Wiegers T A, van der Zee J, Keirse M J
Netherlands Institute of Primary Health Care (NIVEL).
Birth. 1998 Mar;25(1):19-24. doi: 10.1046/j.1523-536x.1998.00019.x.
In the Netherlands women with low-risk pregnancies are free to choose where to give birth, at home or in hospital, attended by an independent midwife or general practitioner. On average one of five women who remains in the care of a midwife at the onset of labor will be referred to an obstetrician during or shortly after childbirth. If women had planned to give birth at home, they would then have to be transferred to the hospital.
Postal questionnaires were sent to 2301 pregnant women before and after birth to measure the experience of childbirth, appropriateness of the chosen place of birth, satisfaction with the birth, midwife's care, and first days postpartum of women planning to give birth at home or in hospital. The response rate for both questionnaires was 89.3 percent.
Of 745 nulliparous women and 895 multiparous women, 39.3 and 10.3 percent, respectively, experienced referral to an obstetrician during labor. Of these women, the ones who wanted to give birth at home but were transferred to hospital because of the referral were as positive about the birth, early puerperium, and attendance of the midwife as the women who wanted to give birth in hospital.
Our research showed, contrary to expectations, that an unplanned transfer from a planned home birth to hospital has little influence on the experience of childbirth.
在荷兰，低风险妊娠的女性可以自由选择分娩地点，在家或在医院，由独立的助产士或全科医生接生。平均而言，在分娩开始时由助产士护理的五名女性中，有一名会在分娩期间或分娩后不久被转诊给产科医生。如果女性原本计划在家分娩，那么她们随后将不得不被转移到医院。
在分娩前后向2301名孕妇发送邮政问卷，以衡量分娩体验、所选分娩地点的适宜性、对分娩的满意度、助产士的护理以及计划在家或在医院分娩的女性产后头几天的情况。两份问卷的回复率均为89.3%。
在745名单胎产妇和895名经产妇中，分别有39.3%和10.3%的人在分娩期间被转诊给产科医生。在这些女性中，那些原本想在家分娩但因转诊而被转移到医院的女性，对分娩、产褥早期以及助产士的护理的看法与那些想在医院分娩的女性一样积极。
我们的研究表明，与预期相反，从计划在家分娩到医院的意外转移对分娩体验几乎没有影响。
