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BMC Pregnancy and Childbirth
Published in: BMC Pregnancy and Childbirth 1/2014

Open Access 01-12-2014 | Research article

Birth setting, transfer and maternal sense of control: results from the DELIVER study

Authors: Caroline C Geerts, Trudy Klomp, Antoine LM Lagro-Janssen, Jos WR Twisk, Jeroen van Dillen, Ank de Jonge

Published in: BMC Pregnancy and Childbirth | Issue 1/2014

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Abstract

Background

In the Netherlands, low risk women receive midwife-led care and can choose to give birth at home or in hospital. There is concern that transfer of care during labour from midwife-led care to an obstetrician-led unit leads to negative birth experiences, in particular among those with planned home birth. In this study we compared sense of control, which is a major attribute of the childbirth experience, for women planning home compared to women planning hospital birth under midwife-led care. In particular, we studied sense of control among women who were transferred to obstetric-led care during labour according to planned place of birth: home versus hospital.

Methods

We used data from the prospective multicentre DELIVER (Data EersteLIjns VERloskunde) cohort-study, conducted in 2009 and 2010 in the Netherlands. Sense of control during labour was assessed 6 weeks after birth, using the short version of the Labour Agentry Scale (LAS-11). A higher LAS-11 score indicates a higher feeling of control. We considered a difference of a minimum of 5.5 points as clinically relevant.

Results

Nulliparous- and parous women who planned a home birth had a 2.6 (95% CI 1.0, 4.3) and a 3.0 (1.6, 4.4) higher LAS score during first stage of labour respectively and during second stage a higher score of 2.8 (0.9, 4.7) and 2.3 (0.6, 4.0), compared with women who planned a hospital birth. Overall, women who were transferred experienced a lower sense of control than women who were not transferred. Parous women who planned a home birth and who were transferred had a 4.3 (0.2, 8.4) higher LAS score in 2nd stage, compared to those who planned a hospital birth and who were transferred.

Conclusion

We found no clinically relevant differences in feelings of control among women who planned a home or hospital birth. Transfer of care during labour lowered feelings of control, but feelings of control were similar for transferred women who planned a home or hospital birth.
As far as their expected sense of control is concerned, low risk women should be encouraged to give birth at the location of their preference.
Appendix
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Literature
1.
Rijnders M, Baston H, Schonbeck Y, van der PK, Prins M, Green J, Buitendijk S: Perinatal factors related to negative or positive recall of birth experience in women 3 years postpartum in the Netherlands. Birth. 2008, 35: 107-116. 10.1111/j.1523-536X.2008.00223.x.CrossRefPubMed
2.
Simkin P: Just another day in a woman’s life? Women’s long-term perceptions of their first birth experience. Part I. Birth. 1991, 18: 203-210. 10.1111/j.1523-536X.1991.tb00103.x.CrossRefPubMed
3.
Wijma K, Soderquist J, Wijma B: Posttraumatic stress disorder after childbirth: a cross sectional study. J Anxiety Disord. 1997, 11: 587-597. 10.1016/S0887-6185(97)00041-8.CrossRefPubMed
4.
Larkin P, Begley CM, Devane D: Women’s experiences of labour and birth: an evolutionary concept analysis. Midwifery. 2009, 25: e49-e59. 10.1016/j.midw.2007.07.010.CrossRefPubMed
5.
Goodman P, Mackey MC, Tavakoli AS: Factors related to childbirth satisfaction. J Adv Nurs. 2004, 46: 212-219. 10.1111/j.1365-2648.2003.02981.x.CrossRefPubMed
6.
Nederland SPR: Perinatale Zorg in Nederland 2008. 2011, Stichting Perinatale Registratie Nederland: Utrecht
7.
Nederland SPR: Perinatale Zorg in Nederland 2010. 2013, Stichting Perinatale Registratie Nederland: Utrecht
8.
Christiaens W, Gouwy A, Bracke P: Does a referral from home to hospital affect satisfaction with childbirth? A cross-national comparison. BMC Health Serv Res. 2007, 7: 109-10.1186/1472-6963-7-109.CrossRefPubMedPubMedCentral
9.
Lindgren HE, Radestad I, Hildingsson I: Transfer in planned home births in Sweden-effects on the experience of birth: a nationwide population-based study. Sex Repro Health. 2011, 2: 101-105. 10.1016/j.srhc.2011.03.001.CrossRef
10.
Wiegers TA, van der Zee J, Keirse MJNC: Transfer from home to hospital: what is its effect on the experience of childbirth?. Birth. 1998, 25: 19-24. 10.1046/j.1523-536x.1998.00019.x.CrossRefPubMed
11.
Chervenak FA, McCullough LB, Brent RL, Levene MI, Arabin B: Planned home birth: the professional responsibility respons. Am J Obstet Gynecol. 2013, 208: 31-38. 10.1016/j.ajog.2012.10.002.CrossRefPubMed
12.
Hodnett ED, Simmons-Tropea DA: The labour agentry scale: psychometric properties of an instrument measuring control during childbirth. Res Nurs Health. 1987, 10: 301-310. 10.1002/nur.4770100503.CrossRefPubMed
13.
Hodnett ED: Personal control and the birth environment: comparisons between home and hospital settings. J Environ Psychol. 1989, 9: 207-216. 10.1016/S0272-4944(89)80035-0.CrossRef
14.
Janssen PA, Carty EA, Reime B: Satisfaction with planned place of birth among midwifery clients in British Columbia. J Midwifery Womens Health. 2006, 51 (2): 91-97. 10.1016/j.jmwh.2005.10.012.CrossRefPubMed
15.
Hutton EK, Reitsma AH, Kaufman K: Outcomes associated with planned home and planned hospital births in low-risk women attended by midwives in Ontario, Canada, 2003–2006: a retrospective cohort study. Birth. 2009, 36 (3): 180-189. 10.1111/j.1523-536X.2009.00322.x.CrossRefPubMed
16.
Sjöblom I, Nordström B, Edberg AK: A qualitative study of women’s experiences of home birth in Sweden. Midwifery. 2006, 22: 348-355. 10.1016/j.midw.2005.11.004.CrossRefPubMed
17.
Manniën J, Klomp T, Wiegers TA, Pereboom M, Brug J, de Jonge A, van der Meijde M, Hutton E, Schellevis F, Spelten E: Evaluation of primary care midwifery in the Netherlands: design and rationale of a dynamic cohort study (DELIVER). BMC Health Serv Res. 2012, 12: 69-10.1186/1472-6963-12-69.CrossRefPubMedPubMedCentral
18.
Cheung W, Ip WY, Chan D: Maternal anxiety and feelings of control during labour: a study of Chinese first-time pregnant women. Midwifery. 2007, 23 (2): 123-130. 10.1016/j.midw.2006.05.001.CrossRefPubMed
19.
Hodnett ED, Osborn RW: Effects of continuous intrapartum professional support on childbirth outcomes. Res Nurs Health. 1989, 12 (5): 289-297. 10.1002/nur.4770120504.CrossRefPubMed
20.
Hodnett ED, Gates S, Hofmeyr GJ, Sakala C: Continuous support for women during childbirth. Cochrane Database Syst Rev. 2003, 3: CD003766
21.
Redman BK: Measurement Tools in Patient Education. 2003, New York: Springer Publishing Company
22.
Jaeschke R, Singer J, Guyatt GH: Measurement of health status. Ascertaining the minimal clinically important difference. Control Clin Trials. 1989, 10 (4): 407-415. 10.1016/0197-2456(89)90005-6.CrossRefPubMed
23.
Juniper EF, Guyatt GH, Willan A, Griffith LE: Determining a minimal important change in a disease-specific quality of life questionnaire. J Clin Epidemiol. 1994, 47 (1): 81-87. 10.1016/0895-4356(94)90036-1.CrossRefPubMed
24.
de Jonge A, van der Goes BY, Ravelli AC, Melink-Verburg MP, Mol BW, Nijhuis JG, Bennebroek Gravenhorst J, Buitendijk SE: Perinatal mortality and morbidity in a nationwide cohort of 529,688 low-risk planned home and hospital births. BJOG. 2009, 116 (9): 1177-1184. 10.1111/j.1471-0528.2009.02175.x.CrossRefPubMed
25.
Kleiverda G, Steen AM, Andersen I, Treffers PE, Everaerd W: Place of delivery in The Netherlands: maternal motives and background variables related to preferences for home or hospital confinement. Eur J Obstet Gynecol Reprod Biol. 1990, 36 (1–2): 1-9.CrossRefPubMed
26.
van Der Hulst LA, van Teijlingen ER, Bonsel GJ, Eskes M, Bleker OP: Does a pregnant woman’s intended place of birth influence her attitudes toward and occurrence of obstetric interventions?. Birth. 2004, 31 (1): 28-33. 10.1111/j.0730-7659.2004.0271.x.CrossRefPubMed
27.
Christiaens W, Bracke P: Assessment of social psychological determinants of satisfaction with childbirth in a cross-national perspective. BMC Pregnancy Childbirth. 2007, 7: 26-10.1186/1471-2393-7-26.CrossRefPubMedPubMedCentral
28.
Small R, Yelland J, Lumley J, Brown S, Liamputtong P: Immigrant women’s views about care during labor and birth: an Australian study of Vietnamese, Turkish, and Filipino women. Birth. 2002, 29 (4): 266-277. 10.1046/j.1523-536X.2002.00201.x.CrossRefPubMed
29.
Waldenstrom U: Experience of labor and birth in 1111 women. J Psychosom Res. 1999, 47 (5): 471-482. 10.1016/S0022-3999(99)00043-4.CrossRefPubMed
30.
Waldenstrom U, Hildingsson I, Rubertsson C, Radestad I: A negative birth experience: prevalence and risk factors in a national sample. Birth. 2004, 31 (1): 17-27. 10.1111/j.0730-7659.2004.0270.x.CrossRefPubMed
31.
32.
33.
Green JM, Baston HA: Feeling in control during labor: concepts, correlates, and consequences. Birth. 2003, 30 (4): 235-247. 10.1046/j.1523-536X.2003.00253.x.CrossRefPubMed
34.
Klomp T, Jonge A, Hutton E, Lagro-Janssen A: Dutch women in midwife-led care at the onset of labour: which pain relief do they prefer and what do they use? A prospective multi-centre cohort study. BMC Pregnancy Childbirth. 2013, 13: 230-10.1186/1471-2393-13-230.CrossRefPubMedPubMedCentral
35.
Huizink AC, Mulder EJ, Robles de Medina PG, Visser GH, Buitelaar JK: Is pregnancy anxiety a distinctive syndrome?. Early Hum Dev. 2004, 79 (2): 81-91. 10.1016/j.earlhumdev.2004.04.014.CrossRefPubMed
36.
Hodnett ED: Pain and women’s satisfaction with the experience of childbirth: a systematic review. Am J Obstet Gynecol. 2002, 186 (5 Suppl Nature): S160-S172.PubMed
37.
van Buuren S: Flexible Imputation of Missing Data. 2012, Boca Raton, FL: Chapman & Hall/CRC Press, 342 pages. ISBN 9781439868249CrossRef
38.
Hendrix M, Van Horck M, Moreta D, Nieman F, Nieuwenhuijze M, Severens J, Nijhuis J: Why women do not accept randomisation for place of birth: feasibility of a RCT in the Netherlands. BJOG. 2009, 116 (4): 537-542. 10.1111/j.1471-0528.2008.02103.x.CrossRefPubMed
39.
Gibbins J, Thomson AM: Women’s expectations and experiences of childbirth. Midwifery. 2001, 17 (4): 302-313. 10.1054/midw.2001.0263.CrossRefPubMed
40.
Nieuwenhuijze MJ, de Jonge A, Korstjens I, Budé L, Lagro-Janssen TL: Influence on birthing positions affects women’s sense of control in second stage of labour. Midwifery. 2013, 29 (11): e107-e114. 10.1016/j.midw.2012.12.007.CrossRefPubMed
41.
Rowe RE, Kurinczuk JJ, Locock L, Fitzpatrick R: Women’s experience of transfer from midwifery unit to hospital obstetric unit during labour: a qualitative interview study. BMC Pregnancy Chilbirth. 2012, 12: 129-10.1186/1471-2393-12-129.CrossRef
42.
van Haaren-Ten HT, Hendrix M, Nieuwenhuijze M, Bude L, de VR, Nijhuis J: Preferred place of birth: characteristics and motives of low-risk nulliparous women in the Netherlands. Midwifery. 2012, 28 (5): 609-618. 10.1016/j.midw.2012.07.010.CrossRef
Metadata
Title
Birth setting, transfer and maternal sense of control: results from the DELIVER study
Authors
Caroline C Geerts
Trudy Klomp
Antoine LM Lagro-Janssen
Jos WR Twisk
Jeroen van Dillen
Ank de Jonge
Publication date
01-12-2014
Publisher
BioMed Central
Published in
BMC Pregnancy and Childbirth / Issue 1/2014
Electronic ISSN: 1471-2393
DOI
https://doi.org/10.1186/1471-2393-14-27

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