Social Network Analysis Applied to a Historical Ethnographic Study Surrounding Home Birth. 2018

Elena Andina-Diaz, and Mª Antonia Ovalle-Perandones, and Ignacio Ramos-Vidal, and Francisca Camacho-Morell, and Jose Siles-Gonzalez, and Pilar Marques-Sanchez
Health Research Group, Welfare and Social and Health Sustainability (SALBIS), Faculty of Health Science, University of León, Vegazana Campus, s/n, 24071 León, Spain. elena.andina@unileon.es.

Safety during birth has improved since hospital delivery became standard practice, but the process has also become increasingly medicalised. Hence, recent years have witnessed a growing interest in home births due to the advantages it offers to mothers and their newborn infants. The aims of the present study were to confirm the transition from a home birth model of care to a scenario in which deliveries began to occur almost exclusively in a hospital setting; to define the social networks surrounding home births; and to determine whether geography exerted any influence on the social networks surrounding home births. Adopting a qualitative approach, we recruited 19 women who had given birth at home in the mid 20th century in a rural area in Spain. We employed a social network analysis method. Our results revealed three essential aspects that remain relevant today: the importance of health professionals in home delivery care, the importance of the mother’s primary network, and the influence of the geographical location of the actors involved in childbirth. All of these factors must be taken into consideration when developing strategies for maternal health.

UI MeSH Term Description Entries
D007223 Infant A child between 1 and 23 months of age. Infants
D007231 Infant, Newborn An infant during the first 28 days after birth. Neonate,Newborns,Infants, Newborn,Neonates,Newborn,Newborn Infant,Newborn Infants
D008880 Midwifery The practice of assisting women in childbirth. Traditional Birth Attendant,Midwife,Midwives,Birth Attendant, Traditional,Birth Attendants, Traditional,Traditional Birth Attendants
D009035 Mothers Female parents, human or animal. Mothers' Clubs,Club, Mothers',Clubs, Mothers',Mother,Mother Clubs,Mother's Clubs,Mothers Clubs,Mothers' Club
D011247 Pregnancy The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH. Gestation,Pregnancies
D005260 Female Females
D006700 Home Childbirth Childbirth taking place in the home. Childbirth at Home,Childbirths at Home,Home Birth,Birth, Home,Births, Home,Childbirth, Home,Childbirths, Home,Home Births
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000068101 Maternal-Child Health Services Programs organized for the purpose of providing medical and social services for mothers and children. Health Services, Maternal-Child,Health Service, Maternal-Child,Health Services, Maternal Child,Maternal Child Health Services,Maternal-Child Health Service,Service, Maternal-Child Health,Services, Maternal-Child Health
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults

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