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

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A quick scan of the studies discovered that most did not address the subject of the review. The search term childbirth was, therefore, excluded. Another finding during the first stage of the search was that the database Bids ISI duplicated references retrieved using the Web of Science database. As Bids ISI database was going to terminate services at the end of July 2000, it was dropped from the list of databases to search. In addition, The Web of Science database identified extra studies not retrieved using Bids ISI. In short, therefore, the preliminary stage paved the way for the second stage of the review, where decisions about the specific question to address and how to go about it were made. Second stage During the second stage, a research protocol was developed to guide the review. The protocol defined the question and methods to be used, as a way of avoiding bias (Mohar and Olkin 1995). Criteria for inclusion and exclusion of studies were laid down. Search terms and databases to be included were also refined. The main question for the review was to identify studies looking at factors seen by women as influential in the choice of place of delivery. Inclusion Criteria The studies considered for inclusion in the review were all primary studies about choice of place of delivery, regardless of design. In addition to the search strategy described in the first stage, the journals kept at the University of Surrey library and shown in Table 3 were hand searched: 55
Table 3: Journals that were hand searched British Journal of Midwifery British Journal of Nursing British Journal of Obstetrics and Gynaecology British Medical Journal International Journal of Nursing Studies JAMA Journal of Advanced Nursing Lancet Midwives Midwifery Nursing Times Social Science and Medicine The reason why the journals shown in Table 3 were hand searched was because they publish research articles related to the subject of the review. It was felt that hand searching might identify references missed in the electronic searches, or those not yet included in the electronic databases. Further studies were discovered by exploding references from already identified individual studies. Third stage The third stage concentrated on reviewing papers that were retrieved using the search terms, and selecting those that would be included in the review. To assist in handling and organising the review data, three databases were created using reference manager 8.5. One was the main database, called systematic review, where all retrievals were initially stored. From this database, duplicate references were transferred to a database called duplicate and irrelevant ones to the third database called irrelevant. Studies were assessed based on their relevance to the review question, and the method of conducting and reporting the study using the appraisal criteria shown in Box 1 below. 56
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Women's Decision-Making And Factors
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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: Table 2: Search terms used Search t
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
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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
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dedn't sort o-F tru AAA persuade me
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anuthLng went wrong theyol have aLL
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sometKng eLse when she saist, the h
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arou.nd their necIR. all the time A
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senuona: Mu fLrst one I had Ln hosp
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agaLvt. when I had mu episiotomu th
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khuma. iviu first daughter was a ca
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nolope: olzau, I'LL give uou a fi.n
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thought it would be, thlngs have oh
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wtedwefe came around and spolze to
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Some of the spontaneous responses f
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or home. One woman thought that pro
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N yttx1R,IA: we have got more contr
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Sixty-nine percent of women plannin
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expectations of what would best rep
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Committee 1992) who observed that t
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One of the fascinating findings of
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Summary The qualitative study has r
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Government policy about maternity c
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choose (DiMatteo 1994), without any
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Prospect theory (Kahneman and Tvers
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IRYLOW, we tAIR,e eVeruthi.ne im, o
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that may impact on the choices they
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conducting home births, which might
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looked after her during one of her
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Appendices Appendix 1: (Information
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Appendix 3a Consent form I the unde
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22. because I was in a hospital and
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76. the next one was being born her
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130. why are you wasting the hospit
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183. on the floor in agony go ahead
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237. went up and ran the bath for h
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292. not going near me, you know an
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346. and I said, well, you know, I
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401. it's not as ifsomething goes w
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455. you, I said , you're here to d
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510. nice. And the funny thing was
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566. through friends as well, they'
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Appendix 5: Reflective notes Nnese
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what do you think ofthe situation w
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going horribLu wrong and suoldenlu
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and he was quite sort of happy with
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60. you are dealing with somebody y
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112. Well I didn't Feel, you are to
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1.o6. like Doctors ncl nurses and t
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218. we are anti hospitals or anyth
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Appendix 8: Thematic analysis Home
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References Abraham, C., Sheeran, P.
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Beck, C. T. (1993) Qualitative Rese
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Chamberlain, J., Melia, J., Moss, S
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Davenport-Slack, B. and Boylan, C.
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Dingwall, R. (1992) Don't Mind Him
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Fordham, S. (1997) Women's Views Of
Page 255 and 256:
Hammersley, M. and Atkinson, P. (19
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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
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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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