BBA.
  • To gain insights into the emotional and psychological impact of BBA on women.

Main Methods:

  • Qualitative interview study utilizing individual, semi-structured interviews.
  • Conducted with 10 women in Western Norway who experienced BBA between 2014 and early 2015.
  • Interviews were conducted in participants' homes to ensure comfort and privacy.

Main Results:

  • Three key themes emerged: midwives as gatekeepers of labor, the transition from fear to empowerment during BBA, and the acknowledgment (or lack thereof) of BBA as a special experience.
  • Women described BBA as dramatic but ultimately empowering, with feelings of coping replacing initial fear.
  • A disconnect was noted in how women perceived their BBA experience and how it was acknowledged by healthcare providers.

Conclusions:

  • Findings challenge the current maternity care system's cost-benefit analysis, suggesting a need for more decentralized and differentiated care models.
  • Ensuring adequate midwife capacity and enhancing communication skills are essential for improving patient safety in maternity care.
  • Further research is recommended to explore and address the complexities of BBA and inform practice improvements.