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Challenging the status quo: Women's experiences of opting for a home birth in Andalucia, Spain
Open accessAbstract
Objective To explore the perceptions, beliefs and attitudes of women who opted for a home birth in Andalusia (Spain).Background Home birth is currently an unusual choice among Spanish women. It is not an option covered by the Spanish National Health Service and women who opt for a home birth have to pay for an independent midwife.Design A qualitative study with a phenomenological approach was adopted. All participants who took part in this study had chosen to have a home birth and given written consent to take part in the study.Methods Data collection was conducted in 2015-16. Face-to-face, semi-structured interviews were undertaken with women who chose a home birth in the last 5 years.Findings The sample consisted of thirteen women. Seven themes were created through analysis: 1. Getting informed about home birth; 2. Home birth as a choice, despite feeling unsupported; 3. The best way to have a personalized and a physiological birth; 4. Seeking a healing and empowering experience 5. The need for emotional safety, establishing a relationship and trusting the midwife; 6. Preparing for birth and working on fears; 7. Inequality of access (because of financial implications).Conclusions Women opted to plan birth at home because they wanted a personalised birth and control over their decision-making in labour, which they felt would not have been afforded to them in hospital settings. Andalusian maternity care leaders should strive to ensure that all pregnant women receive respectful and high-quality personalised care, by appropriately trained staff, both in the hospital and in the community.
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Metadata
- Authors
- Leon-Larios, F., Nuno-Aguilar, C., Rocca-Ihenacho, L., Castro-Cardona, F., & Escuriet, R.
- Affiliations
- Hospital Universitario Virgen del Rocío (ES)
- Barts Health NHS Trust (GB)
- Venue
- Midwifery
- Publisher
- Elsevier BV
- Published
- 2019-03
- Volume
- 70
- Pages
- 15-21
- ISSN
- 0266-6138 (ISSN-L)
- OpenAlex
- W2902751945
- Cited by
- 29
- References
- 43
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 4 · 2023: 5 · 2022: 2 · 2021: 3 · 2020: 8 · 2019: 1
- FWCI
- 3.38
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Licence
- other-oa
- www.elsevier.com/tdm/userlicense/1.0/ (tdm)
- www.elsevier.com/legal/tdmrep-license (tdm)
- Locations
- Midwifery (publishedVersion)
- PubMed (publishedVersion)
- City Research Online (City University London) (acceptedVersion)
- RISalud Institutional Health Repository of Andalucía (submittedVersion, other-oa)
- Deposito de Investigacion Universidad de Sevilla (University of Seville) (submittedVersion, cc-by-nc-nd)
- Funders
- National Institute for Health and Care Research (KMRF-2015-04-001)
- Topics
- Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
- Social Sciences › Arts and Humanities › History › Historical Studies on Reproduction, Gender, Health, and Societal Changes
- Health Sciences › Medicine › Epidemiology › Breastfeeding Practices and Influences
- Keywords
- home birth, women's experiences, childbirth choice, physiological birth, emotional safety, childbirth preparation, access to maternal health services, Andalusia, Spain
- MeSH terms
- Adult, Decision Making, Female, Home Childbirth, Humans, Life Change Events, Maternal Health Services, Pregnancy, Spain, Qualitative Research
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