An Educational Intervention to Change Planned Behavior Concerning Midwife-Assisted Out-of-Hospital Childbirth
Article first published online: 8 JUN 2011
© 2011 by the American College of Nurse-Midwives
Journal of Midwifery & Womens Health
Volume 56, Issue 4, pages 371–375, July/August 2011
How to Cite
Hans, J. D. and Kimberly, C. (2011), An Educational Intervention to Change Planned Behavior Concerning Midwife-Assisted Out-of-Hospital Childbirth. Journal of Midwifery & Womens Health, 56: 371–375. doi: 10.1111/j.1542-2011.2011.00036.x
- Issue published online: 6 JUL 2011
- Article first published online: 8 JUN 2011
- birth options;
- childbirth education;
- midwife-assisted birth;
- out-of-hospital birth
Introduction: The Business of Being Born is a documentary film that reviews the history, economics, and culture of birth in the United States, with an emphasis on viewing low-risk birth as a natural and reasonably safe experience that does not require medical intervention.
Methods: A nonequivalent control group design with 468 American university students was used to examine the potential of The Business of Being Born for changing attitudes toward, and planned behavior concerning, midwife-assisted out-of-hospital childbirth.
Results: Viewing the film had a large positive effect on planned behavior concerning midwife-assisted out-of-hospital childbirth. Rationales for planned behaviors indicated that trust and safety concerns accounted for the appeal of physician-assisted hospital childbirth over midwife-assisted out-of-hospital childbirth, but that viewing the film substantially tempered these concerns vis-à-vis midwife-assisted out-of-hospital childbirth among a large portion of participants.
Discussion: The results indicate that The Business of Being Born can increase awareness of and support for the midwifery profession, and that these changes may result in increased demand for midwifery services. However, proactive efforts must be taken to ensure that the film reaches its target audience.