The choice of obstetric care by low-risk pregnant women in the Netherlands: Implications for policy and management

Milena Pavlova, Marijke Hendrix, Elvira Nouwens, Jan Nijhuis and Godefridus van Merode

Health Policy, 2009, vol. 93, issue 1, 27-34

Abstract: 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.

Keywords: Midwifery; Obstetric; care; Preferences; Discrete-choice; experiment; Netherlands (search for similar items in EconPapers)
Date: 2009
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Citations: View citations in EconPapers (5)

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Persistent link: https://EconPapers.repec.org/RePEc:eee:hepoli:v:93:y:2009:i:1:p:27-34

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