Women’s experience of unplanned out-of-hospital birth in paramedic care

Belinda Flanagan; Bill Lord; Rachel Reed; Gail Crimmins

doi:10.1186/s12873-019-0267-9

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Women’s experience of unplanned out-of-hospital birth in paramedic care

Journal article

Open access

Peer reviewed

Women’s experience of unplanned out-of-hospital birth in paramedic care

Belinda Flanagan, Bill Lord, Rachel Reed and Gail Crimmins

BMC Emergency Medicine, Vol.19, pp.1-7

2019

DOI: https://doi.org/10.1186/s12873-019-0267-9

PMCID: PMC6794857

PMID: 31615404

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Abstract

birth before arrival

narrative

women's perspective

paramedic

consent

Background: Healthcare literature describes predisposing factors, clinical risk, maternal and neonatal clinical outcomes of unplanned out-of-hospital birth; however, there is little quality research available that explores the experiences of mothers who birth prior to arrival at hospital. Methods: This study utilised a narrative inquiry methodology to explore the experiences of women who birth in paramedic care. Results: The inquiry was underscored by 22 narrative interviews of women who birthed in paramedic care in Queensland, Australia between 2011 and 2016. This data identified factors that contributed to the planned hospital birth occurring in the out-of-hospital setting. Women in this study began their story by discussing previous birth experience and their knowledge, expectations and personal beliefs concerning the birth process. Specific to the actual birth event, women reported feeling empowered, confident and exhilarated. However, some participants also identified concerns with paramedic practice; lack of privacy, poor interpersonal skills, and a lack of consent for certain procedures. Conclusions: This study identified several factors and a subset of factors that contributed to their experiences of the planned hospital birth occurring in the out-of-hospital setting. Women described opportunities for improvement in the care provided by paramedics, specifically some deficiencies in technical and interpersonal skills.

Details

Title: Women’s experience of unplanned out-of-hospital birth in paramedic care
Authors: Belinda Flanagan (Author) - University of the Sunshine Coast
Bill Lord (Author) - University of the Sunshine Coast
Rachel Reed (Author) - University of the Sunshine Coast
Gail Crimmins (Author) - University of the Sunshine Coast
Publication details: BMC Emergency Medicine, Vol.19, pp.1-7; 7
Publisher: BioMed Central Ltd.
Date published: 2019
DOI: 10.1186/s12873-019-0267-9
ISSN: 1471-227X
PMID: 31615404; PMC6794857
Copyright note: Copyright © The Author(s). 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated
Organisation Unit: School of Business and Creative Industries; University of the Sunshine Coast, Queensland; School of Creative Industries - Legacy; School of Nursing, Midwifery and Paramedicine - Legacy
Language: English
Record Identifier: 99450754002621
Output Type: Journal article

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