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

© 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. Object...

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Main Authors: Ball, C., Hauck, Yvonne, Kuliukas, Lesley, Lewis, Lucy, Doherty, D.
Format: Journal Article
Published: Elsevier Ltd 2015
Online Access:http://hdl.handle.net/20.500.11937/26472
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author Ball, C.
Hauck, Yvonne
Kuliukas, Lesley
Lewis, Lucy
Doherty, D.
author_facet Ball, C.
Hauck, Yvonne
Kuliukas, Lesley
Lewis, Lucy
Doherty, D.
author_sort Ball, C.
building Curtin Institutional Repository
collection Online Access
description © 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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spelling curtin-20.500.11937-264722017-09-13T15:27:12Z Under scrutiny: Midwives' experience of intrapartum transfer from home to hospital within the context of a planned homebirth in Western Australia Ball, C. Hauck, Yvonne Kuliukas, Lesley Lewis, Lucy Doherty, D. © 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. 2015 Journal Article http://hdl.handle.net/20.500.11937/26472 10.1016/j.srhc.2016.02.009 Elsevier Ltd restricted
spellingShingle Ball, C.
Hauck, Yvonne
Kuliukas, Lesley
Lewis, Lucy
Doherty, D.
Under scrutiny: Midwives' experience of intrapartum transfer from home to hospital within the context of a planned homebirth in Western Australia
title Under scrutiny: Midwives' experience of intrapartum transfer from home to hospital within the context of a planned homebirth in Western Australia
title_full Under scrutiny: Midwives' experience of intrapartum transfer from home to hospital within the context of a planned homebirth in Western Australia
title_fullStr Under scrutiny: Midwives' experience of intrapartum transfer from home to hospital within the context of a planned homebirth in Western Australia
title_full_unstemmed Under scrutiny: Midwives' experience of intrapartum transfer from home to hospital within the context of a planned homebirth in Western Australia
title_short Under scrutiny: Midwives' experience of intrapartum transfer from home to hospital within the context of a planned homebirth in Western Australia
title_sort under scrutiny: midwives' experience of intrapartum transfer from home to hospital within the context of a planned homebirth in western australia
url http://hdl.handle.net/20.500.11937/26472