Seeing birth in a new light: The transformational effect of exposure to homebirth for hospital-based midwives

Abstract

ObjectiveThe aim of the study was to explore hospital-based midwives' experiences of providing publicly-funded homebirth services in Australia. DesignA qualitative descriptive study using a constructivist grounded theory methodology was undertaken. SettingFive different states or territories of Australia where publicly-funded homebirth services were operating. ParticipantsInterviews were conducted with 21 midwives and midwifery managers from eight different public hospitals who had recent experience of working in, or with, publicly-funded homebirth models. FindingsWitnessing undisturbed birth in the home setting transformed midwives' attitudes towards birth. Following exposure to homebirth, many midwives felt they were seeing undisturbed birth for the first time. This led them to question their current understanding of physiological birth and develop a new awareness of the powerful influence that the environment has on labouring women. This new understanding resulted in changes to their practice. Key ConclusionsFor midwives accustomed to working in hospital settings, exposure to homebirth deepened their understanding of physiological birth, resulting in a perspective transformation and subsequent shift in practice. Implications for practice: Exposure to homebirth may motivate midwives to alter their practice in both home and hospital settings in order to shift the power dynamic between women and caregivers and protect women from unnecessary disturbance during labour.