Creating a dedicated homebirth service: results of a 3-year pilot
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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 journal › Article › peer-review
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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 -