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

More documents

Recommendations

Info

ofondno scheme whech uou wELLlzvtow about and that seemed to be the best haL-F wau house where WOM614, wouLd have thee), owvt mislwefe but vtot be evt the covtfivtes ov theer own home, thee wouLa be talzevt.bccI bu the medwefe, but that Ls out of fasheon now asCii.n esvt't it and we now ovtlu have the two optLovts and there Ls no Lt--betweevt avtol I actuaLLu thevtIR. as a midwife that the donti.no sustem was better. Why is it IOSing popularity? olovt't lzvtow, Idovt't lzvtow whu the domevto sustem iz out, I dovt't presume it Ls commetmeikt to the COVV.I/KwAltu sta-F-F because et es a great beg commitmeot, especeallu a premep Labourer who cola be at for 12 hours to have the one frui.dwife with her, that Ls avt awful comntitmevt.t for the vulawife herseLf ai&ol with staff shortages ana the wau MOHR, place attetusles are now, medweves are Left uvtabLe to give 12O thavt theu use to be -For vareous reasovts. So what are your own personal reasons For choosing a home birth? t have great faith Lift mu colleagues at the hospetaL mita fortuvote evtou.gh to have beevt. gevevL the preveLege of choosevtg vt.j vuedwefe agai,n and RM., vuldwife Ls a veru sevteor 6 grade who Ls clIvtecallu excellevtt ao,of Ls ctulte happu doi.ng a home berth or a hospital. berth. H-ospetals olowt freghtevt me, theu dovt't faze me out, I'm ',tot worreed about WilAt OAvt happeo, to me LiA. hospital, I'm vtot worreed about what cal& happevt. out of hospital.. B,ecause I lelAVe fgth LK the sustem atkol have faith evt. the wtedweves ct (vtavue of hospitaL), so it Ls I'm cifraizi to sau there Ls vtothevtg speritual I. eci,si,on et Ls totallu utteriu Thomas, he iz mu one covtsi.derciteovt becau.se hes father woint be arouvta to heLp we ou.t. H-e Ls mu top pri.oretu avtd doevtg it this wau seems to be the best theme. H-owever, husbavtd AVIA I hadc v rstx.vu.eLAt about et Last vteght anol he saed that he was at home I wouLd have to go into hospital., whech Ls at the weeleend. Really? I-te freghtened, he es veru freghtevted, because whevt Tom was born he had mecovteum, he had vareabLe heart rate. At 3-4 centemetres, everuthevtg was 227
going horribLu wrong and suoldenlu out of the lave I wanted to push and what it was he was a such a rapid olecent, nvkd I lind dilated so quiclu avi41 he sort of got a bit distressed Du the wau out avtd that was aLL ft wns, but nt ovte stage I was goi-Kg to the crash section and everuone WPS covuing Likto the room and 4 cwt.; CMG{ then I had a (i.naudi.liLe) for 10 Vvti,vuxtes ono{ there were so vuanu peopie 1,vt the room. swinging various catheters and ventouse, uou Iznow what it Ls Like when uou go to the crash section and suadeniu I pushed hivu out nnd vuu husband was covupLetel,u fazed out bu this and was a losoLuteLu terri.fLed and his reason is that it could happen agai.vt aviA it could, and I znow that, I 'z,i/Low could. "g.itt T. was veru small, he was ovau 5th 12, but this feels bigger aireadu, so I Iznow that it vulght be a bit bigger this tivue. -E,ut of course I wiLL go in if there is anu deceierntion at MI, whatever the date. of course I would be liappu to go LK.. .Stxt hntu leutSbAKA iS sittSt, juSt hASIA/t got the faith that I have because he hasn't got the lenowiedge that 1 have. Despite what I tetl hint, but he is seeing vuu chosen luidwife, D., on Fridau to have a talk, with her nu,d hopefullu she is going to sort him out. "But ft is a two wauthLiitg, I can't to this withou.t vuu husband's support and I must respect kis decision and his attitude and I OAvt understand where he covues from covupLeteiu because it is his child as well cis VtAlvte OKA I Avvi, vtot SOLIA.0 to be selfish and sau nope, nape I Iznow best, I A Wt. ODLIA.Z3 to have vuu babu at home, that is ',Lot fair DIA hint. -E,ut, if he is 1A.Ot here, then, he Ls u-ot here to give vue support or tell vue not to, so I will, have it nt hovue. For me, I Iznow rw. an insider and t nvu a midwife, but -for vuu pence of mind I am. so much more reLieveol VLOW I have made a conscious decision that from Mondnu to Fri-dauI oh& goLvtg to hove a home birth and then front Friziau 7.00 pvi,t. to Movvitau hitorning 6.00 it is goiikg to be a fi,ght because I still want vuu babucit hovue, but I still do have to thiniz about what he has to go throu.gh. definiteLu despernteiu want a honte berth and the more I thinIR. about it the happier I nvu CII,VA I Ant Ovau SAUINLO that because I have, I l'enow I have a veru veru confident vuldwi.fe to Look after nte and I kow, o LA.d she tact vvte as sow, as there Ls nuu shenagigams then I go to hospital, and that's fine, I trust her so compietelu. so thAt s reALLu recisons You sound like you want it For much more than just convenience 228
Page 1 and 2:
Women's Decision-Making And Factors
Page 3 and 4:
Figure 1: The paper elimination pro
Page 5 and 6:
Home themes with supporting quotati
Page 7 and 8:
Acknowledgements I would like to th
Page 9 and 10:
Kingdom is a pluralistic society, w
Page 11 and 12:
hospital delivery following a revie
Page 13 and 14:
The committee issued a press notice
Page 15 and 16:
The recommendations of the report u
Page 17 and 18:
home. They also put forward the fac
Page 19 and 20:
equirements for the maximum lowerin
Page 21 and 22:
Previous committees had made their
Page 23 and 24:
The majority of those interviewed f
Page 25 and 26:
The Expert Maternity Group gathered
Page 27 and 28:
• The woman and, if she wishes, h
Page 29 and 30:
Chapter 2: Risk perception Chapter
Page 31 and 32:
From the health practitioner's pers
Page 33 and 34:
1979), is a second approach to unde
Page 35 and 36:
normative factor. The individual's
Page 37 and 38:
and then choose the place they cons
Page 39 and 40:
example, they worried that the valu
Page 41 and 42:
they can easily imagine or recall a
Page 43 and 44:
are not necessarily chosen because
Page 45 and 46:
make decisions that are not necessa
Page 47 and 48:
Chapter 3: Systematic review of fac
Page 49 and 50:
considered. Primary research design
Page 51 and 52:
If the question of the review is no
Page 53 and 54:
Cochrane Database of Systematic rev
Page 55 and 56:
Table 2: Search terms used Search t
Page 57 and 58:
Table 3: Journals that were hand se
Page 59 and 60:
solely on the basis of the study re
Page 61 and 62:
they were recruited, at what stage
Page 63 and 64:
,,, ... .g eD .E 0 o 4,7; (.5 g .5
Page 65 and 66:
-o -cs •b a) ..o ,:" .., -0 ti-,
Page 67 and 68:
Quality of studies included in the
Page 69 and 70:
ole to play in their preferences fo
Page 71 and 72:
The next chapter discusses methodol
Page 73 and 74:
observable behaviour are used (Holl
Page 75 and 76:
known? What roles do values play in
Page 77 and 78:
male nursing home is used (Applegat
Page 79 and 80:
The procedure ensures a vigorous se
Page 81 and 82:
investigation have for the particip
Page 83 and 84:
In method triangulation, different
Page 85 and 86:
the context being studied. They fur
Page 87 and 88:
access to all settings, and the dat
Page 89 and 90:
access participants' private accoun
Page 91 and 92:
There is an argument for analysing
Page 93 and 94:
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 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 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
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: what do you think ofthe situation w
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
show all

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

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?