“We are just obsessed with risk”: Healthcare providers’ views on choice of place of birth for women independent of risk profile

Women make choices throughout pregnancy and childbirth, interactions with healthcare providers are integral to the journey. Healthcare providers have the potential to advise, influence and support women in their choices as to where to give birth. The aim of this study was to examine healthcare providers attitudes and experiences of women choosing place of birth independent of risk profile. A qualitative study design was used to undertake key informant interviews with healthcare providers who were involved in caring for women antenatally, intrapartum and postnatally. Twelve healthcare providers providing clinical care to women, seven midwives and five obstetricians, were interviewed. These interviews were transcribed, coded and presented in themes. Emerging themes included; informed decision making among pregnant women; understanding and judgement of risk; autonomy and choice; culture of control and fear; human rights. Barriers to women being able to access their chosen place of birth are legal concerns, cultural perception of birth, and lack of senior managerial support for healthcare providers providing clinical care to women who are considered at risk of complications during pregnancy or birth. Proposed solutions include developing a human rights-based approach which is about health and not isolated pathologies and focuses on empowering women, and not merely avoiding maternal morbidity or mortality.