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Related Experiment Videos

Interest in alternative birth settings in Finland

K Viisainen1, M Gissler, O Räikkönen

  • 1STAKES, (National Research and Development Centre for Welfare and Health), Health Services Research Unit, Helsinki, Finland.

Acta Obstetricia Et Gynecologica Scandinavica
|September 18, 1998
PubMed
Summary

Many Finnish women and men prefer alternative birth options, but most births occur in hospitals. There

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Area of Science:

  • Reproductive Health
  • Sociology of Health
  • Maternal Care Research

Background:

  • Investigating preferences for birth care settings in Finland.
  • Examining the gap between desired and actual childbirth locations.
  • Utilizing national survey and registry data for comprehensive analysis.

Purpose of the Study:

  • To assess the extent of wishes for alternative birth care versus conventional hospital births.
  • To compare expressed preferences with realized birth choices in Finland.
  • To understand gender differences in birth care preferences.

Main Methods:

  • Population-based national survey of 3000 women and 400 men.
  • Cross-sectional analysis of 390,943 childbirths from the National Medical Birth Registry (1990-1995).

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  • Comparison of survey data on preferences with registry data on actual birth locations.

    • Main Results:

    • A significant majority preferred conventional hospital births (69% women, 66% men).
    • Interest in alternative birth settings (home birth, early discharge) was higher than actual utilization.
    • Conventional hospital births accounted for 99% of all births in the registry data.

    Conclusions:

    • A notable discrepancy exists between expressed birth care preferences and realized choices.
    • While most prefer hospital births, a substantial minority desire alternatives, indicating a demand for more birth choices.
    • Findings highlight the need to address the gap between women's desires for birth settings and available options.