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

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Some women planning a hospital birth recalled instances when they had complications. <strong>Their</strong> perception of the present pregnancy was therefore that it could also end with complicated or risky labour, and therefore they wanted to be in hospital where there were emergency equipment or backup facilities and more chances of any emergencies attended faster. Women planning a home birth, on the other hand, often mentioned the fact that they lived close to the hospital (proximity to hospital) and therefore could easily transfer if there was an emergency. They also felt that because the home was a familiar environment and they felt comfortable and relaxed, things were less likely to go wrong. Using similar logic, themes under the umbrella of information, and those under control were also brought together under a common name. The following sections present original quotations from transcripts denoting factors contributing to the planned place of delivery. The factors are denoted by umbrella names of information, safety and control as shown in Table 13. The quotations are intended to illustrate how the original responses led to the development of the themes. They also indicate the different ways that participants expressed the themes. Quotations have been selected because they capture what was expressed about the theme by women in exceptional ways. Care is taken to include different points of view. First, a box of all nom de plumes of those who took part in the study and their planned place of delivery is presented. 137
Box 2: Pseudonyms of study participants and planned place of delivery Information about available options The first noticeable difference between women planning a home and those planning a hospital birth in the study is the frequency with which women planning a hospital birth mention that they were not informed about home birth. Most women planning a hospital birth (90%) said home birth was not mentioned to them, they therefore assumed they were going to go to hospital. The following quotations from transcripts of women planning a hospital birth show what some of them said about their knowledge of what is available: 138
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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
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-o -cs •b a) ..o ,:" .., -0 ti-,
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Quality of studies included in the
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ole to play in their preferences fo
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The next chapter discusses methodol
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observable behaviour are used (Holl
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known? What roles do values play in
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male nursing home is used (Applegat
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The procedure ensures a vigorous se
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investigation have for the particip
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In method triangulation, different
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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 and 116: h4,u husbovzi would sou thnt lie fe
Page 117 and 118: transcripts and compared them with
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: The results of the study therefore
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
Page 167 and 168: wtedwefe came around and spolze to
Page 169 and 170: Some of the spontaneous responses f
Page 171 and 172: or home. One woman thought that pro
Page 173 and 174: N yttx1R,IA: we have got more contr
Page 175 and 176: Sixty-nine percent of women plannin
Page 177 and 178: expectations of what would best rep
Page 179 and 180: Committee 1992) who observed that t
Page 181 and 182: One of the fascinating findings of
Page 183 and 184: Summary The qualitative study has r
Page 185 and 186: Government policy about maternity c
Page 187 and 188: 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.
Page 251 and 252:
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
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Mather, S. (1980) Women's Interest
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Morse, J. M. (1999c) Qualitative Ge
Page 265 and 266:
Patton, M. Q. (1990) Qualitative Ev
Page 267 and 268:
Commissioned by the Expert Maternit
Page 269 and 270:
Slovic, P., Fischhoff, B., and Lich
Page 271 and 272:
Tew, M. (1978) The Case Against Hos
Page 273:
White, V. M., Wearing, A. J., and H
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