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Deciding on Home Birth.

Jessica Coburn, Jennifer J Doering

    Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN
    |February 6, 2021
    PubMed
    Summary
    This summary is machine-generated.

    Women planning home births prioritize agency, developing a core decision-making process termed "Claiming Maternal Space." This involves awareness, moving from conventional care, and preparing a birth environment.

    Keywords:
    decision makinggrounded theoryhome childbirthperinatal care

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    Area of Science:

    • Perinatal Care
    • Maternal Health
    • Qualitative Research

    Background:

    • Conventional perinatal care often limits maternal agency.
    • Home birth is an alternative chosen by some women seeking greater control.
    • Understanding women's decision-making is crucial for improving perinatal care models.

    Purpose of the Study:

    • To explore the decision-making processes of women who planned home births.
    • To generate a theoretical description of these home birth decision-making processes.

    Main Methods:

    • Qualitative descriptive study utilizing grounded theory.
    • Semistructured, in-depth interviews with 11 women planning home births.
    • Data analysis involved open, selective, and theoretical coding with constant comparison.

    Main Results:

    • The core category identified was "Claiming Maternal Space."
    • Key themes included awareness of home birth, moving from conventional care, and building a "shelter" for labor and birth.
    • This process addressed the problem of decreased agency in conventional perinatal care.

    Conclusions:

    • Women planning home births highly value agency in their perinatal care.
    • "Claiming Maternal Space" emerged as a strategy to enhance maternal agency.
    • Further research is needed to validate the theory and explore agency's link to outcomes.