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

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CHAPTER 6 RESULTS 127 INTRODUCTION 127 FINDINGS 129 Table 5: Age and Planned Place of Delivery 129 Table 6: Educational status 129 Table 7: Marital status 130 Table 8: Parity 130 Table 9: Themes expressed by women in both groups 132 Table 10: Themes expressed about the hospital 133 Table 11: Themes expressed about the chosen Venue 134 Table 12: Other Themes 135 Table 13: Themes that were combined 135 Box 2: Pseudonyms of study participants and planned place of delivery 138 Information about available options 138 Risk perception/safety 148 Control 171 Discussion of findings 175 Summary 182 CHAPTER 7: DISCUSSION 183 Implications of the findings for women 192 Implications for Midwives 193 Implications for research 194 Limitations of the study 195 Contribution to research 197 APPENDICES 198 Appendix I: (Information leaflet) 198 Appendix 2: Consent to be contacted Appendix 3a Consent form 200 Appendix 3b: Consent form 200 Appendix 4: Transcript of first home birth interview (Gaolape) 200 Appendix 5: Reflective notes 224 Appendix 6: Nnese's transcript 224 Appendix 7: Line coding OInuku's transcript) 229 Appendix 8: Thematic analysis 240 199 3
Home themes with supporting quotations 240 Good place 240 Convenience 240 Relaxed/informal 240 More attention from midwives 240 REFERENCES 242 4
Page 1 and 2: Women's Decision-Making And Factors
Page 3: Figure 1: The paper elimination pro
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
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have registered so I can't remember
Page 143 and 144:
you have to be veru persuasive. her
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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 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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