Creating a Safe Haven—Women's Experiences of the Midwife's Professional Skills During Planned Home Birth in Four Nordic Countries

Authors

  • Ingela Sjöblom RN, RM,

    Corresponding author
    1. Faculty of Health and Society, Malmö University, Malmö, Sweden
    2. Obstetrics and Gynecology, Department Skåne, University Hospital, Lund, Sweden
    • Address Correspondence to Ingela Sjöblom, RN, RM, Faculty of Health and Society, Malmö University, 20506 Malmö.

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  • Ewa Idvall PhD, RN,

    1. Faculty of Health and Society, Malmö University, Malmö, Sweden
    2. Skåne University Hospital, Sweden
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  • Helena Lindgren RM, PhD, RN,

    1. Department of Health and Caring Science, The Sahlgrenska Academy University of Gothenburg, Sweden
    2. Department of Women's and Children's Health, Karolinska Institutet, Sweden
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  • Nordic Homebirth Research Group


  • Nordic Homebirth Research Group consisting of Ellen Blix, PhD, is a principal curator, TromsÖ, University Hospital, Norway; Hanne Kjaergaard, PhD, is a clinical associate professor, Juliane Marie Research Centre, Denmark; OlofAsta Olofsdottir, PhD, is a professor, Reykjavik University, Iceland; Ingegerd Hildingsson, PhD, is a professor, Mid-Sweden University, Sweden; Li Thies-Lagergren, PhD, is a clinical midwife, Helsingborg General Hospital, Sweden; Ingela Radestad, PhD, is a professor, Sophiahemmet University College, Sweden; Ingela Lundgren, PhD, is an associate professor, The Sahlgrenska Academy, University of Gothenburg, Sweden

Abstract

Objective

The midwife assisting a birth has a considerable influence on the woman's experience of the birth. The aim of this study was to investigate the experience of the midwife's professional skills among women in Norway, Denmark, Iceland, and Sweden who chose a planned home birth.

Design and Setting

All known home birth midwives were asked to inform the mothers about the project and invite them to complete a questionnaire about different aspects of their home birth experience.

Method

The women were asked to assess 10 different aspects of the midwives' professional skills on a 4-graded scale below the main question: What was your experience of the midwife who assisted the labor? Furthermore, the mothers' experiences with the attending midwives were identified in the free text birth stories. The chosen method was a mixed method design.

Findings

The home birth midwives' professional skills were generally high scored. No statistically significant differences were found with respect to the assessment of the midwife. The content analyses yielded one overarching theme: The competence and presence of the midwife creates a safe haven, and three categories, midwife's safe hand, midwife's caring approach, and midwife's peaceful presence.

Conclusion

Women choosing a home birth in the four Nordic countries experienced that their midwives were highly skilled and they found the presence of the midwives valuable in helping them to feel safe and confident during birth. Despite differences in organization and guidelines for home births, the women's experience of the midwife's professional skills did not differ between the four countries.

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