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Erschienen in: Current Sexual Health Reports 1/2023

09.12.2022 | COVID-19 | Sociocultural Issues and Epidemiology (M Fusaschi, Section Editor)

Policies and Practices on Out-of-Hospital Birth: a Review of Qualitative Studies in the Time of Coronavirus

verfasst von: Patrizia Quattrocchi

Erschienen in: Current Sexual Health Reports | Ausgabe 1/2023

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Abstract

Purpose of Review

The purpose of this review is to summarize the current knowledge on out-of-hospital births (at home or in an independent birth center) in high-income countries in the time of coronavirus. Qualitative studies published between 2020 and 2022 providing findings on women’s and health providers’ perspectives and experiences, as well as policies and practices implemented, are synthetized.

Recent Findings

During the COVID-19 pandemic, the number of women choosing the home or a birth center to deliver has grown considerably. Main reasons for this choice include fear of contagion in facilities and restrictions during delivery and the post-partum period, especially women’s separation from their companion of choice and their newborn. Findings suggest that homebirth within a public model has several advantages in the experience of birth for both women and professionals during the pandemic period, maintaining the benefits of biomedicine when needed.

Summary

During the COVID-19 pandemic, the interest in out-of-hospital birth increased in high-income countries, and the number of women choosing the home or a birth center to deliver has grown considerably. This review aims to give a more in-depth understanding of women’s and health providers’ perspectives on and experiences of out-of-hospital birth services during this period. Twenty-five studies in different countries, including the USA, Canada, Australia, Switzerland, the Netherlands, the UK, Spain, Croatia, and Norway, were reviewed. Findings stress that out-of-hospital birth has allowed women to deliver according to their wishes and needs. In addition, the pandemic experience represents an opportunity for policy to better support and integrate out-of-hospital services in the health care system in the future.
Literatur
2.
Zurück zum Zitat Olsen O, Clausen JA. Planned hospital birth versus planned home birth. Cochrane Libr Database Syst Rev. 2012. Olsen O, Clausen JA. Planned hospital birth versus planned home birth. Cochrane Libr Database Syst Rev. 2012.
3.
Zurück zum Zitat Vedam S, Schummers L, Stoll K, Fulton C. Home birth: an annotated guide to the literature. Mana. 2012. Vedam S, Schummers L, Stoll K, Fulton C. Home birth: an annotated guide to the literature. Mana. 2012.
4.
Zurück zum Zitat Hollowell J, Rowe R, Townend J, Knight M, Li Y, Linsell L, Redshaw M, Brocklehurst P, Macfarlane A, Marlow N, McCourt C, Newburn M. Sandall J, Silverton L. The Birthplace in England national prospective cohort study: further analyses to enhance policy and service delivery decision-making for planned place of birth. NIHR J Libr. 2015. Hollowell J, Rowe R, Townend J, Knight M, Li Y, Linsell L, Redshaw M, Brocklehurst P, Macfarlane A, Marlow N, McCourt C, Newburn M. Sandall J, Silverton L. The Birthplace in England national prospective cohort study: further analyses to enhance policy and service delivery decision-making for planned place of birth. NIHR J Libr. 2015.
5.
Zurück zum Zitat National Institute for Health and Care Excellence. Intrapartum care for healthy women and babies, Clinical guideline. No.19. London: National Institute for Health and Care Excellence (NICE). 2015. National Institute for Health and Care Excellence. Intrapartum care for healthy women and babies, Clinical guideline. No.19. London: National Institute for Health and Care Excellence (NICE). 2015.
7.
Zurück zum Zitat •• Reitsma A, Simioni J, Brunton G, Kaufman K, Hutton EK. Maternal outcomes and birth interventions among women who begin labour intending to give birth at home compared to women of low obstetrical risk who intend to give birth in hospital: a systematic review and meta-analyses. EClinicalMedicine. 2020;21:100319. https://doi.org/10.1016/j.eclinm.2020.100319. The publication highlights the outcomes of homebirth compared to hospital birth. Evidence shows women who gave birth at home were less likely to experience obstetrical interventions.CrossRefPubMedPubMedCentral •• Reitsma A, Simioni J, Brunton G, Kaufman K, Hutton EK. Maternal outcomes and birth interventions among women who begin labour intending to give birth at home compared to women of low obstetrical risk who intend to give birth in hospital: a systematic review and meta-analyses. EClinicalMedicine. 2020;21:100319. https://​doi.​org/​10.​1016/​j.​eclinm.​2020.​100319. The publication highlights the outcomes of homebirth compared to hospital birth. Evidence shows women who gave birth at home were less likely to experience obstetrical interventions.CrossRefPubMedPubMedCentral
8.
Zurück zum Zitat Sandelowski M, Barroso J. Handbook for synthesizing qualitative research. New York: Springer Publishing Company; 2007. Sandelowski M, Barroso J. Handbook for synthesizing qualitative research. New York: Springer Publishing Company; 2007.
17.
25.
Zurück zum Zitat • Nelson A, Romanis EC. The medicalisation of childbirth and access to homebirth in the UK: COVID-19 and Beyond. Med Law Rev. 2021;29(4):661–687. https://doi.org/10.1093/medlaw/fwab040The publication highlights the potential of the law to support, rather than restrict, choice regarding place of birth. It argues that homebirth is not sufficiently unsafe to justify restricting access. • Nelson A, Romanis EC. The medicalisation of childbirth and access to homebirth in the UK: COVID-19 and Beyond. Med Law Rev. 2021;29(4):661–687. https://​doi.​org/​10.​1093/​medlaw/​fwab040The publication highlights the potential of the law to support, rather than restrict, choice regarding place of birth. It argues that homebirth is not sufficiently unsafe to justify restricting access.
36.
Zurück zum Zitat •• Sweet L. COVID-19 special issue - the impact of COVID-19 on women, babies, midwives, and midwifery care. Women Birth: J Aust Coll Midwives. 2022;35(3):211–2. https://doi.org/10.1016/j.wombi.2022.03.002. The publication highlights the impact of the COVID-19 pandemic on childbirth and maternity care across the world. It includes 20 research studies from the USA, Canada, Brazil, South Africa, Turkey, Sweden, Italy, Spain, Ireland, New Zealand, and Australia.CrossRef •• Sweet L. COVID-19 special issue - the impact of COVID-19 on women, babies, midwives, and midwifery care. Women Birth: J Aust Coll Midwives. 2022;35(3):211–2. https://​doi.​org/​10.​1016/​j.​wombi.​2022.​03.​002. The publication highlights the impact of the COVID-19 pandemic on childbirth and maternity care across the world. It includes 20 research studies from the USA, Canada, Brazil, South Africa, Turkey, Sweden, Italy, Spain, Ireland, New Zealand, and Australia.CrossRef
39.
Zurück zum Zitat Lazzerini M, Covi B, Mariani I, Drglin Z, Arendt M, Nedberg IH, Elden H, Costa R, Drandić D, Radetić J, Otelea MR, Miani C, Brigidi S, Rozée V, Ponikvar BM, Tasch B, Kongslien S, Linden K, Barata C, Kurbanović M, Ružičić J, Batram-Zantvoort S, Castañeda LM, Rochebrochard E, Bohinec A, Vik ES, Zaigham M, Santos T, Wandschneider L, Viver AC, Ćerimagić A, Sacks E, Valente EP. IMAgiNE EURO study group. Quality of facility-based maternal and newborn care around the time of childbirth during the COVID-19 pandemic: online survey investigating maternal perspectives in 12 countries of the WHO European Region. Lancet Reg Health Eur. 2022;13:100268. https://doi.org/10.1016/j.lanepe.2021.100268. Lazzerini M, Covi B, Mariani I, Drglin Z, Arendt M, Nedberg IH, Elden H, Costa R, Drandić D, Radetić J, Otelea MR, Miani C, Brigidi S, Rozée V, Ponikvar BM, Tasch B, Kongslien S, Linden K, Barata C, Kurbanović M, Ružičić J, Batram-Zantvoort S, Castañeda LM, Rochebrochard E, Bohinec A, Vik ES, Zaigham M, Santos T, Wandschneider L, Viver AC, Ćerimagić A, Sacks E, Valente EP. IMAgiNE EURO study group. Quality of facility-based maternal and newborn care around the time of childbirth during the COVID-19 pandemic: online survey investigating maternal perspectives in 12 countries of the WHO European Region. Lancet Reg Health Eur. 2022;13:100268. https://​doi.​org/​10.​1016/​j.​lanepe.​2021.​100268.
40.
Zurück zum Zitat World Health Organization. Recommendations: intrapartum care for a positive childbirth experience. Geneve: WHO; 2018. World Health Organization. Recommendations: intrapartum care for a positive childbirth experience. Geneve: WHO; 2018.
43.
Zurück zum Zitat Human Rights in Childbirth. Rights violations in pregnancy, birth and postpartum during the COVID-19 pandemic. New York: Human Rights in Childbirth; 2020. Human Rights in Childbirth. Rights violations in pregnancy, birth and postpartum during the COVID-19 pandemic. New York: Human Rights in Childbirth; 2020.
44.
Zurück zum Zitat World Health Organization. Addressing human rights as key to the COVID-19 response. Geneve: WHO; 2020.CrossRef World Health Organization. Addressing human rights as key to the COVID-19 response. Geneve: WHO; 2020.CrossRef
46.
Zurück zum Zitat Quattrocchi P. ’Seguridad’ y ‘respeto’ durante el parto y el nacimiento. El aporte de las mujeres y de las comadronas españolas e italianas desde un modelo de atención no medicalizado, Con-textos. Revista d’Antropologia i Investigació social. 2022;10(1):13–33. Quattrocchi P. ’Seguridad’ y ‘respeto’ durante el parto y el nacimiento. El aporte de las mujeres y de las comadronas españolas e italianas desde un modelo de atención no medicalizado, Con-textos. Revista d’Antropologia i Investigació social. 2022;10(1):13–33.
47.
Zurück zum Zitat Sjöblom I, Idvall E, Lindgren H. Nordic Homebirth Research Group. Creating a safe haven-women’s experiences of the midwife’s professional skills during planned home birth in four Nordic countries. Birth. 2014;41(1):100–7. https://doi.org/10.1111/birt.12092. Sjöblom I, Idvall E, Lindgren H. Nordic Homebirth Research Group. Creating a safe haven-women’s experiences of the midwife’s professional skills during planned home birth in four Nordic countries. Birth. 2014;41(1):100–7. https://​doi.​org/​10.​1111/​birt.​12092.
50.
Zurück zum Zitat Bowser D, Hill K. Exploring evidence for disrespect and abuse in facility-based childbirth. Report of a landscape analysis. Washington, DC.: Harvard School of Public Healthand Univ Res. 2010. Bowser D, Hill K. Exploring evidence for disrespect and abuse in facility-based childbirth. Report of a landscape analysis. Washington, DC.: Harvard School of Public Healthand Univ Res. 2010.
52.
Zurück zum Zitat Sadler M, Santos MJ, Ruíz Bardun L, Leiva Rojas G, Skoko E, Gillen P, Clausen JA. Moving beyond disrespect and abuse: addressing the structural dimensions of obstetric violence. Reprod Health Matters. 2016;24(47):47–55.CrossRefPubMed Sadler M, Santos MJ, Ruíz Bardun L, Leiva Rojas G, Skoko E, Gillen P, Clausen JA. Moving beyond disrespect and abuse: addressing the structural dimensions of obstetric violence. Reprod Health Matters. 2016;24(47):47–55.CrossRefPubMed
53.
Zurück zum Zitat Savage S, Castro A. Measuring mistreatment of women during childbirth: a review of terminology and methodological approaches. Reprod Health. 2017;14:138–65.CrossRefPubMedPubMedCentral Savage S, Castro A. Measuring mistreatment of women during childbirth: a review of terminology and methodological approaches. Reprod Health. 2017;14:138–65.CrossRefPubMedPubMedCentral
54.
Zurück zum Zitat Quattrocchi P, Magnone Alemán N. (eds.).Violencia Obstétrica en América Latina: conceptualización, experiencias, medición y estrategias. Argentina: Ediciones EdUNLA. 2020. Quattrocchi P, Magnone Alemán N. (eds.).Violencia Obstétrica en América Latina: conceptualización, experiencias, medición y estrategias. Argentina: Ediciones EdUNLA. 2020.
55.
Zurück zum Zitat Pickles C, Herring J. Childbirth, vulnerability and law. Exploring issues of violence and control. London: Routledge; 2020. Pickles C, Herring J. Childbirth, vulnerability and law. Exploring issues of violence and control. London: Routledge; 2020.
57.
Zurück zum Zitat World Health Organization. The prevention and elimination of disrespect and abuse during facility-based childbirth. Geneve: WHO. 2014. World Health Organization. The prevention and elimination of disrespect and abuse during facility-based childbirth. Geneve: WHO. 2014.
59.
Zurück zum Zitat Simonovic D. A human rights-based approach to mistreatment and violence against women in reproductive health services with a focus on childbirth and obstetric violence, United Nation General Assembly, Human Rights Council. Special Rapporteur on Violence against Women and girls. Its Causes and Consecuenses, A/C.3/74/SR.7. 2019. https://digitallibrary.un.org/record/3823698. Accessed 15 June 2022. Simonovic D. A human rights-based approach to mistreatment and violence against women in reproductive health services with a focus on childbirth and obstetric violence, United Nation General Assembly, Human Rights Council. Special Rapporteur on Violence against Women and girls. Its Causes and Consecuenses, A/C.3/74/SR.7. 2019. https://​digitallibrary.​un.​org/​record/​3823698. Accessed 15 June 2022.
Metadaten
Titel
Policies and Practices on Out-of-Hospital Birth: a Review of Qualitative Studies in the Time of Coronavirus
verfasst von
Patrizia Quattrocchi
Publikationsdatum
09.12.2022
Verlag
Springer US
Schlagwort
COVID-19
Erschienen in
Current Sexual Health Reports / Ausgabe 1/2023
Print ISSN: 1548-3584
Elektronische ISSN: 1548-3592
DOI
https://doi.org/10.1007/s11930-022-00354-7

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