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Preparing Women for Homebirth
Published in Mary Nolan, Shona Gore, Contemporary Issues in Perinatal Education, 2023
Many of the primiparous women we care for have attended antenatal classes provided by the Birmingham Women’s Hospital which focus on breathing techniques, movement and upright positions. We do not provide a particular antenatal education session for homebirth women because we take the approach that everyone is likely to need something different and we are able to provide individualised preparation. For some women, we offer a one-to-one hypnobirthing session; for others, our 34- to 36-week talk will include a practical session on relaxation, breathing, positions and movement for birth, including a discussion of strategies based on the women’s own coping repertoire. Homebirth women tend to have an innate sense that they will be able to manage in labour and at least want to try to see if they can cope! If labour is straightforward, this determination, coupled with being in a relaxed, supportive environment, usually results in a woman coping well with labour and birth. It can be helpful to point out to women planning their first baby at home that very few women planning a homebirth with us have transferred to hospital in labour for more pain relief.
Practice exam 6: Questions
Published in Euan Kevelighan, Jeremy Gasson, Makiya Ashraf, Get Through MRCOG Part 2: Short Answer Questions, 2020
Euan Kevelighan, Jeremy Gasson, Makiya Ashraf
A primigravid patient 34 weeks’ pregnant comes to see you in the antenatal clinic requesting a home birth. What is the approximate home birth rate in the UK? (1 mark)What are the advantages of a planned home birth? (8 marks)What are the two commonest indications for transfer to hospital for a woman planning a home birth? (2 marks)Give three examples of the risks of delivering at home. (4 marks)What local arrangements must be in place to support home births? (5 marks)
Domino/GPO and home deliveries
Published in Michael S. Marsch, Janet M. Rennie, Phillipa A. Groves, Clinical Protocols in Labour, 2020
Michael S. Marsch, Janet M. Rennie, Phillipa A. Groves
The principle for an emergency at a home birth is that the midwife carries on providing the clinical care, following guidance for obstetric emergencies and his/her assistant does the following: calls the ambulance and states paramedic neededphones the labour ward and talks to an obstetrician (senior specialist registrar/consultant on call), asking them to tell the midwife in charge of the neonate’s imminent arrival andwrites contemporaneous notes
Incidence and predictors of women’s place of delivery among pregnant women who received antenatal care in Southern Ethiopia: a prospective cohort study
Published in Current Medical Research and Opinion, 2023
Tesfaye Temesgen, Zerihun Figa, Rediet Gido, Abbas Ahmed Mahamed, Ahimedin Sefa, Desalegn Tarekeng, Gedefa Amanu, Etaferaw Bekele, Tesfaye Gugsa, Daniel Sisay W/tsadik, Tsion Mulat Tebeje, Mesfin Abebe
This study indicated a high incidence of home birth in the study area after utilizing antenatal care services. Distance from home to the nearest health facility, poor antenatal care quality, lack of formal maternal education, previous home delivery, unplanned pregnancy, and history of pregnancy-related complications at the health facility were all significant predictors of home delivery. As a result, interventions focusing on those identified factors during antenatal care services are essential to minimize home deliveries. As a result, healthcare providers, and local health authorities at all levels of the healthcare system, as well as nongovernmental organizations working to improve maternal health, should continue to focus on those predictors of home delivery. We recommended that more qualitative research be conducted to investigate the reasons why women choose to give birth at home.
Polish maternity services in times of crisis: in search of quality care for pregnant women and their babies
Published in Health Care for Women International, 2020
Maria Węgrzynowska, Antonina Doroszewska, Magdalena Witkiewicz, Barbara Baranowska
Such phased response plan had been proposed in the UK where the Royal College of Midwives together with a Royal College of Obstetricians published guidelines for the provision of care in midwife-led settings and home birth in the evolving coronavirus (COVID-19) pandemic (Royal College of Midwife, 2020). The plan recognized the importance of maintaining the midwife-led community service for safety and patient-centered care but recommended temporary centralization depending on the levels of staff shortages caused by illness and self-isolation among healthcare personnel. For example, it recommended homebirths and midwife-led community units to work as usual if staff shortages do not exceed 10%. In case of midwife shortages reaching the level between 20% and 30%, it recommended restriction of homebirth services in order to prioritize in hospital midwife-led units. Finally, in case of midwife shortages exceeding 30%, it recommended centralization of births in obstetric units and reinstatement of other birthing options once the adequate staffing levels are restored.
Psychometric Properties of a Theory of Planned Behavior Questionnaire for Assessing the Midwives’ Intention to Provide Planned Home Birth Services in Nigeria
Published in Journal of Community Health Nursing, 2020
Auwalu Muhammed, Sazlina Shariff-Ghazali, Salmiah Md Said, Mairo Hassan, Khuan Lee
The lower rate of attendance has led to a theory-practice gap in midwifery practice in Nigeria (Onyadike, 2012). Consequently, most home births in Nigeria are either unsupervised or attended by relatives and traditional birth attendants (National Population Commission & ICF International, 2014). Because traditional attendants are not skilled attendants, they often perform unnecessary manipulation (Selin, 2009) that may result in complications such as postpartum hemorrhage, which increase maternal and newborn morbidity and mortality (Onyadike, 2012; Bolaji & Nosakhare, 2014). Midwife attendance is expected to reduce the home birth-related burden (Akinwaare & Adejumo, 2015) by providing better care during pregnancy and labor (at home and or in a health facility), conducting postpartum home visits, and assisting with transport between the home and the health facility (Federal Ministry of Health, 2011).