Creating a dedicated homebirth service: results of a 3-year pilot

Research output: Contribution to journalArticlepeer-review

Standard

Creating a dedicated homebirth service : results of a 3-year pilot. / Cross-Sudworth, Fiona; Hindley, Jo; Cheatham, Clare; Clarke, Paula; McAree, Trixie.

In: British Journal of Midwifery, Vol. 26, No. 3, 01.03.2018, p. 164-170.

Research output: Contribution to journalArticlepeer-review

Harvard

APA

Vancouver

Author

Cross-Sudworth, Fiona ; Hindley, Jo ; Cheatham, Clare ; Clarke, Paula ; McAree, Trixie. / Creating a dedicated homebirth service : results of a 3-year pilot. In: British Journal of Midwifery. 2018 ; Vol. 26, No. 3. pp. 164-170.

Bibtex

@article{a2eb8dfe17fe48af9617fd6e5bdf74df,
title = "Creating a dedicated homebirth service: results of a 3-year pilot",
abstract = "Background: A dedicated homebirth service was established at a large teaching hospital in Birmingham.Aim: The aim of the 3-year pilot was to increase the homebirth rate from 0.3% to 3% of all Trust births.Methods: Data were collected on all women referred to the homebirth team and those receiving intrapartum care. This was analysed using Microsoft Excel spreadsheets.Findings: The pilot achieved a 1.4% homebirth rate and 1.9% intrapartum care rate (a five-fold increase in 3 years) but in spite of extensive promotion of the service, it did not meet the target of 3% of all Trust births. The peripartum transfer rate from home to hospital was 54% for primiparous and 14% for multiparous women with no adverse outcomes.Conclusions: There has been excellent feedback from the families who planned a homebirth, but increasing the homebirth rate requires a longer term change to the culture surrounding place of birth.",
keywords = "homebirth, intrapartum care, maternity support workers, place of birth, culture of birth",
author = "Fiona Cross-Sudworth and Jo Hindley and Clare Cheatham and Paula Clarke and Trixie McAree",
year = "2018",
month = mar,
day = "1",
doi = "10.12968/bjom.2018.26.3.164",
language = "English",
volume = "26",
pages = "164--170",
journal = "British Journal of Midwifery",
issn = "0969-4900",
publisher = "Mark Allen Healthcare",
number = "3",

}

RIS

TY - JOUR

T1 - Creating a dedicated homebirth service

T2 - results of a 3-year pilot

AU - Cross-Sudworth, Fiona

AU - Hindley, Jo

AU - Cheatham, Clare

AU - Clarke, Paula

AU - McAree, Trixie

PY - 2018/3/1

Y1 - 2018/3/1

N2 - Background: A dedicated homebirth service was established at a large teaching hospital in Birmingham.Aim: The aim of the 3-year pilot was to increase the homebirth rate from 0.3% to 3% of all Trust births.Methods: Data were collected on all women referred to the homebirth team and those receiving intrapartum care. This was analysed using Microsoft Excel spreadsheets.Findings: The pilot achieved a 1.4% homebirth rate and 1.9% intrapartum care rate (a five-fold increase in 3 years) but in spite of extensive promotion of the service, it did not meet the target of 3% of all Trust births. The peripartum transfer rate from home to hospital was 54% for primiparous and 14% for multiparous women with no adverse outcomes.Conclusions: There has been excellent feedback from the families who planned a homebirth, but increasing the homebirth rate requires a longer term change to the culture surrounding place of birth.

AB - Background: A dedicated homebirth service was established at a large teaching hospital in Birmingham.Aim: The aim of the 3-year pilot was to increase the homebirth rate from 0.3% to 3% of all Trust births.Methods: Data were collected on all women referred to the homebirth team and those receiving intrapartum care. This was analysed using Microsoft Excel spreadsheets.Findings: The pilot achieved a 1.4% homebirth rate and 1.9% intrapartum care rate (a five-fold increase in 3 years) but in spite of extensive promotion of the service, it did not meet the target of 3% of all Trust births. The peripartum transfer rate from home to hospital was 54% for primiparous and 14% for multiparous women with no adverse outcomes.Conclusions: There has been excellent feedback from the families who planned a homebirth, but increasing the homebirth rate requires a longer term change to the culture surrounding place of birth.

KW - homebirth

KW - intrapartum care

KW - maternity support workers

KW - place of birth

KW - culture of birth

U2 - 10.12968/bjom.2018.26.3.164

DO - 10.12968/bjom.2018.26.3.164

M3 - Article

VL - 26

SP - 164

EP - 170

JO - British Journal of Midwifery

JF - British Journal of Midwifery

SN - 0969-4900

IS - 3

ER -