Institute of Health and Care Sciences, The Sahlgrenska Academy, University of Gothenburg, Sweden.
Sex Reprod Healthc. 2011 Aug;2(3):101-5. doi: 10.1016/j.srhc.2011.03.001. Epub 2011 Apr 5.
More than 10% of all planned home births in high-income countries are completed in the hospital. The aim of this study was to compare the birth experiences among women who planned to give birth at home and completed the birth at home and women who were transferred to hospital during or immediately after the birth.
All women in Sweden who had a planned home birth between 1998 and 2005 (n=671) were invited to participate in the study. The women who agreed to participate received one questionnaire for each planned home birth. Mixed methods were used for the analysis.
Women who had been transferred during or immediately after the planned home birth had a more negative birth experience in general. In comparison with women who completed the birth at home, the odds ratio for being less satisfied was 13.5, CI 8.1-22.3. Reasons for being dissatisfied related to organizational factors, the way the women were treated or personal ability.
Being transferred during a planned home birth negatively affects the birth experience. Treatments as well as organizational factors are considered to be obstacles for a positive birth experience when transfer is needed. Established links between the home birth setting and the hospital might enhance the opportunity for a positive birth experience irrespective of where the birth is completed.
在高收入国家，超过 10%的计划在家分娩的产妇最终在医院分娩。本研究旨在比较计划在家分娩并在家中完成分娩的产妇与在分娩过程中或分娩后立即转至医院的产妇的分娩经历。
1998 年至 2005 年间，瑞典所有计划在家分娩的产妇（n=671）均受邀参与本研究。同意参与的产妇会收到一份针对每一次计划在家分娩的问卷。分析采用混合方法。
在计划在家分娩过程中或分娩后立即转至医院的产妇的总体分娩体验更差。与在家中完成分娩的产妇相比，满意度较低的比值比为 13.5，95%置信区间为 8.1-22.3。不满意的原因与组织因素、产妇的待遇或个人能力有关。
计划在家分娩时转至医院会对分娩体验产生负面影响。在需要转院时，治疗方法和组织因素被认为是影响积极分娩体验的障碍。在家分娩环境与医院之间建立联系可能会提高分娩体验的机会，而不论分娩地点在哪里。
