Journal articles: 'Childbirth at home – Japan'

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Kim, Kwang-Hee. "Implications of Japan’s Strategy to Overcome Low Birthrate for Korea: Focusing on Case Studies in Nagi-cho, Okayama Prefecture, Japan." Korean-Japanese Economic and Management Association 100 (August 31, 2023): 13–28. http://dx.doi.org/10.46396/kjem..100.2.

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Purpose: Korea has the lowest birth rate in the world. We need to find measures to overcome the low birth rate. This is a key issue that will determine Korea’s survival. In this study, we would like to find measures to solve the low birth rate problem in Korea. Research design, data, and methodology: This study aims to understand in detail the various childbirth policies, strategies, and peculiarities that have been promoted, focusing on the cases of overcoming low birth rates in Nagi-cho, Japan. In addition, the substance cannot be grasped only through the contents introduced at home and abroad. We would also like to discuss the hidden truth of Nagi-cho. Hopefully, I hope that this study will be a useful hint in solving the low birth rate problem. Results: Now, Korean society is suffering from internal threats of low birth rates, not external threats. Just worrying doesn’t change the situation. Nevertheless, someone is responsible for identifying and predicting the nature of the problem from an objective perspective and raising an alarm in Korean society. Accordingly, the conclusion presented eight response strategies to overcome Korea’s low birth rate problem. Typically, the total fertility rate of 0.78 in 2022 is due to the fact that more than one child was not born between couples. In other words, the reason why the current number of births and fertility rates do not rise is not that they do not give birth to a second child, but that caused by not having a single child. Couples who give birth to their first child have a high probability of giving birth to their second child, but it is impossible to give birth to their second and third children unless their first child is born. It is the right childbirth policy to actively support couples who have given birth to a second child. Implications: We expect the sum of the partial optimizations to be equal to the sum of the total optimization, and this is what we are looking for in the implications 'best answer'. However, at the macro level of a country’s fertility rate, it is not easy to achieve the total optimum through partial optimization.

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Dunn, Peter. "Childbirth: home or hospital?" British Journal of Midwifery 12, no. 6 (June 2004): 380–85. http://dx.doi.org/10.12968/bjom.2004.12.6.13140.

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SANFELICE, Clara Fróes de Oliveira, and Antonieta Keiko Kakuda SHIMO. "Home childbirth: progress or retrocession?" Revista Gaúcha de Enfermagem 35, no. 1 (March 2014): 157–60. http://dx.doi.org/10.1590/1983-1447.2014.01.41356.

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Giving birth at home represents a rising modality of delivery care in the Brazilian society, although in unrepresentative proportion when compared to the number of hospital childbirths. In Brazil, the topic has been broadly discussed by different professional categories, highlighting the safety issue involved in the process. The aim of this theoretical and reflective study was to present a brief overview of the overall care related to home childbirth, also questioning the reality of the contemporary Brazilian obstetric scenario. The scientific literature presents both obstetric and neonatal outcomes as favorable to home childbirth; similar risks when compared to hospital childbirth and higher rates of maternal satisfaction, and these both factors justify its practice. Therefore, a movement of women who are deeply unhappy with the current model of obstetric care is currently observed and they have been opting for home childbirth as a response to institutional violence, fragmentation and depersonalization of hospital care.

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Burns, Emily. "More Than Four Walls: The Meaning of Home in Home Birth Experiences." Social Inclusion 3, no. 2 (April 9, 2015): 06–16. http://dx.doi.org/10.17645/si.v3i2.203.

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The “home versus hospital” as places of birth debate has had a long and at times vicious history. From academic literature to media coverage, the two have often been pitted against each other not only as opposing physical spaces, but also as opposing ideologies of birth. The hospital has been heavily critiqued as a site of childbirth since the 1960s, with particular focus on childbirth and medicalisation. The focus of much of the hospital and home birthing research exists on a continuum of medicalisation, safety, risk, agency, and maternal and neonatal health and wellbeing. While the hospital birthing space has been interrogated, a critique of home birthing space has remained largely absent from the social sciences. The research presented in this article unpacks the complex relationship between home birthing women and the spaces in which they birth. Using qualitative data collected with 59 home birthing women in Australia in 2010, between childbearing and the home should not be considered as merely an alternative to hospital births, but rather as an experience that completely renegotiates the home space. Home, for the participants in this study, is a dynamic, changing, and even spiritual element in the childbirth experience, and not simply the building in which it occurs.

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Siallagan, Ermawaty A. "ANALISIS FAKTOR YANG MEMENGARUHI IBU DALAM MEMILIH PERSALINAN DI RUMAH OLEH BIDAN DI PUSKESMAS PANCUR BATU KABUPATEN DELI SERDANG TAHUN 2016." Elisabeth Health Jurnal 2, no. 2 (December 15, 2017): 15–24. http://dx.doi.org/10.52317/ehj.v2i2.219.

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The location of childbirth is one of the factors which can psychologically influence mothers who are giving birth to babies. The wrong selection of location and childbirth aide will directly affect mothers’ health. The selection of the location and the aides of childbirth can be influenced by several factors such as the distance of health service facility, transportation, demographic location, and knowledge of searching for the right childbirth aide. Goals : The research is quantitative with cross sectional analytic survey. The method of the analysis was factor analysis in which the variables were reduced to one or two factors which influenced mothers to select the home birth by midwives. Method : The population was all mothers who gave birth to babies, aided by midwives at home, and 110 of them were used as the samples, using purposive sampling technique with inclusive and exclusive criteria. Result : The result of the factor analysis showed that of 12 variables, eight of them could be included in the factor analysis with MSA value > 0.05. Of the eight factors, two of them became internal and external factors. Internal factor contributed 70%, while external factor contributed 77% in influencing mothers to select the location of childbirth at home. From the internal factor, it was found that childbirth environment was the most influencing factor (85.5%), while from the external factor, it was found that childbirth expense was the most influencing factor (84.1%). Conclusion : The conclusion of the research was that internal factor (childbirth environment) and external factor (childbirth expense) influenced mothers to select home birth by midwives in the working area of Batu Pancur Puskesmas. It is recommended that midwife professionalism should be improved in giving childbirth service so that people will be motivated to select health facility in giving birth to babies.

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TERESHKO, K. Y. "The Flip Side of the Comfort Childbirth Coin: Some Legal Aspects." Medicne pravo 2020, no. 2 (October 18, 2020): 76–83. http://dx.doi.org/10.25040/medicallaw2020.02.076.

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The birth of a child is a physiologically and psychologically complex process,when two, and sometimes more, lives (mother and child) need special protection.Rarely are women as dependent on the actions of those around them as theyare during childbirth. They are surrounded by people who are responsiblefor their and their child's health and life, they are all professionals and mustunderstand that at this time it is necessary to create the most comfortableand safe conditions for the birth of a new life. However, the jurisprudence isfull of verdicts for improper provision of medical care by obstetricians andgynecologists, and in social networks and Internet forums there are more andmore recommendations about childbirth at home, which look like a lifeline in astormy sea of fears, feelings, suggestions. A regulatory vacuum for home birthshas been determined. The case law of the European Court of Human Rightson the legality of home births under the supervision of medical professionalshas been researched. It has been suggested to introduce obstetric supervisionas a method of childbirth at the legislative level. The procedure for involvingassistants (birth doula) in partner childbirth and their legal status have beenanalyzed. Key words: childbirth, partner childbirth, assistant (birth doula), obstetricsupervision, medical care.

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Hadwiger, M. C., and S. C. Hadwiger. "Filipina mothers' perceptions about childbirth at home." International Nursing Review 59, no. 1 (November 17, 2011): 125–31. http://dx.doi.org/10.1111/j.1466-7657.2011.00929.x.

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Andreeva, Anna. "Childbirth in aristocratic households of Heian Japan." Dynamis 34, no. 2 (2014): 357–76. http://dx.doi.org/10.4321/s0211-95362014000200005.

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Castro-Vázquez, Genaro. "Childbirth and Social Class in Contemporary Japan." Asian Studies Review 40, no. 2 (March 21, 2016): 268–86. http://dx.doi.org/10.1080/10357823.2016.1155535.

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Bhandari, Tulsi Ram, Shreejana Wagle, and Ganesh Dangal. "Practices and Women’s Perceptions of Childbirth in Western Nepal: A Qualitative Study." Journal of Nepal Health Research Council 18, no. 1 (April 20, 2020): 64–69. http://dx.doi.org/10.33314/jnhrc.v18i1.2413.

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Background: Despite continuous efforts to increase the utilization of institutional delivery care services nearly two-fifths women deliver their babies at home without the assistance of skilled birth attendants (SBA) in Nepal. The skilled care at birth can reduce the high maternal and neonatal mortality. This study explored childbirth practices and women’s perceptions of childbirth and its associated factors.Methods: An exploratory study was conducted in three purposively selected remote villages of Kapilvastu district, from March to May 2017. Face-to-face in-depth interviews were conducted with women who had an under-one year child. We performed a thematic analysis to draw the findings of the study. Results: Women sought institutional delivery care either for long labor-pain or obstructed-delivery. Despite various incentives, people still preferred home for normal deliveries. There was also practiced skilled birth attendant (SBA) assisted home delivery care. Some of the local health workers also advised pregnant-women for assisted home delivery care. People considered childbirth as a normal process. Due to cultural beliefs and norms, people were also reluctant to pursue institutional delivery care services. Financial constraints, poor access to services and expensive transportation services were other underlining causes of home delivery practices. Conclusions: Despite various incentives for institutional delivery care; the study did not spectacle an encouraging reaction. It pointed to the very basic and strong relationship between women’s position in the household and the society and education with childbirth practices. There were limits to how far financial incentives can overcome these obstacles. So, the improvement of the socio-economic conditions of the women would be the viable way-out of the problem.Keywords: Childbirth practices; home delivery; institutional delivery; women’s perception

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Budin, Wendy C. "Home Birth Safety." Journal of Perinatal Education 25, no. 2 (2016): 71–72. http://dx.doi.org/10.1891/1058-1243.25.2.71.

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ABSTRACTIn this column, the editor of The Journal of Perinatal Education introduces two key articles that discuss the current controversy regarding the safety of home birth versus hospital birth. The editor also describes the contents of this issue, which offer a broad range of resources, research, and inspiration for childbirth educators in their efforts to promote, support, and protect natural, safe, and healthy birth.

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Kempe, Annica, Fatoom Noor-Aldin Alwazer, and Töres Theorell. "The Role of Demand Factors in Utilization of Professional Care during Childbirth: Perspectives from Yemen." ISRN Obstetrics and Gynecology 2011 (September 18, 2011): 1–12. http://dx.doi.org/10.5402/2011/382487.

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Background. Utilization of professional care during childbirth by women in low-income countries is important for the progress towards MDG 5. In Yemen, home births have decreased minimally during the past decades. Objective. The study investigates the influence of socio-demographic, birth outcome and demand factors on women's future preference of a home or institutional childbirth. Method. We interviewed 220 women with childbirth experience in urban/rural Yemen. We performed bivariate chi-square tests and multiple logistic regression analysis. A multistage sampling process was used. Results. The issues of own choice, birth support and birth complications were the most important for women's preference of future location of childbirth. Women who had previously been able to follow their own individual choice regarding birth attendance and/or location of childbirth were six times more likely to plan a future childbirth in the same location and women who received birth support four times more likely. Birth complications were associated with a 2.5-fold decrease in likelihood. Conclusions. To offer women with institutional childbirth access to birth support is crucial in attracting women to professional care during childbirth. Yemeni women's low utilization of modern delivery care should be seen in the context of women's low autonomy and status.

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Stark, Susan A. "Home Birth and the Maternity Outcomes Emergency: Attending to Race and Gender in Childbirth." IJFAB: International Journal of Feminist Approaches to Bioethics 14, no. 1 (March 2021): 2–18. http://dx.doi.org/10.3138/ijfab-14.1.01.

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Childbirth in the United States is in crisis. This is especially true for Black and brown mothers. This childbirth emergency constitutes a failure of the social contract: because society has failed to provide minimally decent care for all birthing mothers, but especially for Black and brown mothers, it is necessary to allow mothers to choose home birth. I amplify the voices of Black and brown scholars and midwives to defend home birth, and I argue that home birth is safe and empowering and that it is rational for those who desire it to choose it.

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Court, C. "Childbirth trust calls for rights to home births." BMJ 310, no. 6974 (January 28, 1995): 212. http://dx.doi.org/10.1136/bmj.310.6974.212.

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Fleming, Susan E., Maria Healy, Billie Severtsen, and Colleen Moria Donovan-Batson. "Washington State Childbearing Women’s Experiences of Planned Home Births: A Heideggerian Phenomenological Investigation." Journal of Perinatal Education 26, no. 1 (2017): 10–17. http://dx.doi.org/10.1891/1058-1243.26.1.10.

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ABSTRACTThe purpose of this interpretive study was to investigate planned home births that occurred in Washington State and to provide meaning. A Heideggerian phenomenological approach was chosen to investigate and interview a purposive sample of 9 childbearing women who experienced at least 1 home birth between 2010 and 2014 in Washington State. The results of this study suggest that childbirth education is an essential and valued aspect of birthing. Childbirth educators can use the findings from this investigation as a means to increase their awareness of birthing in the home. This interpretive investigation can give “voice” to the compelling evidence accumulating that is investigating planned home births as a sanctuary to allow physiological and low-intervention births to transpire.

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Torres, Alberto, and Michael R. Reich. "The Shift from Home to Institutional Childbirth: A Comparative Study of the United Kingdom and the Netherlands." International Journal of Health Services 19, no. 3 (July 1989): 405–14. http://dx.doi.org/10.2190/29fq-08gn-0c6g-1u31.

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The British system of childbirth with a very low rate of home childbirth is compared to that in The Netherlands, a country with a relatively high percentage of home deliveries. The analysis explores three possible explanations: the structure of the health professions in both countries, the structure of their health systems, and the use of scientific information in guiding policy decisions on birth place. Differences in the professional status and training programs of midwives between The Netherlands and the United Kingdom affected the distribution of home versus institutional deliveries in the two countries. Reimbursement schemes in The Netherlands have been important in maintaining a high percentage of births at home in this country. In the United Kingdom centralized planning and the influence of medical thinking played major roles in accelerating the shift from home to hospital deliveries in the National Health Service.

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Kakushkin, N. "V. Vasten. To the question of the treatment of complete ruptures of the uterus during childbirth. (Botkin's Hospital Gazette, 1894, No. 24, p. 593)." Journal of obstetrics and women's diseases 8, no. 10 (September 22, 2020): 932–33. http://dx.doi.org/10.17816/jowd810932-933.

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9-para, 29 years old. Childbirth ended with forceps (slightly flat pelvis). During childbirth, who were at home, a rupture of the uterus was ascertained. I arrived at the hospital with an unremoved post-dom, very weak, with the manifestations of the beginning inflammation of the peritoneum.

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Putri, Nuzulul Kusuma, and Agung Dwi Laksono. "Predictors of childbirth services in Indonesia." International Journal of Public Health Science (IJPHS) 11, no. 2 (June 1, 2022): 566. http://dx.doi.org/10.11591/ijphs.v11i2.21324.

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The Government of Indonesian implemented maternal health service programs to minimize at-home childbirth services and increase mothers' utilization of its services. There is not enough evidence these policies are effectively decreasing the maternal mortality rate. Hence, this study aimed to analyze the predictors of each specific childbirth services in Indonesia. This study used the secondary dataset of the 2012 Indonesian demographic data survey (IDHS). The sample was 17,769 women ages 15 to 49 years old. We performed logistic regression for the multivariate case to identify the predictors of childbirth service. Geographical, education, and economic condition significantly predict childbirth services. Women who are not residents tend to use a community-based facility than institutionalized health. Women with higher parity, inadequate knowledge on pregnancy danger signs, lower antenatal care visits, and never had any discussion with their husbands about the planned place of giving birth tend to prefer giving birth at home than health facilities. Women's decision to use a safe childbirth service is hindered by demanding access to reach institutionalized healthcare. Our findings highlighted the importance of women empowerment to enable women to utilize safe labor in a health facility.

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Lothian, Judith A. "Questions from Our Readers: Home Birth—Safely Protecting and Supporting Normal Birth." Journal of Perinatal Education 11, no. 4 (October 2002): 13–16. http://dx.doi.org/10.1891/1058-1243.11.4.13.

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Holopainen, Annaleena, Claire Stramrood, Mariëlle G. van Pampus, Martine Hollander, and Carlo Schuengel. "Subsequent childbirth after previous traumatic birth experience: women's choices and evaluations." British Journal of Midwifery 28, no. 8 (August 2, 2020): 488–96. http://dx.doi.org/10.12968/bjom.2020.28.8.488.

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Background After a traumatic childbirth experience, women are often afraid of future pregnancies, and may be at risk for also experiencing their subsequent childbirth as traumatic. Aims Two questions were investigated regarding women's experience of their subsequent childbirth after a previous traumatic birth: (1) which factors in the previous traumatic birth are associated with the subsequent childbirth experience, and (2) fear of childbirth and coping behaviour during the subsequent pregnancy associated with the subsequent birth experience. Methods A total 474 Dutch women (mean age during traumatic childbirth=28.9 years; SD=3.9) answered an online survey about their previous traumatic and subsequent birth experience. Findings Making a birth plan, choosing a home birth in a high-risk pregnancy, and having a planned caesarean section emerged as statistically significant correlates of positive subsequent birth experience. Conclusion Experiencing control over the subsequent birth might underlie practices associated with more positive subsequent childbirth experience among women with a traumatic childbirth history.

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Shaw, Rebecca, and Celia Kitzinger. "Calls to a home birth helpline: Empowerment in childbirth." Social Science & Medicine 61, no. 11 (December 2005): 2374–83. http://dx.doi.org/10.1016/j.socscimed.2005.04.029.

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Murphy-Black, Tricia. "Home birth: can we offer women choices for childbirth?" British Journal of Midwifery 1, no. 4 (September 2, 1993): 166–68. http://dx.doi.org/10.12968/bjom.1993.1.4.166.

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Maeda, Yuto, Kenzo Takahashi, Kana Yamamoto, Tetsuya Tanimoto, Masahiro Kami, and Andy Crump. "Factors affecting the provision of analgesia during childbirth, Japan." Bulletin of the World Health Organization 97, no. 9 (July 17, 2019): 631–36. http://dx.doi.org/10.2471/blt.19.230128.

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Sharts Engel, Nancy. "An American Experience of Pregnancy and Childbirth in Japan." Birth 16, no. 2 (June 1989): 81–86. http://dx.doi.org/10.1111/j.1523-536x.1989.tb00867.x.

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Kobayashi, Hirotoshi, Hideyuki Ishida, Hideki Ueno, Takao Hinoi, Yasuhiro Inoue, Fumio Ishida, Yukihide Kanemitsu, et al. "Childbirth after surgery for familial adenomatous polyposis in Japan." Surgery Today 47, no. 2 (June 29, 2016): 233–37. http://dx.doi.org/10.1007/s00595-016-1374-9.

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Dumauli, Magdalena Triasih. "The timing of childbirth and the child wage-penalty in Japan." International Journal of Social Economics 46, no. 12 (December 2, 2019): 1369–86. http://dx.doi.org/10.1108/ijse-12-2018-0629.

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Purpose The purpose of this paper is to examine the effect of timing of first childbirth on the child wage-penalty experienced by working mothers in Japan. There is an increasing age of first childbirth and increasing labor force participation rate of Japanese women: does it indicate that the presence of children causes women to pay a high price for motherhood? Design/methodology/approach This study estimates regression equations explaining the labor wages of working women, using a longitudinal data set from the Japan Household Panel Survey (the JHPS/KHPS 2004–2015). The fixed-effect method is utilized to control the bias that results from unobserved individual-specific characteristics. Findings The results indicate that having children negatively affects the wages of Japanese women. However, there is no variation in the child wage-penalty between early child bearers (age 27 years or younger) and late child bearers (older than 27 years). In addition, an additional year of post-birth work experience contributes equally to an additional year of pre-birth work experience on wage gains. These findings remain robust with an alternate cut-off age of 30-years old. Originality/value There is no previous study that relates the timing of the first birth to the motherhood wage-penalty in Japan. This study indicates that the timing of childbirth does not seem to be an important factor in the improvement of women’s labor wages. Thus, delaying childbirth may not be an optimal birth timing to maximize the lifetime earnings of Japanese women, especially for those who are career-minded.

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Del Mastro N., Irene, Paul J. Tejada-Llacsa, Stefan Reinders, Raquel Pérez, Yliana Solís, Isaac Alva, and Magaly M. Blas. "Home birth preference, childbirth, and newborn care practices in rural Peruvian Amazon." PLOS ONE 16, no. 5 (May 4, 2021): e0250702. http://dx.doi.org/10.1371/journal.pone.0250702.

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Home birth is very common in the Peruvian Amazon. In rural areas of the Loreto region, home to indigenous populations such as the Kukama-Kukamiria, birth takes place at home constantly. This study aims to understand the preference for home births as well as childbirth and newborn care practices among Kukama-Kukamiria women in rural Loreto. Following a case study approach, sixty semi-structured, face-to-face interviews were conducted with recent mothers who experienced childbirth within one year prior to the interview, female relatives of recent mothers who had a role in childbirth, male relatives of recent mothers, community health workers, and traditional healers. We found that for women from these communities, home birth is a courageous act and an intimate (i.e. members of the community and relatives participate in it) and inexpensive practice in comparison with institutional birth. These preferences are also linked to experiences of mistreatment at health facilities, lack of cultural adaptation of birthing services, and access barriers to them. Preparations for home births included handwashing and cleaning delivery surfaces. After birth, waiting for the godparent to arrive to cut the cord can delay drying of the newborn. Discarding of colostrum, lack of skin-to-skin contact as well as a range of responses regarding immediate breastfeeding and immediate drying of the baby were also found. These findings were used to tailor the educational content of the Mamas del Rio program, where community health workers are trained to identify pregnancy early, perform home visits to pregnant women and newborns, and promote essential newborn care practices in case institutional birth is not desired or feasible. We make recommendations to improve Peru’s cultural adaptation of birthing services.

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Pantovic, Ljiljana. "Somebodies or nobody’s patient: The importance of social positioning and informal relations during childbirth in Serbia." Bulletin de l'Institut etnographique 69, no. 1 (2021): 205–25. http://dx.doi.org/10.2298/gei2101205p.

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Anthropological research on post-socialism points to the need for informal relations when navigating social and health care systems, while feminist research on childbirth points out the negative consequences of the dominant medicalized model of childbirth on women?s experience. This paper combines these two types of research and points to the role of informal relations in negotiating childbirth in Serbia and the role of peoples social positioning influencing the possibilities of using these relations. Based on eighteen months of ethnographic fieldwork on the practices of providing maternal health care in Serbia, the aim of this paper is to show how a woman's social position affects her ability to establish a relationship within the state health care system, and to reconsider the claim that informal relationships can protect women from interventionism during childbirth in Serbia. Using informal relations (veze) in order to have your doctor during childbirth is a key concern for women in Serbia. Informal relations transform women from (no)bodies into somebodies, someone?s patient. Women of poorer economic status, women from rural areas, and often women of Roma ethnic origin have limited opportunities to establish informal relations in state maternity hospitals. Informal relations do not fully protect women from interventions but affect the type and timing of interventions.

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Budin, Wendy. "In This Issue: A Home birth Roadblock." Journal of Perinatal Education 31, no. 2 (March 8, 2022): 63–65. http://dx.doi.org/10.1891/jpe-2022-0001.

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In this column, the editor of The Journal of Perinatal Education discusses yet another roadblock to midwives providing safe home birth. The editor also describes the contents of this issue, which offer a broad range of resources, research, and inspiration for childbirth educators in their efforts to promote, support, and protect natural, safe, and healthy birth and postpartum.

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ROMANENKO, A., and Y. KUCHYN. "METHODS OF LABOR ANALGESIA BY DETERMING THE LEVEL OF CHILDBIRTH SATISFACTION." PAIN, ANAESTHESIA & INTENSIVE CARE, no. 2(99) (June 30, 2022): 49–55. http://dx.doi.org/10.25284/2519-2078.2(99).2022.265839.

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Introduction. Woman’s satisfaction with childbirth is associated with adequate labor analgesia [1]. Negative labor experience could increase the risk of poor mother-child connection, breastfeeding problems [2], and decreased desire for elective caesarian section [3]. Effective management of labor pain and positive childbirth experience improve the quality of maternity care [4]. Aim. Explore correlation between different pharmacological/non-pharmacological methods of labor analgesia at ‘’home’’/hospital environment with positive childbirth experience. Methods and materials: There are 321 women who completed questionnaire of childbirth experience. Survey consists of 4 parts: ‘’own capacity’’, ‘’professional support’’, ‘’perceived safety’’, ‘’participation’’. In postpartum period, women were divided into 4 groups with: patient-control epidural analgesia (PCEA) (n=217), nitrous oxide (50:50) (n=18), alternative methods of labor analgesia in ‘’home’’ environment (n=46) and hospital birth without pharmacological analgesia (n=40). Logistic regression was used to analyze the risks. Results. The study shown the risk of unsatisfactory assessment of Childbirth Experience Questionnaire in the sections “perceived safety” (p=0,034, OR=2,03 (95% CІ 1,06–3,86)), ‘’professional support’’ (p=0,006, (OR=2,58 (95% CІ 1,31–5,07)), increased for patients with severe pain (VAS 7 points), compared with patients for VAS <7 points. PCEA is considered to be standard of labor analgesia and is not associated with the risk of unsatisfactory assessment in sections “perceived safety” and ‘’own capacity’’ (p>0,05). Nitrous oxide and alternative methods of analgesia shown higher rates of childbirth satisfaction in the sections ’’participation’’ (p=0,029, OR=0,48 (95% CІ 0,25–0,93), ‘’own capacity’’(р=0,040), and low rates in ‘’professional support’’ (p=0,029, OR=1,91 (95% CІ 1,07–3,41). Conclusions. An effective strategy to increase level of childbirth satisfaction is to provide positive communication with women and to inform about risk of using pharmacological/ non-pharmacological labor analgesia

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Gibson, Martha, Betty Carlson Bowles, Lauren Jansen, and Jane Leach. "Childbirth Education in Rural Haiti: Reviving Low-Tech Teaching Strategies." Journal of Perinatal Education 22, no. 2 (2013): 93–102. http://dx.doi.org/10.1891/1058-1243.22.2.93.

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On a medical mission into rural mountainous regions of Haiti, the authors were charged with teaching safer childbirth practices to untrained, mostly illiterate traditional birth attendants (TBA) who spoke Haitian Creole. In this isolated region with no physician or accessible hospital, almost all births occur at home. With no electricity, safe water supply, or sanitation facilities, childbirth education was a challenge. Accustomed to electronic, high-tech teaching aids, these childbirth educators had to modify educational strategies for these extraordinary circumstances. A successful solution was to revive decades-old teaching techniques and visual aids once used in Lamaze classes. The purpose of this article is to describe the teaching environment, the target audience, and the low-tech approach to childbirth education in Haiti.

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Diamond-Smith, Nadia, Lakshmi Gopalakrishnan, Sumeet Patil, Lia Fernald, Purnima Menon, Dilys Walker, and Alison M. El Ayadi. "Temporary childbirth migration and maternal health care in India." PLOS ONE 19, no. 2 (February 8, 2024): e0292802. http://dx.doi.org/10.1371/journal.pone.0292802.

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Background Women in South Asia often return to their natal home during pregnancy, for childbirth, and stay through the postpartum period—potentially impacting access to health care and health outcomes in this important period. However, this phenomenon is understudied (and not even named) in the demographic or health literature, nor do we know how it impacts health. Objective The aim of this study is to measure the magnitude, timing, duration, risk factors and impact on care of this phenomenon, which we name Temporary Childbirth Migration. Methods Using data from 9,033 pregnant and postpartum women collected in 2019 in two large states of India (Madhya Pradesh and Bihar) we achieve these aims using descriptive statistics and logistic regression models, combined with qualitative data from community health workers about this practice. Results We find that about one third of women return to their natal home at some point in pregnancy or postpartum, mostly clustered close to the time of delivery. Younger, primiparous, and non-Hindu women were more likely to return to their natal home. Women reported that they went to their natal home because they believed that they would receive better care; this was born out by our analysis in Bihar, but not Madhya Pradesh, for prenatal care. Conclusions Temporary childbirth migration is common, and, contrary to expectations, did not lead to disruptions in care, but rather led to more access to care. Contribution We describe a hitherto un-named, underexplored yet common phenomenon that has implications for health care use and potentially health outcomes.

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Bing, Elisabeth. "Lamaze Childbirth among the Amish People." Journal of Perinatal Education 11, no. 2 (April 2002): 13–22. http://dx.doi.org/10.1891/1058-1243.11.2.13.

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This paper is an account of the author’s observation of three Amish births in 1972, one in a home and two in a hospital. This 30-year-old story illustrates normal birth among a group dedicated to “low-tech” living. Although some aspects of Amish life and birth may have changed in the past 30 years, the basic philosophy of life and birth has not. This philosophy serves as a living reminder to us that generations of women from many cultures have given birth in a similar manner.

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Myers, Frederick Shaw. "Japan: Changes home and away." Physics World 6, no. 6 (June 1993): 10. http://dx.doi.org/10.1088/2058-7058/6/6/9.

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Bączek, Grażyna, Ewa Rzońca, Dorota Sys, Sylwia Rychlewicz, Anna Durka, Patryk Rzońca, and Agnieszka Bień. "Spontaneous Perineal Trauma during Non-Operative Childbirth—Retrospective Analysis of Perineal Laceration Risk Factors." International Journal of Environmental Research and Public Health 19, no. 13 (June 23, 2022): 7653. http://dx.doi.org/10.3390/ijerph19137653.

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Childbirth-related perineal trauma (CRPT) is defined as damage to the skin, muscles of the perineum, as well as to the anal sphincter complex and anal epithelium. The aim of the study was to analyze the risk factors for spontaneous injuries to the soft tissues of the birth canal during non-operative delivery. This was a single-center retrospective case-control study. The study included the analysis of two groups, the study group featured 7238 patients with spontaneous perineal laceration (any degree of perineal laceration) and the control group featured patients without perineal laceration with 7879 cases. The analysis of single-factor logistic regression showed that the factors related to perineal laceration during childbirth are the age of the patients giving birth (p = 0.000), the BMI before delivery (p = 0.000), the number of pregnancies (p = 0.000) and deliveries (p = 0.000), diagnosed gestational diabetes (p = 0.046), home birth (p = 0.000), vaginal birth after cesarean (VBAC) (p = 0.001), the use of oxytocin in the second stage of childbirth (p = 0.041), the duration of the second stage of childbirth (p = 0.000), body weight (p = 0.000), and the circumference of the newborn head (p = 0.000). Independent factors that increase the risk of perineal laceration during childbirth are an older age of the woman giving birth, a history of cesarean section, a higher birth weight of the newborn, and factors that reduce the risk of spontaneous perineal trauma are a higher number of deliveries and home birth.

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Stępkowska, Justyna, Magdalena Bogusz, and Katarzyna Stępkowska. "Selected aspects of perceiving and experiencing birth - study of men participating in hospital childbirth and men with an experience of home childbirth." Teologia i Moralność 17, no. 2(32) (December 30, 2022): 243–59. http://dx.doi.org/10.14746/tim.2022.32.2.14.

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Participating in childbirth of his own child can be a plane for redefi ning man’s own identity and self-esteem. The study aimed to verify whether there is a relationship between the place of childbirth and selected aspects of man’s perceiving and experiencing participation in childbirth of his own child and to assess the relationship between man’s perception of childbirth as an essential life experience and an experience affecting selfesteem. The study included 147 men aged 18 to 57 years (M = 34,56; SD = 8,29) who had experience of participating in the delivery of their child. The conducted research was preliminary. The research was carried out using the diagnostics survey method and nonprobabilistic sampling. The data were collected anonymously via the survey questionnaire. The collected data was analyzed using descriptive statistics methods, with the Kolmogorov-Smirnov and Mann-Whitney U tests and the analysis of Spearman’s ρ rank correlation, with the IBM SPSS Statistics 23 package. The threshold of α = 0.05 was considered as the signifi cance level. Main results: (a) According to the respondents, man’s participation in birth of his own child is an important factor infl uencing self-esteem; (b) the stronger perception of childbirth as an important event in life, the more this experience affects selfesteem according to the respondents. The research shows the importance of the father participation in the childbirth for the self-esteem level of the man. The preliminary study indicates also the need for in-depth research on the participation of the father at childbirth and on the multifaceted importance of this presence.

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Sultana, Aneela, Mahwish Zeeshan, and Sohima Anzak. "A Phenomenological Analysis of Rural Women’s Childbirth Preferences." SAGE Open 12, no. 1 (January 2022): 215824402210798. http://dx.doi.org/10.1177/21582440221079874.

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Women’s agency and reproductive control directly bear their current pregnancy and future childbearing experiences. This study deals with knowledge construction in childbirth planning. The study is based on a phenomenological approach relying on in-depth interviews of sixty married women of childbearing age who have recently been through the birthing process. Cultural discourses provide an understanding of socio-familial context reinforcing traditional home birthing. Findings indicate that the desire for natural childbirth experience, apprehensions regarding obstetric interventions by medical doctors, emotional support, comfort and assistance provided by female relatives, traditional birth attendants, and their husbands’ preference add to their decision for home birthing. In addition, another determinant was the role of authoritative knowledge and shared experiences of older women that may deprive many young women of the chance to access maternal care in hospitals. The study suggests that rural women effectively utilize reproductive health care services in Pakistan.

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Khalid, Ayesha, Kaniz Amna Haider, Hareem Ahmer, Sahir Noorani, and Zahra Hoodbhoy. "Why do women still give birth at home; perceptions of Pakistani women and decision-makers from marginalized communities." PLOS Global Public Health 3, no. 10 (October 13, 2023): e0002217. http://dx.doi.org/10.1371/journal.pgph.0002217.

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In low- and middle-income countries (LMICs), maternal and newborn mortality is high due to the high prevalence of home births. Understanding the reasons behind this behavior is essential for improving maternal and newborn outcomes. Therefore, a qualitative exploratory study was conducted in a peri-urban community in Karachi, Pakistan to understand the perceptions of pregnant women who delivered at home despite receiving antenatal care and the perceptions of their decision-makers regarding this behavior. In-depth interviews were conducted with 15 randomly sampled women who chose to deliver at home after receiving antenatal care at a health facility, as well as 15 family members who were purposively identified as decision-makers by the women themselves. Thematic analysis was performed to explore the perceptions, myths, and cultural beliefs about homebirths as well as women’s decision-making power related to childbirth. The three main themes identified showed that traditional beliefs and practices, poverty and gender inequality, and poor healthcare systems significantly influence the preference for childbirth. Traditional beliefs and practices, including religious and cultural beliefs, played a role in perceiving childbirth as a natural process best managed at home. The presence of traditional birth attendants who provide personalized care and emotional support further reinforced this preference. Gender inequalities, including limited access to mobile phones and women’s caregiving roles, were identified as barriers to seeking formal healthcare at the time of delivery. Additionally, poor experiences with the formal healthcare system, such as the poor attitude of formal healthcare workers and fear of medical interventions, also contributed to the decision to deliver at home. The study highlighted the complex interplay between traditional/religious beliefs, gender inequalities, and healthcare experiences in shaping the decision to deliver at home despite receiving ANC services in marginalized settings. Addressing these factors is necessary for promoting facility-based delivery and improving maternal and neonatal outcomes in LMICs.

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Dayyabu, Aliyu Labaran, Yusuf Murtala, Amos Grünebaum, Laurence B. McCullough, Birgit Arabin, Malcolm I. Levene, Robert L. Brent, et al. "Midwife-assisted planned home birth: an essential component of improving the safety of childbirth in Sub-Saharan Africa." Journal of Perinatal Medicine 47, no. 1 (December 19, 2018): 16–21. http://dx.doi.org/10.1515/jpm-2018-0066.

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Abstract Hospital births, when compared to out-of-hospital births, have generally led to not only a significantly reduced maternal and perinatal mortality and morbidity but also an increase in certain interventions. A trend seems to be emerging, especially in the US where some women are requesting home births, which creates ethical challenges for obstetricians and the health care organizations and policy makers. In the developing world, a completely different reality exists. Home births constitute the majority of deliveries in the developing world. There are severe limitations in terms of facilities, health personnel and deeply entrenched cultural and socio-economic conditions militating against hospital births. As a consequence, maternal and perinatal mortality and morbidity remain the highest, especially in Sub-Saharan Africa (SSA). Midwife-assisted planned home birth therefore has a major role to play in increasing the safety of childbirth in SSA. The objective of this paper is to propose a model that can be used to improve the safety of childbirth in low resource countries and to outline why midwife assisted planned home birth with coordination of hospitals is the preferred alternative to unassisted or inadequately assisted planned home birth in SSA.

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Lothian, Judith A. "How Do Women Who Plan Home Birth Prepare for Childbirth?" Journal of Perinatal Education 19, no. 3 (January 1, 2010): 62–67. http://dx.doi.org/10.1624/105812410x514459.

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Yukawa, Shiho. "Effects of Fatherhood on Male Wage and Labor Supply in Japan." B.E. Journal of Economic Analysis & Policy 15, no. 2 (April 1, 2015): 437–74. http://dx.doi.org/10.1515/bejeap-2013-0097.

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Abstract Using data from the Japanese Panel Survey of Consumers (JPSC) for the period 1994–2007, I examine the effect of childbirth on fathers’ wage rates and labor supply in Japan. I also compare the effects of fatherhood between different cohorts by dividing the JPSC sample into two birth-year cohorts (those born in or before 1960 and those born after 1960). The results show that the birth of children significantly increases hourly wage rates by 2.3% and annual work by 69 hours. Comparing these results to those of studies based in the United States and Germany shows that while the effect of childbirth on the Japanese male labor supply is large, it is relatively small on wage rates. The study also shows that childbirth has different impacts on labor market outcomes for the two cohorts. In the early cohort, the birth of children significantly increases wage rates, but has no significant effect on the labor supply. On the contrary, for the later cohort, the birth of children does not increase wage rates and there is a significant increase in the labor supply. Finally, I examine how the gender difference of children impacts labor market outcomes. Although its impact is not so large, the birth of sons has a larger effect than the birth of daughters.

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Prates, Lisie Alende, Marcella Simões Timm, Laís Antunes Wilhelm, Luiza Cremonese, Gabriela Oliveira, Maria Denise Schimith, and Lúcia Beatriz Ressel. "Being born at home is natural: care rituals for home birth." Revista Brasileira de Enfermagem 71, suppl 3 (2018): 1247–56. http://dx.doi.org/10.1590/0034-7167-2017-0541.

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ABSTRACT Objective: To be aware of the care rituals developed by families when preparing for home birth during the gestational process. Method: Qualitative and ethnographic research developed with families during the gestational process. We adopted the observation-participation-reflection model, and the analysis was performed according to ethnonursing. Results: Care rituals are related to the choice of home as a place for childbirth, being characterized as a family's rite of separation to experience this process. Other care rituals involved the preparation of the family and the eldest child as well as the home, the body, and the mind of the pregnant woman, and the choice of destination of the placenta. Final considerations: We must understand the birth process beyond the biological perspective, considering women and their family as a whole, within a cultural context with their beliefs and values.

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Fujii, Tomoki, and Ryuichiro Ishikawa. "How Does Childbirth Alter Intrahousehold Resource Allocation? Evidence from Japan*." Oxford Bulletin of Economics and Statistics 75, no. 3 (March 30, 2012): 362–87. http://dx.doi.org/10.1111/j.1468-0084.2012.00699.x.

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Raymondville, Maxi, Carly A. Rodriguez, Aaron Richterman, Gregory Jerome, Arlene Katz, Hannah Gilbert, Gregory Anderson, Jean Paul Joseph, Molly F. Franke, and Louise C. Ivers. "Barriers and facilitators influencing facility-based childbirth in rural Haiti: a mixed method study with a convergent design." BMJ Global Health 5, no. 8 (August 2020): e002526. http://dx.doi.org/10.1136/bmjgh-2020-002526.

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IntroductionHaiti has the highest maternal mortality rate in the Western Hemisphere. Facility-based childbirth is promoted as the standard of care for reducing maternal and neonatal mortality. We conducted a convergent, mixed methods study to assess barriers and facilitators to facility-based childbirth at Hôpital Universitaire de Mirebalais (HUM) in Mirebalais, Haiti.MethodsWe conducted secondary analyses of a prospective cohort of pregnant women seeking antenatal care at HUM and quantitatively assessed predictors of not having a facility-based childbirth at HUM. We prospectively enrolled 30 pregnant women and interviewed them about their experiences delivering at home or at HUM.ResultsOf 1105 pregnant women seeking antenatal care at the hospital between May and December 2017, 773 (70%) returned to the hospital for facility-based childbirth. In multivariable analyses, living farther from the hospital (adjusted OR (AOR)=0.73; 95% CI 0.56 to 0.96), poverty (AOR=0.93; 95% CI 0.88 to 0.99) and household hunger (AOR=0.45; 95% CI 0.26 to 0.79) were associated with not having a facility-based childbirth. Primigravid women were more likely to have a facility-based childbirth (AOR=1.34, 95% CI 1.02 to 1.76). Qualitative data provided insight into the value women place on traditional birth attendants (‘matrons’) during home-based childbirths. While women perceived facility-based childbirths as better equipped to handle birth complications, barriers such as distance, costs of transportation and supplies, discomfort of facility birthing practices and mistreatment by medical staff resulted in negative perceptions of facility-based childbirths.ConclusionPregnant women in rural Haiti must overcome substantial structural barriers and forfeit valued support from traditional birth attendants when they pursue facility-based childbirths. If traditional birth attendants could be involved in care alongside midwives at facilities, women may be more inclined to deliver there. While complex structural barriers remain, the inclusion of matrons at facilities may increase uptake of facility-based childbirths, and ultimately improve maternal and neonatal outcomes.

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Erdösová, Andrea, Petra Gašparová, Zuzana Ballová, and Erik Dosedla. "Home births as a "right" of female patients in the context of medicine, legislation and court jurisprudence." Česká gynekologie 88, no. 5 (October 30, 2023): 390–96. http://dx.doi.org/10.48095/cccg2023390.

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Summary: Currently, in the Czech Republic and Slovakia, more and more women prefer a planned home birth to a hospital birth, despite the fact that the hospital provides a safe environment for laboring women, thanks to the possibility to intervene at any time in case of complications. These women consider childbirth a natural process, while obstetric care is often considered unnecessary. According to the World Health Organization, birth can only be defi ned as physiological after birth. Even though women can give birth without medical assistance, it is not possible to identify in advance the mothers and newborns who will need some kind of intervention during childbirth. Although a planned home birth is associated with fewer maternal interventions and the probability of a spontaneous vaginal birth, compared to a planned hospital birth, the risk of neonatal death is two- to three-times higher. Key words: home birth – out-of-hospital birth – low-risk pregnancy – maternal mortality – perinatal mortality

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Kim, Hisam. "Microeconomic Analysis and Policy Direction on the Extremely Low Fertility in Korea." Korean Development Economics Association 28, no. 4 (December 31, 2022): 29–74. http://dx.doi.org/10.20464/kdea.2022.28.4.2.

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Korea’s extremely low fertility rate can be viewed as a result of aggregation of rational choices regarding fertility at the individual level. The economic motive for childbirth has largely declined due to the increase in childrearing costs and the weakening of private old-age support norms. The social motive for marriage and childbirth in accordance with the prevailing norms of society is also weakening along with the spread of non-marriage and non-childbirth due to changes in values. Instead, the natural motive for forming one’s own family through marriage and childbirth exists to a considerable extent in Korean young people, but it is not fully realized due to the high cost structure of childbirth and child rearing. Therefore, it is needed to focus on supporting the realization of natural motives for childbirth, and promote the formation of new families. In addition, since community-based bridging social capital shows a positive correlation with marriage intention and the number of children desired, measures to support regional community culture and revitalization of caring communities may be effective. Meanwhile, it is also necessary to reduce the opportunity cost of childbirth and the burden of high-cost, high-intensity parenting, and promote gender equality and efficient division of labor at work and at home.

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Burns, Emily. "More Than Clinical Waste? Placenta Rituals Among Australian Home-Birthing Women." Journal of Perinatal Education 23, no. 1 (2014): 41–49. http://dx.doi.org/10.1891/1058-1243.23.1.41.

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The discursive construction of the human placenta varies greatly between hospital and home-birthing contexts. The former, driven by medicolegal discourse, defines the placenta as clinical waste. Within this framework, the placenta is as much of an afterthought as it is considered the “afterbirth.” In home-birth practices, the placenta is constructed as a “special” and meaningful element of the childbirth experience. I demonstrate this using 51 in-depth interviews with women who were pregnant and planning home births in Australia or had recently had home births in Australia. Analysis of these interviews indicates that the discursive shift taking place in home-birth practices from the medicalized model translates into a richer understanding and appreciation of the placenta as a spiritual component of the childbirth experience. The practices discussed in this article include the burial of the placenta beneath a specifically chosen plant, consuming the placenta, and having a lotus birth, which refers to not cutting the umbilical cord after the birth of the child but allowing it to dry naturally and break of its own accord. By shifting focus away from the medicalized frames of reference in relation to the third stage of labor, the home-birthing women in this study have used the placenta in various rituals and ceremonies to spiritualize an aspect of birth that is usually overlooked.

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Vedam, Saraswathi. "In Search of a Common Agenda for Planned Home Birth in America." Journal of Perinatal Education 21, no. 2 (2012): 67–71. http://dx.doi.org/10.1891/1058-1243.21.2.67.

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Leading maternity provider organizations in North America have been in conflict about birth at home and birth centers, debating issues related to safety, access, the value of obstetric intervention, and patient autonomy. In today’s environment, childbirth educators and doulas are often required to explain to parents why physiological birth and evidence-based, low-technology methods of labor and birth care are not available in every setting, and why maternity providers disagree about birth place. There are very few regions in the United States where home birth providers are integrated into interprofessional provider networks that allow for seamless care across birth settings. In October 2011, multidisciplinary leaders met at a Home Birth Consensus Summit in Warrenton, Virginia, to discuss the status of home birth within the greater context of maternity care in the United States. This article describes the intent and outcomes of the summit. Four of the nine consensus statements developed at the summit are of particular interest and importance to mothers and families and, hence, to childbirth educators and advocates. Consumers, educators, and birth advocates are encouraged to widen the circle, identify communications experts, lead individual projects, or serve as advisors.

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Hotelling, Barbara A. "Teaching in a Patient-Centered Medical Home." Journal of Perinatal Education 20, no. 3 (2011): 163–65. http://dx.doi.org/10.1891/1058-1243.20.3.163.

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Teaching Lamaze International classes in a patient-centered medical home allows the childbirth educator the best environment for giving evidence-based information and empowering parents to give birth their way. Patient-centered medical home facilities and providers practice evidence-based care and adhere to the principles of family-centered maternity care. In patient-centered medical homes, women can expect to give birth using the Lamaze Healthy Birth Practices and to fully participate in their care with appropriate interventions and the right to informed consent and informed refusal.

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Bose, Mampi. "Determinants of Choice of Care Providers During Childbirth in Rural West Bengal, India." Indian Journal of Human Development 13, no. 1 (March 6, 2019): 47–70. http://dx.doi.org/10.1177/0973703018822555.

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The article analyses determinants of choice of care providers during childbirth. Public health facilities provide care for free to all women during childbirth in West Bengal. In addition, a cash incentive is also attached with the service package for poor women who give birth at public health facilities. However, a section of women still prefer to give birth at home and some avail services from private facilities. The article attempts to explore the reasons underlying such difference. This analysis is based on primary data collected from four villages of Jalpaiguri district following multistage sampling method. It involved a survey of 251 households having at least one child below 2 years. Multinomial logistic regression model was used to analyse the data. The results suggest that quality of public health services, rural infrastructure, utilization of antenatal care and conditional cash transfers influenced the choice of care providers. Women who were eligible for and were aware of Janani Suraksha Yojana were less likely to go to private health facilities for childbirth. However, the programme did not seem to be effective in terms of reducing delivery at home.

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Journal articles on the topic 'Childbirth at home – Japan'

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