Creating a safe haven-women's experiences of the midwife's professional skills during planned home birth in four Nordic countries

Research output: Contribution to journalArticle

Abstract

OBJECTIVE: The midwife assisting a birth has a considerable influence on the woman's experience of the birth. The aim of this study was to investigate the experience of the midwife's professional skills among women in Norway, Denmark, Iceland, and Sweden who chose a planned home birth.

DESIGN AND SETTING: All known home birth midwives were asked to inform the mothers about the project and invite them to complete a questionnaire about different aspects of their home birth experience.

METHOD: The women were asked to assess 10 different aspects of the midwives' professional skills on a 4-graded scale below the main question: What was your experience of the midwife who assisted the labor? Furthermore, the mothers' experiences with the attending midwives were identified in the free text birth stories. The chosen method was a mixed method design.

FINDINGS: The home birth midwives' professional skills were generally high scored. No statistically significant differences were found with respect to the assessment of the midwife. The content analyses yielded one overarching theme: The competence and presence of the midwife creates a safe haven, and three categories, midwife's safe hand, midwife's caring approach, and midwife's peaceful presence.

CONCLUSION: Women choosing a home birth in the four Nordic countries experienced that their midwives were highly skilled and they found the presence of the midwives valuable in helping them to feel safe and confident during birth. Despite differences in organization and guidelines for home births, the women's experience of the midwife's professional skills did not differ between the four countries.

Details

Authors
  • Ingela Sjöblom
  • Ewa Idvall
  • Helena Lindgren
  • Nordic Homebirth Research Group
External organisations
  • Malmö University
  • Skåne University Hospital
  • Sahlgrenska Academy
Research areas and keywords

Subject classification (UKÄ) – MANDATORY

  • Nursing
  • Obstetrics, Gynecology and Reproductive Medicine

Keywords

  • Adult, Clinical Competence, Denmark, Female, Home Childbirth, Humans, Iceland, Midwifery, Norway, Patient Satisfaction, Pregnancy, Professional-Patient Relations, Sweden, Young Adult, Journal Article
Original languageEnglish
Pages (from-to)100-7
JournalBirth
Volume41
Issue number1
Publication statusPublished - 2014 Mar
Publication categoryResearch
Peer-reviewedYes
Externally publishedYes