Systematic review of women's experiences of planning home birth in consultation with maternity care providers in middle to high-income countries

Patricia Gillen; Olufikayo Bamidele; Maria Healy

doi:10.1016/j.midw.2023.103733

Systematic review of women's experiences of planning home birth in consultation with maternity care providers in middle to high-income countries

Midwifery. 2023 Sep:124:103733. doi: 10.1016/j.midw.2023.103733. Epub 2023 May 25.

Authors

Patricia Gillen¹, Olufikayo Bamidele², Maria Healy³

Affiliations

¹ Southern Health and Social Care Trust, 10 Moyallen Road, Gilford, Co Down, Northern Ireland, UK; Institute of Nursing and Health Research, Ulster University, Shore Road, Newtownabbey, BT37 0QB, Northern Ireland, UK. Electronic address: p.gillen@ulster.ac.uk.
² Institute of Nursing and Health Research, Ulster University, Shore Road, Newtownabbey, BT37 0QB, Northern Ireland, UK; School of Nursing and Midwifery, Queen's University Belfast BT9 7BL, Northern Ireland, UK; Institute for Clinical and Applied Health Research, Hull York Medical School, University of Hull, HU6 7RX, UK. Electronic address: Olufikayo.bamidele@hyms.ac.uk.
³ School of Nursing and Midwifery, Queen's University Belfast BT9 7BL, Northern Ireland, UK. Electronic address: Maria.healy@qub.ac.uk.

PMID: 37307778
DOI: 10.1016/j.midw.2023.103733

Abstract

Aim: To synthesise findings from published studies, which reported on women's experiences of planning a home birth in consultation with maternity care providers.

Design: Systematic Review DATA SOURCES: We searched seven bibliographic databases, (Ovid Medline, Embase, PsycInfo, CINAHL plus, Scopus, ProQuest and Cochrane (Central and Library), from January 2015 to 29^th April 2022.

Review methods: Primary studies were included if they investigated women's experiences of planning a home birth with maternity care providers, in upper-middle and high-income countries and written in English language. Studies were analysed using thematic synthesis. GRADE-CERQual was used to assess the quality, coherence, adequacy and relevance of data. The protocol is registered on PROSPERO registration ID: CRD 42018095042 (updated 28th September 2020) and published.

Results: 1274 articles were retrieved, and 410 duplicates removed. Following screening and quality appraisal, 20 eligible studies (19 qualitative and 1 survey) involving 2,145 women were included.

Key conclusions: Women's prior traumatic experience of hospital birth and a preference for physiological birth motivated their assertive decision to have a planned home birth despite criticisms and stigmatisation from their social circle and some maternity care providers. Midwives' competence and support enhanced women's confidence and positive experiences of planning a home birth.

Implications for practice: This review highlights the stigma that some women feel and the importance of support from health professionals, particularly midwives when planning a home birth. We recommend accessible evidence-based information for women and their families to support women's decision-making for planned home birth. The findings from this review can be used to inform woman-centred planned home birth services, particularly in the UK, (although evidence is drawn from papers in eight other countries, so findings are relevant elsewhere), which will impact positively on the experiences of women who are planning home birth.

Keywords: Experiences; Literature review; Maternity care providers; Midwives; Planned home birth; Systematic review.

Publication types

Systematic Review
Review

MeSH terms

Developed Countries
Female
Home Childbirth*
Humans
Maternal Health Services*
Parturition
Pregnancy
Qualitative Research
Referral and Consultation