Women's Decision-Making And Factors Affecting Their Choice Of ...
Women's Decision-Making And Factors Affecting Their Choice Of ... Women's Decision-Making And Factors Affecting Their Choice Of ...
The qualitative nature of the study meant that only a limited number of women could be enrolled as they were going to be studied in-depth (Kvale 1996; Mason 1996; Miles and Huberman 1994; Patton 1990). Qualitative studies yield a lot of data, and too many cases can become unwieldy (Bailey 1982; Miles and Huberman 1994; Sapsford and Jupp 1996). The key point in qualitative research is to stop when data saturation occurs (Morse 1995). Sampling Following transcription and analysis of the first few interviews, there were some emerging story lines and themes. The researcher used the story lines for selecting the next participants to be interviewed. This method of choosing participants according to emerging theory, aims of the study, or theoretical underpinning, is referred to in qualitative research as purposive or theoretical sampling (Guba and Lincoln 1985). For example, in the study, the two first-time mothers who were interviewed seemed concerned that they did not have any experience of labour and delivery to have made an informed decision about where to have their babies, they just assumed hospital would be best. The researcher wanted to explore the finding further, hence, in the next two interviews, she purposely chose women who were having subsequent babies. This was an attempt to determine whether there was more to the decision than just the lack of experience. Other variables included as the interviews progressed were mothers that were not married and women of different ages and educational status. For example, one of the women interviewed in the hospital group, who was single, mentioned that she had not discussed where she was going to have the baby with her partner. This was an interesting point, and another one that the researcher 105
wanted to explore. Consequently, the researcher made a conscious decision to select a married woman to find out from her how the husband was involved in the decision. This was in an effort to understand the emerging construct by looking at different instances of it. The questions that came to mind were: did the woman not discuss the matter with her partner because they are not married, and therefore did not feel obliged to do so? Alternatively, is there another explanation? Would a married woman have behaved differently? Would another unmarried woman approach the issue in a similar fashion? Another example is a woman whose baby needed resuscitation. The woman, in the hospital group, had previously had a hospital birth. At that time, she was given pethidine during labour, and proceeded to deliver a baby who needed resuscitation. The woman felt that she was lucky to have been in hospital at that time because at home there would have been no suitable resuscitation equipment. She therefore felt that it was best that she was going to have her baby in hospital because any problems will be immediately attended. AnotheT woman with a similar past history who was also planning a hospital birth was interviewed, followed by yet another with a comparable history, but who was planning a home birth. Sampling continued in such a fashion until data collection was completed. Procedure of interview Data were collected by means of an open interview; the opening for all women was "please tell me about your decision to have your baby at home/hospital". In some women, the question was enough to get them talking in detail about their decision and factors that contributed to it. In others, however, a lot of probing was required for them to give the information. If this happened, information about factors mentioned by others in previous interviews was used to 106
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wanted to explore. Consequently, the researcher made a conscious decision to<br />
select a married woman to find out from her how the husband was involved in the<br />
decision. This was in an effort to understand the emerging construct by looking at<br />
different instances of it. The questions that came to mind were: did the woman<br />
not discuss the matter with her partner because they are not married, and therefore<br />
did not feel obliged to do so? Alternatively, is there another explanation? Would<br />
a married woman have behaved differently? Would another unmarried woman<br />
approach the issue in a similar fashion?<br />
Another example is a woman whose baby needed resuscitation. The<br />
woman, in the hospital group, had previously had a hospital birth. At that time,<br />
she was given pethidine during labour, and proceeded to deliver a baby who<br />
needed resuscitation. The woman felt that she was lucky to have been in hospital<br />
at that time because at home there would have been no suitable resuscitation<br />
equipment. She therefore felt that it was best that she was going to have her baby<br />
in hospital because any problems will be immediately attended. AnotheT woman<br />
with a similar past history who was also planning a hospital birth was interviewed,<br />
followed by yet another with a comparable history, but who was planning a home<br />
birth. Sampling continued in such a fashion until data collection was completed.<br />
Procedure of interview<br />
Data were collected by means of an open interview; the opening for all<br />
women was "please tell me about your decision to have your baby at<br />
home/hospital". In some women, the question was enough to get them talking in<br />
detail about their decision and factors that contributed to it. In others, however, a<br />
lot of probing was required for them to give the information. If this happened,<br />
information about factors mentioned by others in previous interviews was used to<br />
106