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

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Montiemeame: now hku husband feeLs the same, so it Ls not sowtethi-ng we trLed to olLscuss. Soit-hatelo: we probabLu olLscussed the fact that he wouLol prefer to be sowtewhere where peopLe Iznew, a Lot of peapLe were arouvt.ol to Cisfre questtons, so he feit as well reallu that we wanted to go to hospitaL. To be hoikest 1 OCiikvvOt sit here and sau that he de-ftniteLu scot I want to go to hospLtaL but IznowLng his personaLitu. I would thimk he would prefer to have sowteone eLse around. I-fe's ctuLte 513/K1101r to vut Ln that seikse. matebogo: t don't thi.nle. I gave Kw& anu choize at all. 1 thi-nlz he would probabLu have sciLd it was u.p to Kite CinUwC1U. oiebogevtg: we never reaLLu olLscussed it because we Iznew when {name of hospital] cLosed dowvt, WeitxSt thought oh weLL, next tLwte we have a babu wal be at [name of hospital]. so, um, des, it wasn't somethLng we di-scussed, wAS juSt, that was where we were goimg to go. One woman planning a hospital birth expressed the husband's involvement in this way: mosi.bodL: I've deaded to have it Li& hospitaL, the reasons for that reaLLu are because it Ls mu fl.rst babu and I feeL safer. P,oth mu husband and vu.useLf have agreed that we'd both feeL happLer if was Lvt hospital., especiALLu as wtu husband worlzs reallu funnu hours and thi.ngs so if ao have to go on mu own there wouLd be Lots of peo-pLe to heLp reaLLu, I would just feet more safe an.ct secure Ln hospital.. 167
Some of the spontaneous responses from the women gave indications of their perceptions of the childbirth process as related to risk and safety. Eighty percent of the hospital group and 62% of the home birth group felt that the process of childbirth was uncertain and that problems could arise at any time. The difference was in the type of intervention they wanted, and in how confident they thought their midwife was to recognise and deal with emerging problems. Women planning a hospital birth thought that because of the uncertainty of the process hospital was the best place to be: montlenuane: I thLnk we take Lt for granted these daus, we don't expect to hear of chLldren beLvtg born stalborn or a nuthi,vtg, but Lt hcippens, AKA there has to be occasLons where, there are occasLons when we can predLct that tl/Lngs vu.au be cowtplizated durLng the bixth. n can uvtoterstah.oi if the babu Ls not Lvt. the rLght positLon., a breech delveru for uour past vutotLcal hLstoru or sovikethLng like that. -g.ut t thLvLk AO Vvotter how hoh,u babLes a WOMPIA. Mau have there Ls alwaus that element of the unlelA49WV6, and that to me Ln thLs otau GiAd Ci0e, simze we have facaLtLes availabLe I CAA see vto reason whu 1 shouldn't take advantage of Lt., so that's whu t felt stronglu that i would have Lt Lvt. hospital. mile: t feel that Lf the bLrth goes ea sLlu a nol well Lt's the most wonderful thLng, but sooketLvuts Lt doesn't. -F,.u.t i thi.nk for me personallu Lt Ls probablu... I feel Lt Ls an uncertaLn., um, uou know, ov. uncertaLn thLng. I thLnk. there is alwaus an element of doubt aAuwau with everubodu because everubodu Is dLfferent RAO( CitA.UtlelLIA-0 can happen,. segosha: I ant the sort of persovt who alwaus has to thin, uou_ low, 1,-F a Authi-LA-0 does oo wrong, I just can't thLnk that everuthLng Ls goLvtg to be fLne. 168
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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
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Most women offered coffee or tea, a
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All women who participated in the s
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The process of analysis was iterati
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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 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: wtedwefe came around and spolze to
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
Page 211 and 212: 237. went up and ran the bath for h
Page 213 and 214: 292. not going near me, you know an
Page 215 and 216: 346. and I said, well, you know, I
Page 217 and 218: 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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