Midwifery · 2025
Choosing for a Homebirth during COVID-19 Lockdown in The Netherlands, who and why: A national prospective questionnaire study.
СтатьяНазвание и аннотация: Перевод в очереди
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Gravesteijn Benjamin Y, Boderie Nienke, Beijers Roseriet, Bertens Loes, van den Akker Thomas, van Dillen Jeroen, Franx Arie, van den Heuvel Marion, de Jonge Ank, Kazemier Brenda, Kwint-Reijnders Igna, Mol Ben Willem, Obermann-Borst Sylvia A, Peters Lilian, Vacaru Stefania, de Weerth Carolina, Schoenmakers Sam, de Groot Christianne, Been Jasper V, PREPARE consortium
Аннотация
OBJECTIVE: During the first COVID-19 lockdown in the Netherlands (9 March-1 June 2020), the homebirth rate increased from 27 % to 37 % among women with low-risk pregnancies starting labour in primary midwife-led care (overall population: 15 % in 2020). We explored characteristics and motivations of women who change their preference from a hospital birth to a home birth.
DESIGN: A nationwide prospective online questionnaire.
SETTING: Questionnaires were distributed during the first COVID-19 wave (4 April-11 May 2020), as well as at follow-up (infant ±6 months old).
POPULATION: Women who were pregnant during the first COVID-19 wave (N = 778), who either changed their preferred birth location from a hospital to a home birth or who maintained their original preference.
METHODS AND MAIN OUTCOME MEASURES: We compared characteristics, anticipatory worries, and mental health between these groups, using descriptive statistics.
RESULTS: The most frequently reported change in preferred birth location among included women was from a hospital to a homebirth (15 %). This was primarily experienced as a choice rather than out of necessity (84 %). Women preferring homebirths had fewer risk factors (-11 %, 95 % CI: -5 % to -16 %) and had higher COVID-19 related worry scores (+0.09, 95 % CI: 0.01 to 0.18; for scale: IQR 0.45-1.09) compared to women who maintained their original preference. Main concerns were the absence of the support of friends or family during or after birth, and exposure to COVID-19.
CONCLUSION: During the first COVID-19 lockdown in the Netherlands, women changing their preferred location of birth to a homebirth had fewer risk factors and more COVID-19 related worries pertaining to a hospital birth.
DESIGN: A nationwide prospective online questionnaire.
SETTING: Questionnaires were distributed during the first COVID-19 wave (4 April-11 May 2020), as well as at follow-up (infant ±6 months old).
POPULATION: Women who were pregnant during the first COVID-19 wave (N = 778), who either changed their preferred birth location from a hospital to a home birth or who maintained their original preference.
METHODS AND MAIN OUTCOME MEASURES: We compared characteristics, anticipatory worries, and mental health between these groups, using descriptive statistics.
RESULTS: The most frequently reported change in preferred birth location among included women was from a hospital to a homebirth (15 %). This was primarily experienced as a choice rather than out of necessity (84 %). Women preferring homebirths had fewer risk factors (-11 %, 95 % CI: -5 % to -16 %) and had higher COVID-19 related worry scores (+0.09, 95 % CI: 0.01 to 0.18; for scale: IQR 0.45-1.09) compared to women who maintained their original preference. Main concerns were the absence of the support of friends or family during or after birth, and exposure to COVID-19.
CONCLUSION: During the first COVID-19 lockdown in the Netherlands, women changing their preferred location of birth to a homebirth had fewer risk factors and more COVID-19 related worries pertaining to a hospital birth.