Home or hospital? Midwife or physician? Preferences for maternity care provider and place of birth among Western Australian students

Women and Birth : Journal of the Australian College of Midwives
Kathrin StollWendy A Hall

Abstract

Australian caesarean birth rates have exceeded 30% in most states and are approaching 45%, on average, in private hospitals. Australian midwifery practice occurs almost exclusively in hospitals; less than 3% of women deliver at home or in birthing centres. It is unclear whether the trend towards hospital-based, high interventionist birth reflects preferences of the next generation of maternity care consumers. We conducted a descriptive cross-sectional online survey of 760 Western Australian (WA) university students in 2014, to examine their preferences for place of birth, type of maternity care, mode of birth and attitudes towards birth. More students who preferred midwives (35.8%) had vaginal birth intentions, contested statements that birth is unpredictable and risky, and valued patient-provider relationships. More students who preferred obstetricians (21.8%) expressed concerns about childbirth safety, feared birth, held favourable views towards obstetric technology, and expressed concerns about the impact of pregnancy and birth on the female body. One in 8 students preferred out-of-hospital birth settings, supporting consumer demand for midwife-attended births at home and in birthing centres. Stories and experiences of frien...Continue Reading

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Oct 11, 2013·Qualitative Health Research·Kathrin Stoll, Wendy A Hall
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Citations

Jul 29, 2016·The Journal of Perinatal & Neonatal Nursing·Ellise D Adams
Oct 22, 2016·Journal of Psychosomatic Obstetrics and Gynaecology·Heidi Preis, Yael Benyamini
Jan 25, 2018·Journal of Midwifery & Women's Health·Kathrin StollDana S Thordarson
Sep 16, 2017·Birth·Heidi PreisYael Benyamini
Jul 10, 2020·The Journal of Obstetrics and Gynaecology Research·Yeter Durgun Ozan, Figen Alp Yilmaz

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