The choice of obstetric care by low-risk pregnant women in the Netherlands: Implications for policy and management
In 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.
Year of publication: |
2009
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Authors: | Pavlova, Milena ; Hendrix, Marijke ; Nouwens, Elvira ; Nijhuis, Jan ; van Merode, Godefridus |
Published in: |
Health Policy. - Elsevier, ISSN 0168-8510. - Vol. 93.2009, 1, p. 27-34
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Publisher: |
Elsevier |
Keywords: | Midwifery Obstetric care Preferences Discrete-choice experiment Netherlands |
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