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2017 ; 17
(1
): 99
Nephropedia Template TP
gab.com Text
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English Wikipedia
Why do women choose an unregulated birth worker to birth at home in Australia: a
qualitative study
#MMPMID28351344
Rigg EC
; Schmied V
; Peters K
; Dahlen HG
BMC Pregnancy Childbirth
2017[Mar]; 17
(1
): 99
PMID28351344
show ga
BACKGROUND: In Australia the choice to birth at home is not well supported and
only 0.4% of women give birth at home with a registered midwife. Recent changes
to regulatory requirements for midwives have become more restrictive and there is
no insurance product that covers private midwives for intrapartum care at home.
Freebirth (planned birth at home with no registered health professional) with an
unregulated birth worker who is not a registered midwife or doctor (e.g. Doula,
ex-midwife, lay midwife etc.) appears to have increased in Australia. The aim of
this study is to explore the reasons why women choose to give birth at home with
an unregulated birth worker (UBW) from the perspective of women and UBWs.
METHODS: Nine participants (five women who had UBWs at their birth and four UBWs
who had themselves used UBWs in the past for their births) were interviewed
in-depth and the data analysed using thematic analysis. RESULTS: Four themes were
found: 'A traumatising system', 'An inflexible system'; 'Getting the best of both
worlds' and 'Treated with love and respect versus the mechanical arm on the car
assembly line'. Women interviewed for this study either experienced or were
exposed to mainstream care, which they found traumatising. They were not able to
access their preferred birth choices, which caused them to perceive the system as
inflexible. They interpreted this as having no choice when choice was important
to them. The motivation then became to seek alternative options of care that
would more appropriately meet their needs, and help avoid repeated trauma through
mainstream care. CONCLUSION: Women who engaged UBWs viewed them as providing the
best of both worlds - this was birthing at home with a knowledgeable person who
was unconstrained by rules or regulations and who respected and supported the
woman's philosophical view of birth. Women perceived UBWs as not only the best
opportunity to achieve a natural birth but also as providing 'a safety net' in
case access to emergency care was required.