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Autonomy in place of birth: a concept analysis
University of Iceland, Eirberg, Reykjavik, Iceland.
University of Nebraska Medical Center, Omaha, Nebraska.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, Obstetrics and Gynaecology. (Internationell sexuell och reproduktiv hälsa/Larsson)
University of Iceland, Eirberg, Reykjavik, Iceland.
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2015 (English)In: Medicine, Health care and Philosophy, ISSN 1386-7423, E-ISSN 1572-8633, Vol. 18, no 4, 591-600 p.Article in journal (Refereed) Published
Abstract [en]

This article examines one of the relevant concepts in the current debate on home birth-autonomy in place of birth-and its uses in general language, ethics, and childbirth health care literature. International discussion on childbirth services. A concept analysis guided by the model of Walker and Avant. The authors suggest that autonomy in the context of choosing place of birth is defined by three main attributes: information, capacity and freedom; given the antecedent of not harming others, and the consequences of accountability for the outcome. Model, borderline and contrary cases of autonomy in place of birth are presented. A woman choosing place of birth is autonomous if she receives all relevant information on available choices, risks and benefits, is capable of understanding and processing the information and choosing place of birth in the absence of coercion, provided she intends no harm to others and is accountable for the outcome. The attributes of the definition can serve as a useful tool for pregnant women, midwives, and other health professionals in contemplating their moral status and discussing place of birth.

Place, publisher, year, edition, pages
2015. Vol. 18, no 4, 591-600 p.
Keyword [en]
Autonomy; Choice; Concept analysis; Home birth; Midwifery; Place of birth
National Category
Obstetrics, Gynecology and Reproductive Medicine
Identifiers
URN: urn:nbn:se:uu:diva-246566DOI: 10.1007/s11019-015-9624-yISI: 000362342900014PubMedID: 25641663OAI: oai:DiVA.org:uu-246566DiVA: diva2:793877
Available from: 2015-03-09 Created: 2015-03-09 Last updated: 2017-12-04Bibliographically approved

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Hildingsson, Ingegerd

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