ArticleBMC pregnancy and childbirth2025
When the hospital becomes an option again: a qualitative analysis of women's and their partners' experiences with a designated clinic for women who request different care than recommended in the guidelines.
Article in BMC pregnancy and childbirth, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundIncreasingly, women with high-risk pregnancies or previous traumatic birth experiences decline care recommendations or seek alternatives because they feel that current maternity care services do not align with their personal preferences or needs. In the Netherlands, a designated clinic was set up to support women who decline care recommendations in making well-informed health decisions and to prevent them from making a negative choice to birth outside the system. The objective of this study was to learn from parents' experiences with the clinic: what made them choose for a hospital birth while initially being apprehensive about this idea?
methodsA total of eight semi-structured interviews were conducted, which took place between May 2019 and August 2019 in Nijmegen, the Netherlands.
resultsAfter open, axial and selective coding of the transcripts following constructivist grounded theory approach, three themes were constructed from the data: 'An unexpected positive experience', 'Mutual effort and flexibility' and 'Together but on my terms'. One overarching theme was identified: 'A healing and empowering experience'.
conclusionsOur findings reveal that the approach of the designated clinic can be successful in meeting parents' needs such as trust and autonomy during pregnancy and birth, and in preventing women from making a negative choice to birth outside the system.
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