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

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

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The 10 key words used in the search identified 25,345 studies. The search term childbirth was then eliminated as it was too wide, reducing the number of hits to 3,329. The 3,329 studies were stored in the systematic review database, and all duplicate references identified and transferred to the duplicate database, leaving 477 studies in the main database. All studies that did not relate to childbirth were transferred to the irrelevant database, leaving 150 studies in the pool. The title and abstract of each was read, and if it did not address the issue of choice of place of delivery was considered irrelevant and sent to the irrelevant database, leaving 25 studies for the final review process. Whole documents of the 25 papers were retrieved, and the studies read in detail applying the inclusion criteria, which specified that studies had to address women's views on factors affecting their choice of place of birth. Nine studies failed to meet the inclusion criteria and were removed, leaving 16 that reported about women's views about the place of birth. Of the 16 studies, only 9 had aimed to ask women about their reasons for choosing their place of delivery. The other 7 studies reported women's views although they did not set out to determine reasons for choosing the place of birth (Bastian 1993; McClain 1983; McClain 1987; Morison, Percival, Hauk et al 1999; Ogden, Shaw, and Zander 1997; Townsend-Fullerton 1982; Waldenstrom and Nilsson 1993). The 7 studies were therefore eliminated from the review. The 9 remaining studies that met the inclusion criteria, and specifically reviewed reasons for choosing a place of delivery are summarised in Table 4. Information abstracted from the studies and included in Table 4 comprises the study, and where it was conducted, to determine the coverage of studies in different countries. It also includes the study sample, i.e., who is included, how 59

they were recruited, at what stage of pregnancy, the size of the sample and whether they were followed up. The study sample information was used to determine whether like was being compared with like, and the possible influence of the situation of the sample on the results. Further information included in the tables covers key characteristics of the study (for instance, the data collection tool, and the nature of the question about the place of birth), and, outcome measures. For the purpose of the study, outcome measures are the main reasons given by women in favour of a home or hospital birth. Summary information about the studies is presented in Table 4 which follows: 60

they were recruited, at what stage of pregnancy, the size of the sample and<br />

whether they were followed up. The study sample information was used to<br />

determine whether like was being compared with like, and the possible influence<br />

of the situation of the sample on the results. Further information included in the<br />

tables covers key characteristics of the study (for instance, the data collection tool,<br />

and the nature of the question about the place of birth), and, outcome measures.<br />

For the purpose of the study, outcome measures are the main reasons given by<br />

women in favour of a home or hospital birth. Summary information about the<br />

studies is presented in Table 4 which follows:<br />

60

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