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

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and one of the participants shows how the woman involved interpreted the question about where to have a baby: Mavnpenene: I wAs just asked where I wanted to have ntu babu <strong>And</strong> when I saeol F that was et, it wasn't taken anu fu.rther thee oledn't evevt explaen the difference between. the two hospitals, when ( saLd F that was et. Researcher: When you were asked where you wanted to have your baby, what did you understand the question to mean? makk.penekte: j u_st the Lae ra L wh A t,.. I wasn't as ked a bout wa LAti.vte a home berth or anuthens leke that. t wasn't asked ef I wanted a home berth. I just took it to mean whech hospital do I want to go to. Some women planning a hospital birth said they were not informed they could have a home birth, however, they were still happy to be planning a hospital birth: K.hurno: Well, I was onlu told about [names of two hospitals] thee dedn't suggest a home berth to be honest, and I wasik't Lookeng -for one and ( don't know what the setu.ateon would have been ef I reallu wanted one, so, ( mean I don't know Wilat the setu.ateon would have been ef I reallu wanted one, but I was ctetite hoppU to steck with [ncinte o-f hospital" found the care veru good there. Leungo:1 then at the bookeng veset I was asked whech hospetal t would be gang to, home berth wasn't menteoned. Now we are tallzeng about et. I thenk perhaps et should have been ntenteoned as a matter of course. "FAA I feel. personallu that t, uou know, that I'm entetlegent enough to decede whether I 145
wavut to ask about it, and theo.. Vol make a decisi,oin. that wau. i?..ut I suppose i,t wouldikt i im.stil a Lot of conf,dence 1,1vt peopLe f ft wasoit menti.onect at atl, and theu were there thiAnkIng, weLL, actualluF thi.ikk I Li-ke the i-deci of a home bixth. if uou then just ask wch hospitaL would uou Like to go to, I suppose it KkAiZes ft affizult to sau I'd rather love it at home. mampertem: 1-1-ome birth i.s 'tot somethi-Kg I would have wavtted A vt WAU, blAt i.t was yt.'t melAti.oneol. P,oithateLo: I meakk. uou otAlu ever know cis much cis Clikubodu ever teLLs uou or uoi.t bother to fi.nd out. I Avu. sure there's Lots ntore 1-nforntati-on 1,f t can be bothered to ft.o,d out cliA.d thi.ngs, uou know, t cart get avtd do. PAtt nteavt, uou on.Lu, personaLlu onl.0 asked AS much imforntati-on cis I partizularl.0 want to know cowl once I've got aLL the 1.14.forokati-on I parti.cuLarLu need them. rvt.t happu, so, uou kLA.ow, happu with the package that I've got. Pedzara: I had the &ace of two hospitaLs, so I WAS sort of toLol could use either Dm of the two hospi..taLs. t don't reallu rententber nvtubodu oke about the opti.on of honte, but 1know that I waiAted to have vuu babu hospitciL, so, evevt. the had vvt.einti.orLed i.t, it would probabLu have beevt, uou. know, mUOLX. CAM have jour bbu at home" I probabLu wouLd have sai.ol, vto thaikks, uou kiA.ow. so, F proba btu wouldn't have Let them go a vtu further. The situation was somehow different for women planning a home birth because, most of them (54%), although not offered information about the available options, still found it in other ways. The following quotations represent 146
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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
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access to all settings, and the dat
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access participants' private accoun
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There is an argument for analysing
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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 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: waiAted to go to [name of hospital]
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
Page 189 and 190: Prospect theory (Kahneman and Tvers
Page 191 and 192: IRYLOW, we tAIR,e eVeruthi.ne im, o
Page 193 and 194: that may impact on the choices they
Page 195 and 196: 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
Page 253 and 254:
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
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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