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Birth environment interventions and outcomes: A scoping review.

Li-Li Chen1, Wan-Lin Pan2, Pei-Fan Mu3,4

  • 1Department of Nurse-Midwifery and Women Health, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan, ROC.

Birth (Berkeley, Calif.)
|August 31, 2023
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Summary

Creating a positive birth environment supports physiological and psychosocial needs. Key elements include "hominess," comfort, demedicalization, partner accommodation, and control, enhancing the birthing experience.

Keywords:
birth environmentbirth outcomeinterventionscoping review

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Area of Science:

  • Obstetrics and Gynecology
  • Environmental Psychology
  • Healthcare Design

Background:

  • Limited research has explored the impact of the physical birth environment on labor and delivery outcomes.
  • Most studies focus on pain management and psychological support, neglecting environmental factors.
  • The physical setting can significantly influence both physiological and psychosocial aspects of childbirth.

Purpose of the Study:

  • To conduct a scoping review of studies examining the characteristics of physical birth environments.
  • To synthesize findings on how these environments affect labor outcomes.
  • To identify key environmental elements that support birthing individuals.

Main Methods:

  • A comprehensive literature search was conducted across major databases (PubMed, CINHAL, Cochrane, Web of Science, MEDLINE) up to May 2022.
  • 13 studies meeting inclusion criteria were selected and data extracted by two independent reviewers.
  • Summary statistics and narrative summaries were used to analyze study characteristics and intervention effects.

Main Results:

  • Five key themes emerged regarding supportive birth environments: "hominess," comfort for activity, demedicalization, partner accommodations, and perceived control.
  • These elements were associated with improved physical and psychological support for birthing individuals.
  • Positive environmental factors contribute to better care experiences and pain management.

Conclusions:

  • Birth environments should be designed to foster positive physiological and psychological experiences.
  • Creating "homey," comfortable, demedicalized spaces with natural elements enhances outcomes.
  • Empowering individuals with control over their environment is crucial for satisfaction and positive birth experiences.