Current Childbirth Options and Parental Decision Making

  • Richard L. Cohen


It is essential that the mental health consultant have a working understanding of the spectrum of childbirth care options now available (at least in many large metropolitan areas) together with a grasp on the intellectual and emotional factors that influence the decision-making process for parents choosing a particular option. Because of the nature of pregnancy and childbirth, such choices are inextricably bound up with attitudes about becoming a parent in the first place, with attitudes toward the medical and allied health professions, and with value systems related to child care. These issues become much more complicated than choosing a surgeon or a hospital in which to have one’s gallbladder removed.


Child Rear Home Birth Hospital Birth Birth Center Childbirth Experience 
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  1. 1.
    Wertz R, Wertz D: Lying In: A History of Childbirth in America. New York, Free Press, 1977, pp 132–177, 178–200.Google Scholar
  2. 2.
    Riley E: What do women want? The question of choice in the conduct of labor, in Chard T, Richards M (eds): Benefits and Hazards of the New Obstetrics. London, William Heinemann Medical Books, 1977, pp 62–71.Google Scholar
  3. 3.
    McClain C: Women’s choice of home or hospital birth. J Fam Pract 12: 1033–1038, 1981.PubMedGoogle Scholar
  4. 4.
    McClain C: Perceived risk and choice of childbirth. Soc Sci Med 17: 1857–1865, 1983.PubMedCrossRefGoogle Scholar
  5. 5.
    Adamson GD, Gare DJ: Home or hospital births? JAMA 243: 1732–1736, 1980.PubMedCrossRefGoogle Scholar
  6. 6.
    Schiff M, LaFerla J J: Childbirth at home or in the hospital: A prospective study of decision-making. J Psychosom Obstet Gynecol 4: 41–50, 1985.CrossRefGoogle Scholar
  7. 7.
    American College of Obstetricians and Gynecologists : Position paper on out-of-hospital maternity care. Adopted January 1976 (District 2).Google Scholar
  8. 8.
    International Childbirth Education Association: ICEA News 15: 1, 1976.Google Scholar
  9. 9.
    Pearse WH: Home birth. JAMA 241: 1039–1040, 1979.Google Scholar
  10. 10.
    Renou P, Chang A, Anderson I, et al: Controlled trial of fetal intensive care. Am J Obstet Gynecol 126: 470–476, 1976.PubMedGoogle Scholar
  11. 11.
    Shamsi HH, Petri RH, Steer EM: Changing obstetric practices and amelioration of perinatal outcome in a university hospital. Am J Obstet Gynecol 133: 855–858, 1979.PubMedGoogle Scholar
  12. 12.
    Mehal LE, Peterson GH, Whitt M, et al: Outcomes of elective home births. J Reprod Med 19: 281–290, 1977.Google Scholar
  13. 13.
    Stewart D, Stewart L: Safe Alternatives in Childbirth. Chapel Hill, NC, Association of Parents and Professionals for Safe Alternatives in Childbirth, 1976.Google Scholar
  14. 14.
    Baum D, Macfarlane A, Tizard P: The benefits and hazards of neonatology, in Chard T, Richards M (eds): Benefits and Hazards of the New Obstetrics. Philadelphia, Lippincott, 1977, pp 126–138.Google Scholar
  15. 15.
    Blankfield A: Conflicts created by childbirth methodologies, in: Psychosomatic Medicine in Obstetrics and Gynecology. Proceedings, Third International Congress. Basel, Karger, 1972, pp 87–89.Google Scholar
  16. 16.
    Cox CA, Fox JS, Zinkin PM, et al: Critical appraisal of domiciliary obstetric and neonatal practice. Br Med J 1: 84–86, 1976.PubMedCrossRefGoogle Scholar
  17. 17.
    Freeman R: Where will your patient deliver—at home? in a hospital? in an alternative birth center? Contemp Obstet Gynecol 12: 104–130, 1978.Google Scholar
  18. 18.
    International Childbirth Education Association: The Pregnant Parent’s Bill of Rights and the Pregnant Patient’s Responsibility, New York, 1977.Google Scholar
  19. 19.
    Lubic RW: The impact of technology on health care—The childbearing center. J Nurse-Midwifery 24: 6–10, 1979.PubMedCrossRefGoogle Scholar
  20. 20.
    Lubic RW, Ernest, EKM: The childbearing center. Nurs Outlook 26: 754–760, 1978.PubMedGoogle Scholar
  21. 21.
    Broussard ER: Neonatal prediction and outcome at 10/11 years. Child Psychiatry Hum Dev 7: 85–93, 1976.PubMedCrossRefGoogle Scholar
  22. 22.
    Klaus MH, Kennell JH: Maternal-Infant Bonding. St. Louis, C.V. Mosby, 1976.Google Scholar
  23. 23.
    Korner AF, Grobstein R: Individual differences at birth, in Rexford EN, Sander SW, Shapiro T (eds): Infant Psychiatry. New Haven, Yale University Press, pp 68–78, 1976.Google Scholar
  24. 24.
    Stone LJ, Smith HT, Murphy LB: The Competent Infant. New York, Basic Books, 1973.Google Scholar
  25. 25.
    Crandon AJ: Maternal anxiety and neonatal wellbeing. J Psychosom Res 23: 113–115, 1979.PubMedCrossRefGoogle Scholar
  26. 26.
    Morishima HO, Pederson H, Finster M: The influence of maternal psychological stress on the fetus. Am J Obstet Gynecol 131: 286–290, 1978.PubMedGoogle Scholar
  27. 27.
    Ward IL: Exogenous androgen activates female behavior in noncopulating, prenatally stressed male rats. J Comp Physiol Psychol 91: 465–471, 1977.PubMedCrossRefGoogle Scholar
  28. 28.
    Zax M, Sameroff AJ, Babigian HM: Birth outcomes in the offspring of mentally disordered women. Am J Orthopsychiatry 47: 218–229, 1977.PubMedCrossRefGoogle Scholar
  29. 29.
    Cohen RL: Parental experiences in out-of-hospital birthing centers, in Taylor PM (ed): Parent-Infant Interaction. New York, Grune amp; Stratton, 1980, pp 189–209.Google Scholar
  30. 30.
    Cohen RL: Modern Science, High Technology and the childbirth process. Paper presented to Joint Meeting of Pittsburgh Pediatric Society amp; Pittsburgh Society of Obstetricians and Gynecologists, December 1980.Google Scholar
  31. 31.
    Cohen RL: Maladaptation to pregnancy. Sem Perinat 3: 15–25, 1979.Google Scholar
  32. 32.
    McDonald RL: The role of emotional factors in obstetric complications. A Review. Psychsom Med 30: 222–237, 1968.Google Scholar
  33. 33.
    Rose JA: The prevention of mothering breakdown associated with physical abnormalities of the infant, in Caplan G (ed): Prevention of Mental Disorders in Children. New York: Basic Books, 1961, pp 265–282.Google Scholar
  34. 34.
    Doering SG, Entwisle DR: Preparation during pregnancy and ability to cope during labor and delivery. Am J Orthopsychiatry 45: 825–837, 1975.PubMedCrossRefGoogle Scholar
  35. 35.
    Beck N, Siegel LJ, Davidson NP et al: The prediction of pregnancy outcome: Maternal preparation, anxiety and attitudinal sets. J Psychosom Res 24: 343–351, 1980.PubMedCrossRefGoogle Scholar

Copyright information

© Plenum Publishing Corporation 1988

Authors and Affiliations

  • Richard L. Cohen
    • 1
  1. 1.Department of Psychiatry, Western Psychiatric Institute and ClinicUniversity of PittsburghPittsburghUSA

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