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

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I would really like to know about everything that was involved in coming to this very important decision, and how you think it could be made it easier for you. If I get a good handle on the issues involved, I may be able to make appropriate recommendations to NHS management. The study is funded by the European Institute of Health and Medical Sciences (EIHMS) of the University of Surrey. If you are interested in taking part in the study, please sign the form provided by the midwife. This will signify your permission for the midwife to pass your details to me so that I could then contact you to explain the study further, and arrange a suitable time we could meet. Your participation in this very important study will be appreciated. Many thanks in anticipation of your support. Appendix 2: Consent to be contacted I the under-signed give my midwife permission to pass my telephone number and address to Banyana Madi to contact me about the study of decision-making about the place of birth. Name: Signature: Please write your address, telephone number, and preferred time for telephone calls in the space provided. Thank you very much for your participation in this very important study. I look forward to working with you. 199
Appendix 3a Consent form I the under-signed voluntarily agree to participate in the study of decision-making about the place of birth. I have read and understood the Information sheet provided. I have been given a full explanation by the investigator of the nature, purpose, location and likely duration of the study, and of what I will be expected to do. I have been given the opportunity to ask questions on all aspects of the study and have understood the information given consequently. I understand that I am free to withdraw from the study at any time without needing to justify my decision and without prejudice. Name: Signature: Date: Name of witness: Appendix 3b: Consent form I confirm that I have read and understood the above and freely consent to participate in this study. I give my permission for the interview I have given to be used in the study, and for a written record of my interview to be kept December 2001, after which they will be destroyed. I understand that all documentation held on a volunteer is in the strictest confidence and complies with the Data Protection Act (1984). I agree that I will not restrict the use of the results of the study on the understanding that my anonymity is preserved. Signature: Appendix 4: Transcript of first home birth interview (Gaolape) Okay, Gaolape, like I explained beCore, I vvould like you tell e about what you think about the process of labour and about your decision to have your baby 200
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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
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transcripts and compared them with
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ecause they previously had short un
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Figure 2: Analysis mind map Hospita
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quotation in the transcript, denote
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itiust put me off of birth, fuLL st
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Gaolape brought up a number of fact
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that presentation of much of the da
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Table 7: Marital status Place of de
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Table 9: Themes expressed by women
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Table 11: Themes expressed about th
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The results of the study therefore
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Box 2: Pseudonyms of study particip
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have registered so I can't remember
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you have to be veru persuasive. her
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waiAted to go to [name of hospital]
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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
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: Appendices Appendix 1: (Information
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
Page 219 and 220: 455. you, I said , you're here to d
Page 221 and 222: 510. nice. And the funny thing was
Page 223 and 224: 566. through friends as well, they'
Page 225 and 226: Appendix 5: Reflective notes Nnese
Page 227 and 228: what do you think ofthe situation w
Page 229 and 230: going horribLu wrong and suoldenlu
Page 231 and 232: and he was quite sort of happy with
Page 233 and 234: 60. you are dealing with somebody y
Page 235 and 236: 112. Well I didn't Feel, you are to
Page 237 and 238: 1.o6. like Doctors ncl nurses and t
Page 239 and 240: 218. we are anti hospitals or anyth
Page 241 and 242: Appendix 8: Thematic analysis Home
Page 243 and 244: References Abraham, C., Sheeran, P.
Page 245 and 246: 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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