The choice of obstetric care by low-risk pregnant women in the Netherlands: Implications for policy and management
AbstractIn the Netherlands, pregnant women at low risk of complications during pregnancy, have the opportunity to choose freely between giving birth at home or in a hospital maternity unit. This study analyses how various attributes of obstetric care, socio-economic characteristics and attitudes influence the decisions that these women make with regard to obstetric care. The method of discrete-choice experiment was applied in the process of data collection and analysis. The data were collected among low-risk nulliparous pregnant women. The analysis suggests that there are strong preferences among some Dutch women for a home birth. Nevertheless, the absence of a medical pain-relief treatment during home birth, might provide incentives for some women to opt for a birth in a hospital, especially at the end of their pregnancy. If the attractiveness of home birth should be preserved in the Netherlands, specific attention should be paid on the approach to pain during a home birth. Efforts could also be made in offering a domestic atmosphere during hospital births to improve hospital-based obstetric care in view of women's preferences.
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Bibliographic InfoArticle provided by Elsevier in its journal Health Policy.
Volume (Year): 93 (2009)
Issue (Month): 1 (November)
Contact details of provider:
Web page: http://www.elsevier.com/locate/healthpol
Midwifery Obstetric care Preferences Discrete-choice experiment Netherlands;
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