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 ...
When asked about where they think is the best place to have a baby, 77% of women planning a home birth and 90% of those planning a hospital birth said that for a first baby it is better to go to hospital as one does not know what to expect. This might explain why there was only one woman expecting a first baby who was planning a home birth. At the time of the study there was no other first time mother planning a home birth. The results of the investigation are now presented in tables in the form of themes expressed by women. It is important to note that the themes express what women spontaneously expressed, which was then brought together by content analysis. Table 9 lists themes according to place of delivery they refer to (i.e. home or hospital) or just the number that mentioned the theme. For example, looking at the theme comfortable/relaxed, the numbers indicate that 1 woman felt the hospital was comfortable and/or relaxed while 10 felt that way about the home. Numbers under themes convenient, emergencies attended faster, partner against, and safety indicate the number who felt that way about the venue. However, for the themes first baby best in hospital, good experience/easy birth, influence of others, information from others and reading, no pain relief partner involved in choice, pregnancy complications, process uncertain, short labour and supportive midwife, the numbers indicate the number in each venue who mentioned the theme (see Table 9). 131
Table 9: Themes expressed by women in both groups Theme Home (n=13) Hospital (n=20) Comfortable/relaxed 10 (77%) 1 (5%) Convenience 7 (54%) 2 (10%) Emergencies attended faster 2 (15%) 14 (70%) First baby best in hospital 8 (62%) 16 (80%) Good experience/easy birth 6 (46%) 4 (20%) Influence of others 8 (62%) 4 (20%) Information from others and reading 5 (38%) 11(55) No pain relief 2 (15%) 3 (15%) Open mind about pain relief 6 (46%) 9 (45%) Partner against 1 (8%) 3 (15%) Partner involvement in choice 13 (100%) 2 (10%) Pregnancy complications 5 (38%) 6 (30%) Process uncertain 8 (62%) 16 (80%) Safety 8 (62%) 16 (80%) Short labour 8 (62%) 1 (5%) Supportive midwife 6 (46%) 2 (10%) Table 10 presents themes denoting what women planning a home birth found to be negative about the hospital. For example, 77% of the home group felt that the hospital was an alien environment, and 69% said that there is shortage of staff in the hospital, resulting in one being left unattended for long periods. Other negative factors expressed are the fact that one has to change rooms, that the hospital is a clinical environment that the care is impersonal, that one is more likely to have interventions, that it is noisy, there is poor hygiene, and that there are routines in the hospital. 132
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Table 9: Themes expressed by women in both groups<br />
Theme Home (n=13) Hospital (n=20)<br />
Comfortable/relaxed 10 (77%) 1 (5%)<br />
Convenience 7 (54%) 2 (10%)<br />
Emergencies attended faster 2 (15%) 14 (70%)<br />
First baby best in hospital 8 (62%) 16 (80%)<br />
Good experience/easy birth 6 (46%) 4 (20%)<br />
Influence of others 8 (62%) 4 (20%)<br />
Information from others and<br />
reading<br />
5 (38%) 11(55)<br />
No pain relief 2 (15%) 3 (15%)<br />
Open mind about pain relief 6 (46%) 9 (45%)<br />
Partner against 1 (8%) 3 (15%)<br />
Partner involvement in choice 13 (100%) 2 (10%)<br />
Pregnancy complications 5 (38%) 6 (30%)<br />
Process uncertain 8 (62%) 16 (80%)<br />
Safety 8 (62%) 16 (80%)<br />
Short labour 8 (62%) 1 (5%)<br />
Supportive midwife 6 (46%) 2 (10%)<br />
Table 10 presents themes denoting what women planning a home birth<br />
found to be negative about the hospital. For example, 77% of the home group felt<br />
that the hospital was an alien environment, and 69% said that there is shortage of<br />
staff in the hospital, resulting in one being left unattended for long periods. Other<br />
negative factors expressed are the fact that one has to change rooms, that the<br />
hospital is a clinical environment that the care is impersonal, that one is more<br />
likely to have interventions, that it is noisy, there is poor hygiene, and that there<br />
are routines in the hospital.<br />
132