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Background <p>Increasingly, 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?</p> Methods <p>A total of eight semi-structured interviews were conducted, which took place between May 2019 and August 2019 in Nijmegen, the Netherlands.</p> Results <p>After 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’.</p> Conclusions <p>Our 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.</p>

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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

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  • 发表日期：

    2025年12月17日

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  • Marene Dimmendaal,
  • Floor Opdam,
  • Jeroen van Dillen,
  • Marieke de Vries,
  • Martine Hollander

摘要

Background

Increasingly, 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?

Methods

A total of eight semi-structured interviews were conducted, which took place between May 2019 and August 2019 in Nijmegen, the Netherlands.

Results

After 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’.

Conclusions

Our 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.