Less or more? Maternal requests that go against medical advice

This study explores the experiences of Dutch midwives and gynaecologists with pregnant women who request more, less or no care during pregnancy and/or childbirth. All Dutch midwives and (trainee) gynaecologists were invited to fill out a questionnaire specifically designed for the purposes of this s...

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Bibliographic Details
Published in:Women and birth : journal of the Australian College of Midwives 2018-12, Vol.31 (6), p.505-512
Main Authors: Hollander, Martine, Holten, Lianne, Leusink, Annemieke, van Dillen, Jeroen, de Miranda, Esteriek
Format: Article
Language:English
Subjects:
Adult
Attitude of Health Personnel
Caesarean section at maternal request
Cesarean Section - psychology
Choice Behavior
Counseling
Decision Making
Delivery, Obstetric - psychology
Delivery, Obstetric - standards
Elective Surgical Procedures - psychology
Female
Gynecology - standards
Home birth in high risk pregnancy
Home Childbirth
Humans
Labor, Obstetric
Midwifery
Netherlands
Nursing
Parturition
Patient Preference - psychology
Physicians
Pregnancy
Pregnancy, High-Risk
Refusal of recommended care
Surveys and Questionnaires
Unassisted childbirth
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Summary:This study explores the experiences of Dutch midwives and gynaecologists with pregnant women who request more, less or no care during pregnancy and/or childbirth. All Dutch midwives and (trainee) gynaecologists were invited to fill out a questionnaire specifically designed for the purposes of this study. Holistic midwives were analysed separately from regular community midwives. Most maternity care providers in the Netherlands receive requests for less care than recommended at least once a year. The most frequently maternal requests were declining testing for gestational diabetes (66.3%), opting for a home birth in case of a high risk pregnancy (65.3%), and declining foetal monitoring during labour (39.6%). Holistic midwives are more convinced of an increasing demand for less care than community midwives (73.1% vs. 35.2%, p=
ISSN:1871-5192
1878-1799
DOI:10.1016/j.wombi.2018.01.010