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to examine the transfers from primary maternity units to a tertiary hospital in New Zealand by describing the frequency, timing, reasons and outcomes of those who had antenatal or pre-admission birthplace plan changes, and transfers in labour or postnatally.
Figure 1 details the birthplace plan changes, transfers and eventual birthplace for the PMU cohort.
This paper utilised the six week postpartum survey data, from the 174 women from the primary unit cohort affected by birthplace plan change or transfer (response rate 73%%).
The women's experiences of the three themes control, communication and their midwife appeared to influence how they described their overall experience of change in their birthplace plan.
The Likert scale responses, analysed quantitatively, suggest that the women were more unhappy about the decision to change birthplace plan or transfer than the transfer itself.
The women-centred continuity of care context in New Zealand may have an important role in mitigating the potentially negative impact of birthplace plan changes.
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Most respondents did not want or plan to change birthplace plans.
The surveys and focus groups which asked about birthplace planning were undertaken postnatally, potentially influencing responses.
Patterson found women's birthplace planning "was a complex decision… influenced by their personal, social and cultural history" [ 17].
Little is known about how women experience having to change their birthplace plans during the antenatal period or before admission to a primary unit, or transfer following admission.
The focus group participants spoke of the way they chose their midwife, choosing one who supported their views of birth and birthplace plans.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com