Women's Decision-Making And Factors Affecting Their Choice Of ...

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As soon as the tape recorder was switched off, she talked at length about the things she does not like about the hospital. These included cleanliness, which seems to be the main Factor. She says the toilet and bath are not cleaned properly, and that too many people use the bed linen. She also talked about shortage (Distaff which often results in women not having any midwife with them during labour, and she did not want that to happen to her. Noise From other women's babies was another factor she did not like about the hospital environment. In the coming interviews, perhaps I should prompt for these issues lithey are not spontaneously mentioned. The interview was interesting because Nnese is a midwife, so it was interesting to hear her give the same reasons as other women for wanting a home birth. It was also interesting to hear about how midwives may feel about providing home births, having at one point opposed home births herself. During the interview, Nnese maintained that her only reason for choosing to have home delivery was her son, as there was no one to look after him if she went to hospital. However, as the interview progressed she gave other reasons, including the fact that she did not want to be left alone during labour, and that the hospital was a clinical environment (See Appendix 6 for Nnese's full interview transcript). Each interview was transcribed as soon as possible following the interview. Those transcribed by the researcher were done on the night following the interview, while the interview situation was still fresh. However, because of the workload, some of the transcription was done by a secretarial service. The tapes were handed to them on the day of the interview, and it took 2-3 days to get the transcripts back. After transcription, the researcher proof-read all the 115
transcripts and compared them with the interview tapes to correct mistakes. This also served to make the researcher familiar with the transcripts. Following transcription, each interview was analysed using line-by-line open coding (Glaser 1992). In this type of coding, there are no preconceived codes, the data themselves suggesting the type of code (Appendix 7). Single words, phrases and sentences were closely examined to give them a label. The following is an example of open coding for part of Nnese's interview transcript (see Appendix 6 for the full transcript). My decision is purely convenience, (oovtvevaelAze) my partner and I aren't ofthe same vein on this, but he is soon to be (partwer disagrees) working away on a weekly basis, Monday to Friday, and I have 18 month old son and trying to find someone to take me (cowcerw for sow) into hospital and someone to look after him is just going to be so difficult in the middle of the night a nd I labour very quickly. I had an hour and a half labour with Ter° (clulolz Labour) and I want the reassurance that I am not going to be on my own. (oioesw't wawt to be a Lo) So it is really convenient that I call out someone a nd I know (oowvewitwoe) I can have a good midwife here within half an hour to help me. <strong>And</strong> those are really my reasons. I have had lots of friends in the area who have had home births and had really really good experiences and I thought I would do it myself. (vve.taKze o-F fri.ewds) 116
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Women's Decision-Making And Factors
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Figure 1: The paper elimination pro
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Home themes with supporting quotati
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Acknowledgements I would like to th
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Kingdom is a pluralistic society, w
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hospital delivery following a revie
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The committee issued a press notice
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The recommendations of the report u
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home. They also put forward the fac
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equirements for the maximum lowerin
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Previous committees had made their
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The majority of those interviewed f
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The Expert Maternity Group gathered
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• The woman and, if she wishes, h
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Chapter 2: Risk perception Chapter
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From the health practitioner's pers
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1979), is a second approach to unde
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normative factor. The individual's
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and then choose the place they cons
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example, they worried that the valu
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they can easily imagine or recall a
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are not necessarily chosen because
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make decisions that are not necessa
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Chapter 3: Systematic review of fac
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considered. Primary research design
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If the question of the review is no
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Cochrane Database of Systematic rev
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Table 2: Search terms used Search t
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Table 3: Journals that were hand se
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solely on the basis of the study re
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they were recruited, at what stage
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,,, ... .g eD .E 0 o 4,7; (.5 g .5
Page 65 and 66: -o -cs •b a) ..o ,:" .., -0 ti-,
Page 67 and 68: Quality of studies included in the
Page 69 and 70: ole to play in their preferences fo
Page 71 and 72: The next chapter discusses methodol
Page 73 and 74: observable behaviour are used (Holl
Page 75 and 76: known? What roles do values play in
Page 77 and 78: male nursing home is used (Applegat
Page 79 and 80: The procedure ensures a vigorous se
Page 81 and 82: investigation have for the particip
Page 83 and 84: In method triangulation, different
Page 85 and 86: the context being studied. They fur
Page 87 and 88: access to all settings, and the dat
Page 89 and 90: access participants' private accoun
Page 91 and 92: There is an argument for analysing
Page 93 and 94: analysis, asking additional questio
Page 95 and 96: that while such an approach can nev
Page 97 and 98: Chapter 5: Qualitative Study of Wom
Page 99 and 100: potential participants, as well as
Page 101 and 102: either. Three months passed, there
Page 103 and 104: The interview was transcribed the s
Page 105 and 106: elevant. The environment of the hom
Page 107 and 108: wanted to explore. Consequently, th
Page 109 and 110: Most women offered coffee or tea, a
Page 111 and 112: All women who participated in the s
Page 113 and 114: The process of analysis was iterati
Page 115: h4,u husbovzi would sou thnt lie fe
Page 119 and 120: ecause they previously had short un
Page 121 and 122: Figure 2: Analysis mind map Hospita
Page 123 and 124: quotation in the transcript, denote
Page 125 and 126: itiust put me off of birth, fuLL st
Page 127 and 128: Gaolape brought up a number of fact
Page 129 and 130: that presentation of much of the da
Page 131 and 132: Table 7: Marital status Place of de
Page 133 and 134: Table 9: Themes expressed by women
Page 135 and 136: Table 11: Themes expressed about th
Page 137 and 138: The results of the study therefore
Page 139 and 140: Box 2: Pseudonyms of study particip
Page 141 and 142: have registered so I can't remember
Page 143 and 144: you have to be veru persuasive. her
Page 145 and 146: waiAted to go to [name of hospital]
Page 147 and 148: wavut to ask about it, and theo.. V
Page 149 and 150: dedn't sort o-F tru AAA persuade me
Page 151 and 152: anuthLng went wrong theyol have aLL
Page 153 and 154: sometKng eLse when she saist, the h
Page 155 and 156: arou.nd their necIR. all the time A
Page 157 and 158: senuona: Mu fLrst one I had Ln hosp
Page 159 and 160: agaLvt. when I had mu episiotomu th
Page 161 and 162: khuma. iviu first daughter was a ca
Page 163 and 164: nolope: olzau, I'LL give uou a fi.n
Page 165 and 166: thought it would be, thlngs have oh
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wtedwefe came around and spolze to
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Some of the spontaneous responses f
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or home. One woman thought that pro
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N yttx1R,IA: we have got more contr
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Sixty-nine percent of women plannin
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expectations of what would best rep
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Committee 1992) who observed that t
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One of the fascinating findings of
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Summary The qualitative study has r
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Government policy about maternity c
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choose (DiMatteo 1994), without any
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Prospect theory (Kahneman and Tvers
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IRYLOW, we tAIR,e eVeruthi.ne im, o
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that may impact on the choices they
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conducting home births, which might
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looked after her during one of her
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Appendices Appendix 1: (Information
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Appendix 3a Consent form I the unde
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22. because I was in a hospital and
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76. the next one was being born her
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130. why are you wasting the hospit
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183. on the floor in agony go ahead
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237. went up and ran the bath for h
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292. not going near me, you know an
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346. and I said, well, you know, I
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401. it's not as ifsomething goes w
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455. you, I said , you're here to d
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510. nice. And the funny thing was
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566. through friends as well, they'
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Appendix 5: Reflective notes Nnese
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what do you think ofthe situation w
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going horribLu wrong and suoldenlu
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and he was quite sort of happy with
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60. you are dealing with somebody y
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112. Well I didn't Feel, you are to
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1.o6. like Doctors ncl nurses and t
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218. we are anti hospitals or anyth
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Appendix 8: Thematic analysis Home
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References Abraham, C., Sheeran, P.
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Beck, C. T. (1993) Qualitative Rese
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Chamberlain, J., Melia, J., Moss, S
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Davenport-Slack, B. and Boylan, C.
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Dingwall, R. (1992) Don't Mind Him
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Fordham, S. (1997) Women's Views Of
Page 255 and 256:
Hammersley, M. and Atkinson, P. (19
Page 257 and 258:
Johnson, B. B. and Covello, V. T. (
Page 259 and 260:
Leap, N. (1996) 'Persuading' Women
Page 261 and 262:
Mather, S. (1980) Women's Interest
Page 263 and 264:
Morse, J. M. (1999c) Qualitative Ge
Page 265 and 266:
Patton, M. Q. (1990) Qualitative Ev
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Commissioned by the Expert Maternit
Page 269 and 270:
Slovic, P., Fischhoff, B., and Lich
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Tew, M. (1978) The Case Against Hos
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White, V. M., Wearing, A. J., and H
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