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    Under scrutiny: Midwives' experience of intrapartum transfer from home to hospital within the context of a planned homebirth in Western Australia

    Access Status
    Fulltext not available
    Authors
    Ball, C.
    Hauck, Yvonne
    Kuliukas, Lesley
    Lewis, Lucy
    Doherty, D.
    Date
    2015
    Type
    Journal Article
    
    Metadata
    Show full item record
    Citation
    Ball, C. and Hauck, Y. and Kuliukas, L. and Lewis, L. and Doherty, D. 2015. Under scrutiny: Midwives' experience of intrapartum transfer from home to hospital within the context of a planned homebirth in Western Australia. Sexual & Reproductive Healthcare. 8: pp. 88-93.
    Source Title
    Sexual & Reproductive Healthcare
    DOI
    10.1016/j.srhc.2016.02.009
    ISSN
    1877-5756
    School
    School of Nursing and Midwifery
    URI
    http://hdl.handle.net/20.500.11937/26472
    Collection
    • Curtin Research Publications
    Abstract

    © 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.

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