Abstract

ObjectiveTo understand women's experiences of undisturbed physiological birth by exploring the narratives of women who have freebirthed their babies in the United Kingdom (intentionally giving birth without midwives or doctors present). DesignUnstructured narrative face-to-face interviews were carried out and data were analysed using the Voice Centred Relational Method (VCRM). ParticipantsSixteen women who had freebirthed their babies. FindingsWomen discussed a range of phenomena including birth positions, the fetus ejection reflex, pain, altered states of consciousness, physiological third stages and postnatal experiences that were physically and emotionally positive. Key conclusionsThere is a paucity of literature on physiological birth and limited opportunity for practitioners to witness it. Further research is required on phenomena related to physiological birth so as to better understand how to promote it within the maternity setting and when intervention is justified. Implications for practiceStandard maternity settings and practice may not be conducive to or reflective of physiological birth. Better understanding of physiological birth is required so that pregnant women and people can be appropriately supported during labour and birth.

Highlights

  • In its recommendations on Intrapartum Care for a Positive Childbirth Experience, the World Health Organisation (WHO) (2018) recognised the importance of ensuring that women and their babies are able to thrive following birth and reach their full potential in life

  • Sixteen women were recruited via online homebirth and freebirth Facebook groups to participate in in-depth narrative interviews exploring their experiences of freebirthing in the United Kingdom (UK)

  • Demographics of participants were not collected due to ethics restrictions and the potential for published characteristics to reveal participant identities, if results are shared within small online freebirth communities

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Summary

Introduction

In its recommendations on Intrapartum Care for a Positive Childbirth Experience, the World Health Organisation (WHO) (2018) recognised the importance of ensuring that women and their babies are able to thrive following birth and reach their full potential in life. The important and specific contribution of midwifery in the delivery of maternity care has been highlighted by Renfrew et al (2014). Developing their framework for quality maternal and newborn care, they identified that the promotion of normal processes and prevention of complications were key aspects. Et al’s review focused on the second stage of labour and in conclusion, recognised the ‘dearth of evidence’ relating to how midwives facilitate birth. Opportunities for midwives and midwifery students to witness undisturbed physiological birth are limited

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