Under scrutiny: Midwives' experience of intrapartum transfer from home to hospital within the context of a planned homebirth in Western Australia
MetadataShow full item record
© 2016 Elsevier B.V. Background: Women's experience of homebirth has been a focus of research, with limited international research and no Australian evidence of the experiences of midwives in relation to their experience of intrapartum transfers within the context of a planned homebirth. Objective: To explore the experience of Western Australian midwives involved in an intrapartum transfer from home to hospital. Methods: A descriptive phenomenological study was conducted. Women who elect to have a homebirth in Western Australia have the choice of care from privately practising midwives or a publicly funded program. Midwives who were currently practising or had practised within the past three years and experienced an intrapartum transfer were invited to participate. In-depth interviews were conducted with 13 midwives and data analysed using the Stevick-Colaizzi-Keen method. Results: Analysis revealed an overarching theme "under scrutiny" which captured four themes: "decision to transfer: getting the timing right"; "reception at the hospital: welcoming or not"; "maintaining continuity of carer" and "reflections: coming to terms with the experience". Conclusion: The decision to transfer to hospital represents a profound shift in expectations for the woman and midwife that is often not recognised by hospital staff. Intrapartum transfer is a challenging clinical decision for all parties; midwives, women, partners and health services. Increased effort by maternity health professionals to improve communication and collaboration must be a priority to better support women and their partners who make an informed decision to have a planned homebirth.
Showing items related by title, author, creator and subject.
The woman, partner and midwife: An integration of three perspectives of labour when intrapartum transfer from a birth centre to a tertiary obstetric unit occursKuliukas, Lesley; Hauck, Yvonne; Lewis, Lucy; Duggan, Ravani (2016)Background: When transfer in labour takes place from a birth centre to a tertiary maternity hospital the woman, her partner and the midwife (the triad) are involved, representing three different perspectives. The purpose ...
Women's experience of intrapartum transfer from a Western Australian birth centre co-located to a tertiary maternity hospitalKuliukas, L.; Duggan, Ravani; Lewis, L.; Hauck, Y. (2016)© 2016 Kuliukas et al. Background: The aim of this Western Australian study was to describe the overall labour and birth experience of women who were transferred during the first and second stages of labour from a low ...
Urgency to build a connection: Midwives’ experiences of being ‘with woman’ in a model where midwives are unknownBradfield, Zoe; Hauck, Yvonne; Kelly, Michelle; Duggan, Ravani (2019)Objective: The objective of this study was to explore midwives’ experiences of being ‘with woman’ in the intrapartum period within the context of an unknown midwife model. Design: A descriptive phenomenological design was ...