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

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Committee 1992) who observed that the available choices are "often more<br />

illusory than real. ' para 51.<br />

On the other hand, women planning a home birth, although not informed<br />

about the available options, were aware that they could have a home birth. Other<br />

studies have also found that women planning a home birth are generally well<br />

informed of the choices available (Kleiverda, Steen, <strong>And</strong>erson et al 1990). One<br />

explanation for the differences in knowledge of what is available might be the fact<br />

that home birth women are generally more educated, and therefore are more likely<br />

to read widely and discover other options. In the study, more women in the home<br />

birth group had secondary school and college or university degrees compared to<br />

those planning a hospital birth. The finding is corroborated by other studies<br />

(Cohen 1982), which also found women planning a home birth to be generally<br />

more educated (Cohen 1982; Eakins 1989; Rooks, Weatherby, Ernst et al 1989;<br />

Schneider 1986; Soderstrom, Stewart, Kaitell et al 1990). The difference in<br />

educational standards of women in the two groups might also explain the fact that<br />

home birth women were able to assert their right to have a home birth, while those<br />

planning a hospital birth just went with what was made available to them.<br />

The thesis considered that one of the factors that might affect women's<br />

preferences for home or hospital birth might be their awareness of what is on<br />

offer, and the results clearly support the view. Women planning a home birth<br />

knew that the option was available to them, and asserted their right to have a<br />

home birth. On the other hand, those planning a hospital birth said that the home<br />

birth option was not mentioned to them, and that they assumed they were going to<br />

go to hospital. However, some of them said that even if they had known about the<br />

home option they probably would still have chosen to go to hospital. The point<br />

raised by some of the hospital group, that they probably would still have chosen<br />

178

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