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

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positive feature of qualitative research is flexibility, which makes it suitable for exploratory or hypothesis generating studies (Britten 1995; Burgess 1982; Denzin 1970). These qualities make qualitative research the method of choice in the study of women's views of the place of birth. In the next chapter, the method used in the second study of the thesis, looking at women's perceptions of the childbirth process, and factors affecting their choice of place of birth, is described. An effort is made to apply the principles of qualitative research discussed in the present chapter. 95
Chapter 5: Qualitative Study of Women's Views of the Process of Childbirth, and Factors Affecting Their Preference for A Place of Birth. Introduction The previous chapters collectively laid down the background and theoretical underpinning that inform the thesis. Chapter 4 focused on a discussion of qualitative research, which is the method employed in the present study of women's perceptions of the process of childbirth and factors that influence their preference for home or hospital birth. The present chapter addresses the research design, methods used, and experiences of the researcher in the field while conducting the qualitative study. Research design The aim of the study was to determine pregnant women's perceptions of the childbirth process, and factors they consider important when deciding where to have their babies. The study considered the views of a diverse population of pregnant women of different parities, gestations and backgrounds who were planning home or hospital delivery. The reason for choosing to include a cross- section of pregnant women of different backgrounds was to endeavour to explore their perceptions broadly. The aim was also to explore the effect of different circumstances on views about childbirth and the place of birth. The researcher decided, in the light of the results of the systematic review reported in chapter 3, to use a method that would allow women to express their own views as much as possible. Therefore, a qualitative design using the grounded theory approach was chosen. With the grounded theory approach 96
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Women's Decision-Making And Factors
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Figure 1: The paper elimination pro
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Home themes with supporting quotati
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Acknowledgements I would like to th
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Kingdom is a pluralistic society, w
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hospital delivery following a revie
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The committee issued a press notice
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The recommendations of the report u
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home. They also put forward the fac
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equirements for the maximum lowerin
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Previous committees had made their
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The majority of those interviewed f
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The Expert Maternity Group gathered
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• The woman and, if she wishes, h
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Chapter 2: Risk perception Chapter
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From the health practitioner's pers
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1979), is a second approach to unde
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normative factor. The individual's
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and then choose the place they cons
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example, they worried that the valu
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they can easily imagine or recall a
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are not necessarily chosen because
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Page 65 and 66: -o -cs •b a) ..o ,:" .., -0 ti-,
Page 67 and 68: Quality of studies included in the
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Page 101 and 102: either. Three months passed, there
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Page 105 and 106: elevant. The environment of the hom
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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
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Page 121 and 122: Figure 2: Analysis mind map Hospita
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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
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Page 139 and 140: Box 2: Pseudonyms of study particip
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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
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Hammersley, M. and Atkinson, P. (19
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Johnson, B. B. and Covello, V. T. (
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Leap, N. (1996) 'Persuading' Women
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Mather, S. (1980) Women's Interest
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Morse, J. M. (1999c) Qualitative Ge
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Patton, M. Q. (1990) Qualitative Ev
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Commissioned by the Expert Maternit
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Slovic, P., Fischhoff, B., and Lich
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Tew, M. (1978) The Case Against Hos
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White, V. M., Wearing, A. J., and H
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