Birth cultures: A qualitative approach to home birthing in Chile

PLoS One. 2021 Apr 22;16(4):e0249224. doi: 10.1371/journal.pone.0249224. eCollection 2021.

Abstract

Background: Birth cultures have been transforming in recent years mainly affecting birth care and its socio-political contexts. This situation has affected the feeling of well-being in women at the time of giving birth.

Aim: For this reason, our objective was to analyse the social meaning that women ascribe to home births in the Chilean context.

Method: We conducted thirty semi-structured interviews with women living in diverse regions ranging from northern to southern Chile, which we carried out from a theoretical-methodological perspective of phenomenology and situated knowledge. Qualitative thematic analysis was used to analyse the information collected in the field work.

Findings: A qualitative thematic analysis produced the following main theme: 1) Home birth journeys. Two sub-categories: 1.1) Making the decision to give birth at home, 1.2) Giving birth: (re)birth. And four sub-categories also emerged: 1.1.1) Why do I need to give birth at home? 1.1.2) The people around me don't support me; 1.2.1) Shifting emotions during home birth, 1.2.2) I (don't) want to be alone.

Conclusion: We concluded that home births involve an intense and diverse range of satisfactions and tensions, the latter basically owing to the sociocultural resistance surrounding women. For this reason, they experienced home birth as an act of protest and highly valued the presence of midwives and their partners.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Chile
  • Cultural Diversity
  • Female
  • Home Childbirth / psychology*
  • Humans
  • Interviews as Topic
  • Middle Aged
  • Midwifery
  • Mothers / psychology*
  • Pregnancy
  • Spouses / psychology

Grants and funding

The research leading to these results has received funding from Spanish Ministry of Science, Innovation and Universities [grant number PGC2018-094463-B-100- funded by MCIU/AEI/FEDER, UE], and too from the National Scientific and Technological Commission of Chile (CONICYT) Scholarship program for Doctorates Abroad, 2017 [grant number 72180224-2017] which has founded the doctoral scholarship of the first author. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.