{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T16:50:15Z","timestamp":1791651015697,"version":"4.3.4"},"reference-count":51,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2023,11,15]],"date-time":"2023-11-15T00:00:00Z","timestamp":1700006400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000912","name":"March of Dimes Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000912","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100003179","name":"National League for Nursing","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100003179","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006537","name":"Vanderbilt University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100006537","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Birth"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Although current recommendations support vaginal breech birth as a reasonable option, access to breech birth in US hospitals is limited. This study explored the experiences of decision\u2010making and perceptions of access to care in people who transferred out of the hospital system to pursue home breech birth.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a mixed methods study of people with a singleton, term breech fetus who transferred out of the US hospital system to pursue home breech birth. Twenty\u2010five people completed an online demographic and psychosocial survey, and 23 (92%) participated in semi\u2010structured interviews. We used an interpretive description approach informed by situational analysis to analyze qualitative data about participants' experiences and perceived access to care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 25 individuals who left the hospital system to pursue a home breech birth, most felt denied informed choice (64%) and threatened or coerced into cesarean (68%). The majority reported low or very low autonomy in decision\u2010making (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200920, 80%) and high decisional satisfaction using validated measures. Many participants felt safer in a hospital setting but were not able to access care for planned vaginal breech hospital birth, despite extensive efforts. Participants felt \u201cbacked into a corner\u201d and \u201cforced into homebirth,\u201d perceiving a lack of access to safe and respectful care in the hospital system.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Some service users believe that home birth is their only option when they cannot access hospital\u2010based care for vaginal breech birth. Current barriers to care for breech birth limit birthing people's autonomy and may be placing them and their infants at increased risk.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/birt.12797","type":"journal-article","created":{"date-parts":[[2023,11,16]],"date-time":"2023-11-16T00:25:30Z","timestamp":1700094330000},"page":"413-423","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["\u201cI had no choice\u201d: A mixed\u2010methods study on access to care for vaginal breech birth"],"prefix":"10.1111","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0938-7726","authenticated-orcid":false,"given":"Robyn","family":"Schafer","sequence":"first","affiliation":[{"name":"Division of Advanced Nursing Practice School of Nursing, Rutgers University  Newark New Jersey USA"},{"name":"Department of Obstetrics, Gynecology, and Reproductive Sciences, Robert Wood Johnson Medical School Rutgers University  New Brunswick New Jersey USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary S.","family":"Dietrich","sequence":"additional","affiliation":[{"name":"School of Nursing Vanderbilt University  Nashville Tennessee USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7866-1552","authenticated-orcid":false,"given":"Holly Powell","family":"Kennedy","sequence":"additional","affiliation":[{"name":"School of Nursing Yale University  West Orange Connecticut USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1622-6744","authenticated-orcid":false,"given":"Shelagh","family":"Mulvaney","sequence":"additional","affiliation":[{"name":"School of Nursing Vanderbilt University  Nashville Tennessee USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6549-094X","authenticated-orcid":false,"given":"Julia C.","family":"Phillippi","sequence":"additional","affiliation":[{"name":"School of Nursing Vanderbilt University  Nashville Tennessee USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,11,15]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000002755"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD000166.pub2"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/birt.12288"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.13524"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1586\/eog.12.2"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jogc.2018.12.018"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.14465"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1002494"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-022-04473-w"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0194906"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/birt.12432"},{"key":"e_1_2_9_13_1","unstructured":"DoggartC.The vanishing birth method.Elle. 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