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

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the state of research on the topic of women's views regarding decision-making<br />

about the place of birth, and some recommendations.<br />

Rationale for undertaking a systematic review<br />

Systematic reviews of the literature are a scientific method used to<br />

summarise, evaluate, and communicate results and implications of studies in a<br />

particular subject. In the health field, systematic reviews are commonly employed<br />

to verify effectiveness, such as when there is uncertainty regarding potential<br />

benefits or harm of an intervention, when there are variations in practice, when a<br />

decision concerning the provision of a health technology is being proposed or<br />

when research is being planned or practised (NHS Centre for Reviews and<br />

Dissemination 1996). Systematic reviews are favoured in preference to traditional<br />

literature reviews, also called narrative reviews, because systematic reviews are a<br />

rigorous method of reviewing research evidence relating to questions of direct<br />

relevance to a chosen topic to promote the implementation of evidence-based<br />

practice. Systematic reviews summarise large bodies of evidence in a rigorous<br />

way, and help to explain differences between studies on the same question.<br />

The review process itself is a form of research, with a pre-planned method<br />

and an assemblage of original studies, which serve as subjects for the study. The<br />

compound of primary studies that address the relevant question are combined by<br />

using scientific strategies that limit bias in their collection, critical appraisal and<br />

synthesis (Cook, Mulrow, and Haynes 1997). The strategies involve a<br />

comprehensive search of all potentially relevant articles, and the use of explicit,<br />

reproducible criteria in the selection of articles for review by giving the principles<br />

for inclusion and exclusion. Both published and unpublished studies are<br />

47

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