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When the Hospital Is No Longer an Option

A Multiple Case Study of Defining Moments for Women Choosing Home Birth in High-Risk Pregnancies in The Netherlands

Bibliographic Data

ID4685936
AuthorsLianne Holten (Amsterdam UMC, location VUMC, Amsterdam, The Netherlands, corresponding author), Martine Hollander (0000-0003-2279-086X, Radboud University Medical Center, Nijmegen, The Netherlands), Esteriek De Miranda (0000-0002-0392-4626, Amsterdam UMC, location AMC, Amsterdam, The Netherlands)
Year2018
Volume28
Issue12
Pages1883-1896
Publication date2018-10-01
Open AccessYes
TypeARTICLE
VenueQualitative Health Research (JOURNAL)
Journal identifiersISSN: 1049-7323 • E-ISSN: 1552-7557
PublisherSAGE Publications Inc (PUBLISHER)
DOI10.1177/1049732318791535
PMID30101662
OpenAlexW2887914285
LanguageEN
Citations received7
References cited34

Some women in a high-risk pregnancy go against medical advice and choose to birth at home with a "holistic" midwife. In this exploratory multiple case study, grounded theory and triangulation were employed to examine 10 cases. The women, their partners, and (regular and holistic) health care professionals were interviewed in an attempt to determine whether there was a pattern to their experiences. Two propositions emerged. The dominant one was a trajectory of trauma, self-education, concern about paternalism, and conflict leading to a negative choice for holistic care. The rival proposition was a path of trust and positive choice for holistic care without conflict. We discuss these two propositions and make suggestions for professionals for building a trusting relationship using continuity of care, true shared decision making, and an alternative risk discourse to achieve the goal of making women perceive the hospital as safe again

Childbirth · Exploratory research · Grounded theory · Health care · Holistic health · Home birth · Paternalism · Pregnancy · Proposition · Qualitative research · Sociology · Triangulation · Grief, Bereavement, and Mental Health · Maternal and Perinatal Health Interventions · Medicine · Nursing · Psychology · Reproductive Health and Contraception · Social Psychology

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Citations per year1.4
Citation span2021 - 2025 (5)
Highly citedNo

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