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

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just so craypU that, and uo 'enow, that was with uour full hospital. bits and •Leces, that I thought quite honestlu it cavt't get a nu worse Lf uou do it at home. E,othepha: I got LIAto hospital. avtd there was this reallu awful viki-dwLfe and she 0[421 go and Ile down Nit, the bed and thee stualz me LK, this horri.bLe olarlz room. with mothi,v1.0 there A not c,I.A. are havi.vtg these covttracti.oKs. No Lotea whether I was jcms or icm di-Lofted. I had I/Lott/ILI/Ls to compare it to and she came LA. AKA gave me AK. bitten/Wt. IA& the 144.1.ctotLe of a contractLotA. avuol I remember the paLK. a IAA lit4St thought, well, uou lzvtow, Kever agai.n. Thirty percent of the hospital group recalled previous complications they had and wanted to be in hospital should any problems occur this time. The perception in this case was therefore that because there were problems last time, the same might occur this time and the hospital is best placed to deal with them. P>oithateLo: The child that I had Last ti.me was LK foetal. distress. The cord was rouiA.d his Keck?, so I had an emergewcu caesarean, so 1,f, because o-f the eotuLpmetAt o-f the hospital. thee were abLe to discover that the chLLot was obvtouslu Lvt. distress veru earLu ON., LA the earLu stages of Labour. PossiloLu Lf I was at home, there naght have beet& dawtage to the child because of the cord beg arouvtol hLs mole, so Lvt vu.0 experLevuces 1 feLt I would prefer to be somewhere where theu have as much ectuLpmetAt as possi.bLe. ALthough there is a chavIze theft a vvti.dwife wouLd have beet (Alt to pLcIR, u.p the balou WRS Lv6 olLstress at howte, I just feeL that, uou lzvt.ow, thee (eLt with it veru qui.clelu so ( could hcive Cwt. emergencu Caesarea IA.. 159
khuma. iviu first daughter was a caesarean birth a weelz be-Fore she was the because it was piclzed up she was I. a breech position so it was recommended that it would be a caesareavt birth and was quite liappu to go aLong with that because I tru_st the judgement of the medics and I dedn't recalu want to attempt the deliveru the wrong wau round. Even prior to that I didn't want ci honte berth would rather be around where the teclinologu Ls to assist with the difficulties and I still feel that wau even this time around. I've beev. told if the babu's the right wau rot,inot I could have a norntaL deLLveru but I would still. be vh.w.ch happier having it in hospital IR.nowing that if anuthing went wrong theu'd have all the equipment there necessoiru to help uolx. with a caesarean. deliveru i-F necessaru. Twenty percent of the hospital group had previous good experiences in hospital and did not want to change: montlen.uane: I've alreadu had one child at of hospital] and I thought I got exceptional care there so I saw no reason to change mu hospital. motlalepula: well, t hoot 1,1& fIrst one at [1.44 Me of hospital] who Ls now si.x. I thought thee were verb good, veru nice hospital., and I thou.ght one there, might as well have the second one there, uou lenow, everuthing went well, there were no problems... some people like home birth, and I said no, I would rather have ft LIA. hospital, because, anu complications or a nuthi.ng uou lenow, hospital is the best place to be. The study showed that 62% of women planning a home birth knew others who had had a home birth, and in many cases had discussed the experience with 160
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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
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that while such an approach can nev
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Chapter 5: Qualitative Study of Wom
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potential participants, as well as
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either. Three months passed, there
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The interview was transcribed the s
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elevant. The environment of the hom
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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 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: agaLvt. when I had mu episiotomu th
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
Page 197 and 198: looked after her during one of her
Page 199 and 200: Appendices Appendix 1: (Information
Page 201 and 202: Appendix 3a Consent form I the unde
Page 203 and 204: 22. because I was in a hospital and
Page 205 and 206: 76. the next one was being born her
Page 207 and 208: 130. why are you wasting the hospit
Page 209 and 210: 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
Page 247 and 248:
Chamberlain, J., Melia, J., Moss, S
Page 249 and 250:
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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