The study was funded by Mid Sweden University, Dalarna University, Falun, Mälardalen University, Eskilstuna, and the Swedish Research Council, Stockholm.
Birth Preferences that Deviate from the Norm in Sweden: Planned Home Birth versus Planned Cesarean Section
Article first published online: 17 NOV 2010
© 2010, Copyright the Authors. Journal compilation © 2010, Wiley Periodicals, Inc.
Volume 37, Issue 4, pages 288–295, December 2010
How to Cite
Hildingsson, I., Rådestad, I. and Lindgren, H. (2010), Birth Preferences that Deviate from the Norm in Sweden: Planned Home Birth versus Planned Cesarean Section. Birth, 37: 288–295. doi: 10.1111/j.1523-536X.2010.00423.x
- Issue published online: 17 NOV 2010
- Article first published online: 17 NOV 2010
- Accepted April 23, 2010
- cesarean section;
- home birth;
- maternal request
Abstract: Background: Opting for a home birth or requesting a cesarean section in a culture where vaginal birth in a hospital is the norm challenges the health care system. The aim of this study was to compare background characteristics of women who chose these very different birth methods and to see how these choices affected factors of care and the birth experience.
Methods: This descriptive study employed a secondary data analysis of a sample of women who gave birth from 1997 to 2008, including 671 women who had a planned home birth and 126 women who had a planned cesarean section based on maternal request. Data were collected by means of questionnaires. Logistic regression with crude and adjusted odds ratios (OR) with a 95 percent confidence interval (95% CI) was calculated.
Results: Women with a planned home birth had a higher level of education (OR: 2.3; 95% CI: 1.5–3.6), were less likely to have a high body mass index (OR: 0.1; 95% CI: 0.01–0.6), and were less likely to be smokers (OR: 0.2; 95% CI: 0.1–0.4) when compared with women who had planned cesarean sections. When adjusted for background variables, women with a planned home birth felt less threat to the baby’s life during birth (OR: 0.1; 95% CI: 0.03–0.4), and were more satisfied with their participation in decision making (OR: 6.0; 95% CI: 3.3–10.7) and the support from their midwife (OR 3.9; 95% CI: 2.2–7.0). They also felt more in control (OR: 3.3; 95% CI: 1.6–6.6), had a more positive birth experience (OR: 2.9; 95% CI: 1.7–5.0), and were more satisfied with intrapartum care (OR: 2.3; 95% CI: 1.3–4.1) compared with women who had a planned cesarean section on maternal request.
Conclusions: Women who planned a home birth and women who had a cesarean section based on maternal request are significantly different groups of mothers in terms of sociodemographic background. In a birth context that promotes neither home birth nor cesarean section without medical reasons, we found that those women who had a planned home birth felt more involvement in decision making and had a more positive birth experience than those who had a requested, planned cesarean section. (BIRTH 37:4 December 2010)