Journal articles on the topic 'Maternity choices'

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1

Hadjigeorgiou, Eleni, Christiana Kouta, Evridiki Papastavrou, Irena Papadopoulos, and Lena B. Mårtenson. "Women’s Perceptions of Their Right to Choose the Place of Childbirth: A Qualitative Study." International Journal of Childbirth 2, no. 4 (2012): 230–40. http://dx.doi.org/10.1891/0886-6708.2.4.230.

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OBJECTIVE: To explore Greek Cypriot women’s perceptions of their right to choose the place of childbirth.DESIGN: This study is qualitative and is based on Husserl’s phenomenological approach. The field work extended over a 6-month period in 2010–2011.SETTING: In all cities of the Republic of Cyprus.PARTICIPANTS: Purposive sample of 55 women within 1 year after birth. Forty-eight women were recruited for semistructured interviews and six of them took place in first focus group. The second group consisted of seven women that did not participate in interviews.RESULTS: Women’s perceptions were categorized into four themes: (a) informed choice for birth place, (b) trusting relationship with health professionals, (c) medicalization of childbirth, and (d) safety of the mother and baby.CONCLUSIONS: There is no equity and accessibility in Cyprus maternity care system because it does not provide correct information and accessibility to all birthplace choices. This study demonstrated the need to explore women’s views before formulating policy for maternity care. These views will be helpful for the creation of an innovative evidence-based maternity care policy, taking into account women’s needs, and will be helpful to raise awareness among health professionals for maternity care improvement.IMPLICATIONS FOR PRACTICE: Ensuring the right for birthplace choices is a social and political necessity that enhances the existing health care systems and health professionals to provide quality and holistic maternity care. Conducting more studies on maternity care in Cyprus will reinforce the aim for improving the health of the women, neonates, and society.
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Crumbie, Alison. "Information and choices in maternity care: a study of maternity services in South Cumbria." Morecambe Bay Medical Journal 2, no. 11 (May 1, 1997): 401–3. http://dx.doi.org/10.48037/mbmj.v2i11.1081.

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Larner, Lisa, and Claire Hooks. "Against the grain: midwives' experiences of facilitating home birth outside of guidelines." British Journal of Midwifery 28, no. 6 (June 2, 2020): 370–76. http://dx.doi.org/10.12968/bjom.2020.28.6.370.

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Background Midwifery standards promote autonomous decision-making and informed choice, resulting in maternal home birth choices which may contravene guidelines. There is a paucity of evidence exploring midwives' experiences of managing these choices. Aims To explore the lived experiences of midwives facilitating home birth outside of guidelines. Methods A qualitative design using an interpretive hermeneutic cycle to analyse semi-structured interviews. Findings Participants reported confidence in supporting maternal choices, identifying barriers including other birth supporters. Perceived levels of risk, previous experience and safety concerns impacted on confidence. Peer, unit and professional midwifery advocate (PMA) support were identified as being beneficial to midwives. Recommendations Expansion of birth choices clinics; implementation of dedicated home birth teams; guideline review for midwife led birthing units; expansion of the PMA role; implementation of a structured debriefing service and further research looking at women's choices, and the impact of the loss of midwifery supervision.
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Lowe, Nancy K. "The Myth of Women’s Choices in U.S. Maternity Care." Journal of Obstetric, Gynecologic & Neonatal Nursing 44, no. 6 (November 2015): 691–92. http://dx.doi.org/10.1111/1552-6909.12757.

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Jallinoja, Piia. "Genetic screening in maternity care: preventive aims and voluntary choices." Sociology of Health & Illness 23, no. 3 (May 2001): 286–307. http://dx.doi.org/10.1111/1467-9566.00253.

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McAllister, Elan. "Transparency in Maternity Care: Empowering Women to Make Educated Choices." Journal of Perinatal Education 17, no. 4 (2008): 8–11. http://dx.doi.org/10.1624/105812408x364062.

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Herrera-Araujo, Daniel, and Lise Rochaix. "Competition between Public and Private Maternity Care Providers in France: Evidence on Market Segmentation." International Journal of Environmental Research and Public Health 17, no. 21 (October 26, 2020): 7846. http://dx.doi.org/10.3390/ijerph17217846.

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The purpose of this paper is to investigate the potential for segmentation in hospital markets, using the French case where private for-profit providers play an important role having nearly 25% of market shares, and where prices are regulated, leading to quality competition. Using a stylized economic model of hospital competition, we investigate the potential for displacement between vertically differentiated public and private providers, focusing on maternity units where user choice is central. Building over the model, we test the following three hypotheses. First, the number of public maternity units is likely to be much larger in less populated departments than in more populated ones. Second, as the number of public maternity units decreases, the profitability constraint should allow more private players into the market. Third, private units are closer substitutes to other private units than to public units. Building an exhaustive and nationwide data set on the activity of maternity services linked to detailed data at a hospital level, we use an event study framework, which exploits two sources of variation: (1) The variation over time in the number of maternity units and (2) the variation in users’ choices. We find support for our hypotheses, indicating that segmentation is at work in these markets with asymmetrical effects between public and private sectors that need to be accounted for when deciding on public market entry or exit.
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Thomson, Ann. "Choices in childbirth." Midwifery 6, no. 1 (March 1990): 1–2. http://dx.doi.org/10.1016/s0266-6138(05)80090-7.

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Mander, Rosemary. "Choosing the choices in the USA: examples in the maternity area." Journal of Advanced Nursing 25, no. 6 (June 1997): 1192–97. http://dx.doi.org/10.1046/j.1365-2648.1997.19970251192.x.

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Lowe, Nancy K. "The Myth of Women’s Choices in U.S. Maternity Care, Part 2." Journal of Obstetric, Gynecologic & Neonatal Nursing 47, no. 5 (September 2018): 589–90. http://dx.doi.org/10.1016/j.jogn.2018.08.001.

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Heaman, Maureen. "Making Choices for Childbirth." MCN, The American Journal of Maternal/Child Nursing 31, no. 5 (September 2006): 336. http://dx.doi.org/10.1097/00005721-200609000-00017.

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Schott, Judith, and Alix Henley. "After a stillbirth – offering choices, creating memories." British Journal of Midwifery 17, no. 12 (December 2009): 798–801. http://dx.doi.org/10.12968/bjom.2009.17.12.45550.

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Favara, Jeremiah. "A Maternal Heart: Angelina Jolie, choices of maternity, and hegemonic femininity inPeoplemagazine." Feminist Media Studies 15, no. 4 (February 23, 2015): 626–42. http://dx.doi.org/10.1080/14680777.2015.1009929.

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Giarratano, Gloria. "Woman-Centered Maternity Nursing Education and Practice." Journal of Perinatal Education 12, no. 1 (March 2003): 18–28. http://dx.doi.org/10.1891/1058-1243.12.1.18.

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The purpose of this Heideggerian phenomenological study was to uncover the meanings of the clinical experiences of registered nurses working in maternity settings after they studied maternity nursing from a woman-centered, feminist perspective in a generic baccalaureate nursing program. Purposeful sampling was conducted to locate and recruit nurses who had graduated from this nursing program between the December 1996 and December 1998 semesters and were currently working in a maternal-newborn clinical setting. Each participant had taken the required woman-centered, maternity-nursing course during her/his undergraduate education. Data collection included an individual, open-ended interview that focused on the nurses’ descriptions of their everyday practices as maternity nurses. Nineteen maternal-newborn nurses between the ages of 23 and 43 years who had been in practice from six months to three years were interviewed. The constitutive patterns identified from the interviews were: “Otherness,” “Being and Becoming Woman-Centered,” and “Tensions in Practicing Woman-Centered Care.” Findings revealed that the nurses had a raised awareness of oppressive maternity care practices and applied ideology of woman-centeredness as a framework for providing more humanistic care. Creating woman-centered maternity care meant negotiating tensions and barriers in medically focused maternity settings and looking for opportunities for advocacy and woman-empowerment. The barriers the nurses faced in implementing woman-centered care exposed limitations to childbearing choices and nursing practices that remain problematic in maternity care.
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Feeley, Claire, Gill Thomson, and Soo Downe. "Understanding how midwives employed by the National Health Service facilitate women’s alternative birthing choices: Findings from a feminist pragmatist study." PLOS ONE 15, no. 11 (November 20, 2020): e0242508. http://dx.doi.org/10.1371/journal.pone.0242508.

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UK legislation and government policy favour women’s rights to bodily autonomy and active involvement in childbirth decision-making including the right to decline recommendations of care/treatment. However, evidence suggests that both women and maternity professionals can face challenges enacting decisions outside of sociocultural norms. This study explored how NHS midwives facilitated women’s alternative physiological birthing choices–defined in this study as ‘birth choices that go outside of local/national maternity guidelines or when women decline recommended treatment of care, in the pursuit of a physiological birth’. The study was underpinned by a feminist pragmatist theoretical framework and narrative methodology was used to collect professional stories of practice via self-written narratives and interviews. Through purposive and snowball sampling, a diverse sample in terms of age, years of experience, workplace settings and model of care they operated within, 45 NHS midwives from across the UK were recruited. Data were analysed using narrative thematic that generated four themes that described midwives’ processes of facilitating women’s alternative physiological births: 1. Relationship building, 2. Processes of support and facilitation, 3. Behind the scenes, 4. Birth facilitation. Collectively, the midwives were involved in a wide range of alternative birth choices across all birth settings. Fundamental to their practice was the development of mutually trusting relationships with the women which were strongly asserted a key component of safe care. The participants highlighted a wide range of personal and advanced clinical skills which was framed within an inherent desire to meet the women’s needs. Capturing what has been successfully achieved within institutionalised settings, specifically how, maternity providers may benefit from the findings of this study.
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MCCOOL, W., J. PACKMAN, and A. ZWERLING. "Obstetric anesthesia: Changes and choices." Journal of Midwifery & Womenʼs Health 49, no. 6 (November 2004): 505–13. http://dx.doi.org/10.1016/s1526-9523(04)00444-1.

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McCool, William F., Jana Packman, and Arthur Zwerling. "Obstetric Anesthesia: Changes and Choices." Journal of Midwifery & Women's Health 49, no. 6 (November 12, 2004): 505–13. http://dx.doi.org/10.1016/j.jmwh.2004.08.028.

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Soltani, Hora, and Jane Sandall. "Organisation of maternity care and choices of mode of birth: A worldwide view." Midwifery 28, no. 2 (April 2012): 146–49. http://dx.doi.org/10.1016/j.midw.2012.01.009.

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McCauley, Hannah, Mary McCauley, Gillian Paul, and Nynke van den Broek. "‘We are just obsessed with risk’: healthcare providers' views on choice of place of birth for women." British Journal of Midwifery 27, no. 10 (October 2, 2019): 633–41. http://dx.doi.org/10.12968/bjom.2019.27.10.633.

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Women make choices throughout pregnancy and childbirth and interactions with healthcare providers are integral to the journey. Healthcare providers have the potential to advise, influence and support women in their choices as to where to give birth. The aim of this study was to examine Northern Ireland healthcare providers' attitudes and experiences of women choosing place of birth, independent of risk profile. A qualitative study design was used to undertake key informant interviews with healthcare providers who were involved in caring for women antenatally, intrapartum and postnatally. Seven midwives and five obstetricians were interviewed. These interviews were transcribed, coded and presented in themes. Emerging themes included: informed decision-making among pregnant women; understanding and judgement of risk; autonomy and choice; culture of control and fear; and human rights. Interviewees highlighted barriers to women being able to access their chosen place of birth because of legal concerns, cultural perception of birth, and lack of senior managerial support for those providing clinical care to women who are considered at risk of complications during pregnancy or birth. Proposed solutions include developing a human rights-based approach which is about health and not isolated pathologies and focuses on empowering women, and not merely avoiding maternal morbidity or mortality.
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Opdam, Floor, Jeroen van Dillen, Marieke de Vries, and Martine Hollander. "How to Make the Hospital an Option Again: Midwives’ and Obstetricians’ Experiences with a Designated Clinic for Women Who Request Different Care than Recommended in the Guidelines." International Journal of Environmental Research and Public Health 18, no. 21 (November 5, 2021): 11627. http://dx.doi.org/10.3390/ijerph182111627.

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Background: An increasing number of maternity care providers encounter pregnant women who request less care than recommended. A designated outpatient clinic for women who request less care than recommended was set up in Nijmegen, the Netherlands. The clinic’s aim is to ensure that women make well-informed choices and arrive at a care plan that is acceptable to all parties. The aim of this study is to make the clinic’s approach explicit by examining care providers’ experiences who work with or within the clinic. Methods: qualitative analysis of in-depth interviews with Dutch midwives (n = 6) and obstetricians (n = 4) on their experiences with the outpatient clinic “Maternity Care Outside the Guidelines” in Nijmegen, the Netherlands. Results: Four main themes were identified: (1) ”Trusting mothers, childbirth and colleagues”; (2) “A supportive communication style”; (3) “Continuity of carer”; (4) “Willingness to reconsider responsibility and risk”. One overarching theme emerged from the data, which was “Guaranteeing women’s autonomy”. Mutual trust is a prerequisite for a constructive dialogue about birth plans and can be built and maintained more easily when there is continuity of carer during pregnancy and birth. Discussing birth plans at the clinic was believed to be successful because the care providers listen to women, take them seriously, show empathy and respect their right to refuse care. A change in vision on responsibility and risk is needed to overcome barriers such as providers’ fear of adverse outcomes. Taking a more flexible approach towards care outside the guidelines demands courage but is necessary to guarantee women’s autonomy. Key conclusions and implications for practice: In order to fulfil women’s needs and to prevent negative choices, care providers should care for women with trust, respect for autonomy, and provide freedom of choice and continuity. Care providers should reflect on and discuss why they are reluctant to support women’s wishes that go against their personal values. The structured approach used at this clinic could be helpful to maternity care providers in other contexts, to make them feel less vulnerable when working outside the guidelines.
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LEVENE, ALYSA, MARTIN POWELL, and JOHN STEWART. "Investment choices? County borough health expenditure in inter-war England and Wales." Urban History 32, no. 3 (December 2005): 434–58. http://dx.doi.org/10.1017/s0963926805003238.

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This article examines the level of expenditure on health care provision in English and Welsh county boroughs during the inter-war period. It focuses in particular on key individual services such as maternity and child welfare to show that while there was a general trend to increased municipal health care expenditure, when this is disaggregated significant variations emerge between services, between boroughs and over time. It is argued that such analysis is of itself revealing, previously neglected and necessary for further qualitative analysis of the as yet little understood inter-war municipal medicine sector.
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Robinson, Karen M., and Leona VandeVusse. "African American Womenʼs Infant Feeding Choices." Journal of Perinatal & Neonatal Nursing 25, no. 4 (2011): 320–28. http://dx.doi.org/10.1097/jpn.0b013e31821072fb.

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&NA;. "African American Womenʼs Infant Feeding Choices." Journal of Perinatal & Neonatal Nursing 25, no. 4 (2011): 329–30. http://dx.doi.org/10.1097/jpn.0b013e318238376c.

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Fisher, Jane. "Supporting parents who end a pregnancy after a prenatal diagnosis." British Journal of Midwifery 29, no. 12 (December 2, 2021): 668–69. http://dx.doi.org/10.12968/bjom.2021.29.12.668.

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Fisher, Jane. "A safe space for parents." British Journal of Midwifery 28, no. 12 (December 2, 2020): 812–13. http://dx.doi.org/10.12968/bjom.2020.28.12.812.

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Holopainen, Annaleena, Claire Stramrood, Mariëlle G. van Pampus, Martine Hollander, and Carlo Schuengel. "Subsequent childbirth after previous traumatic birth experience: women's choices and evaluations." British Journal of Midwifery 28, no. 8 (August 2, 2020): 488–96. http://dx.doi.org/10.12968/bjom.2020.28.8.488.

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Background After a traumatic childbirth experience, women are often afraid of future pregnancies, and may be at risk for also experiencing their subsequent childbirth as traumatic. Aims Two questions were investigated regarding women's experience of their subsequent childbirth after a previous traumatic birth: (1) which factors in the previous traumatic birth are associated with the subsequent childbirth experience, and (2) fear of childbirth and coping behaviour during the subsequent pregnancy associated with the subsequent birth experience. Methods A total 474 Dutch women (mean age during traumatic childbirth=28.9 years; SD=3.9) answered an online survey about their previous traumatic and subsequent birth experience. Findings Making a birth plan, choosing a home birth in a high-risk pregnancy, and having a planned caesarean section emerged as statistically significant correlates of positive subsequent birth experience. Conclusion Experiencing control over the subsequent birth might underlie practices associated with more positive subsequent childbirth experience among women with a traumatic childbirth history.
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Deki, Sonam, and Jigme Choden. "Assess Knowledge, Attitude and Practices of Respectful Maternity Care among nurse midwives in Referral Hospitals of Bhutan." Bhutan Health Journal 4, no. 1 (May 13, 2018): 1–7. http://dx.doi.org/10.47811/bhj.50.

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Introduction: Respectful Maternity Care (RMC) acknowledges that respects for woman’s rights, choices and dignity during labor and childbirth is vital component of health care quality. This cross-sectional descriptive study intended to gain in-depth understanding on knowledge, attitude and practices of nurse midwives working in referral hospitals of Bhutan on RMC. The study also looked into determinants of RMC. Methods: The sample consisted of 83 nurse midwives who were working in birthing and maternity unit of three regional referral hospitals of Bhutan. The sites were chosen purposefully due to their high delivery volume. A survey instrument was piloted in Paro hospital prior to study. Data was collected from July to October 2017. Analysis was mainly descriptive, simple percentages were used to calculate frequency distribution of aspects and determinants of respectful maternity care. Results: Four in five of the respondents knew and practiced woman’s right to information and communication during childbirth process. However, providers were found lacking on some aspects of the knowledge and practices related to respecting choices and rights of the women during childbirth and recounted their experiences of observing events which are described as abusive in maternal health literatures. Inadequate facilities, overworked staffs and limited trainings were found as detrimental factors. Conclusion: Aspects of RMC were not duly practiced. Providers must be made aware of the woman’s right to respectful care which is crucial to improve maternal health services. Individual Health Facility must provide conducive environment to practice RMC. Future studies on RMC from receiver end are recommended.
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McAra-Couper, Judith, Marion Jones, and Liz Smythe. "Caesarean-section, my body, my choice: The construction of ‘informed choice’ in relation to intervention in childbirth." Feminism & Psychology 22, no. 1 (November 2, 2011): 81–97. http://dx.doi.org/10.1177/0959353511424369.

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The notion of choice, especially of informed choice, is a central tenet of maternity services in most western countries; it also underpins debate about rising rates of intervention that are now a feature of childbirth in many of these countries. Our study investigated the shaping of understanding and practice in relation to these rising rates of intervention in childbirth in the New Zealand context. Critical hermeneutics was used to analyse the data from interviews with nine midwives and obstetricians, and six focus groups with 33 women. This article reports on the notion of choice, which featured prominently in all the interviews. It became clear that women’s choices were strongly influenced and determined by social change, by the gendering of women, and by values such as control, predictability, convenience, the ‘quick fix’ and the normalization of surgery. We argue that the prevailing notion of ‘informed’ choice obscures the structural and social influences on ‘choice’.
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Marshall, Olivia. "Choice as the cornerstone of woman-centred care." British Journal of Midwifery 27, no. 12 (December 2, 2019): 749–51. http://dx.doi.org/10.12968/bjom.2019.27.12.749.

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Gutierrez, Veronica Blanco. "Culture and breastfeeding support." British Journal of Midwifery 30, no. 12 (December 2, 2022): 713–15. http://dx.doi.org/10.12968/bjom.2022.30.12.713.

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Florence, Donna J., and Denise G. Palmer. "Therapeutic Choices for the Discomforts of Labor." Journal of Perinatal & Neonatal Nursing 17, no. 4 (October 2003): 238–49. http://dx.doi.org/10.1097/00005237-200310000-00002.

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32

Lothian, Judith A. "Risk, Safety, and Choice in Childbirth." Journal of Perinatal Education 21, no. 1 (2012): 45–47. http://dx.doi.org/10.1891/1058-1243.21.1.45.

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In this column, the author explores current understandings of risk and safety in pregnancy and childbirth. An emphasis on risk management places the provider and hospital in control of women’s decisions related to pregnancy and birth and may make pregnancy and birth less safe for mothers and babies. Accepting that no life is risk free, women can let go of fear and make choices that take into account real, not imagined, or exaggerated risk and, in doing so, increase safety for themselves and their babies. The focus of maternity care becomes enhancing safety through evidence-based practice rather than managing risk.
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Waldrop, Julee. "Exploration of Reasons for Feeding Choices in Hispanic Mothers." MCN, The American Journal of Maternal/Child Nursing 38, no. 5 (2013): 282–88. http://dx.doi.org/10.1097/nmc.0b013e31829a5625.

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Bakewell-Sachs, Susan. "Parental Understanding of Basic Infant Nutrition: Misinformed Feeding Choices." MCN, The American Journal of Maternal/Child Nursing 25, no. 5 (September 2000): 280. http://dx.doi.org/10.1097/00005721-200009000-00022.

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Aumann, Gretchen M.-E. "New chances, new choices: Problems with perinatal technology." Journal of Perinatal & Neonatal Nursing 1, no. 3 (January 1988): 1–9. http://dx.doi.org/10.1097/00005237-198801000-00003.

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Sierra, Antonio. "Women's perception of choice and support in making decisions regarding management of breech presentation." British Journal of Midwifery 29, no. 7 (July 2, 2021): 392–400. http://dx.doi.org/10.12968/bjom.2021.29.7.392.

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Background Professional guidelines recommend midwives and obstetricians actively involve women in making decisions about their care. To date, breech research has focused mainly on assessing the effectiveness of different management options. Aim This research explores women's experience of breech presentation and their perception of choice and support in making decisions with regards to breech management. Methods This study uses a phenomenological research design. Semi-structured interviews took place in hospital or women's homes. A total of six postnatal women who were diagnosed with breech presentation after 36 weeks' gestation took part in the study. Data was analysed using Colaizzi's method. Findings A total of 84 significant statements were clustered into four main emerging themes. These include women's feelings, their healthcare expectations, their preferences and their values. Results Breech discussions mostly occurred between obstetricians and women. These primarily focused on external cephalic version, Elective Lower Segment Caesarean Section and Breech Vaginal Birth. These options did not always become choices available to women.
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Kamerling, Susan Nudelman. "Airbags & Children: Making Correct Choices in Child Passenger Restraints." MCN, The American Journal of Maternal/Child Nursing 27, no. 5 (September 2002): 264–73. http://dx.doi.org/10.1097/00005721-200209000-00004.

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Bernhard, Casey, Ruth Zielinski, Kelly Ackerson, and Jessica English. "Home Birth After Hospital Birth: Women's Choices and Reflections." Journal of Midwifery & Women's Health 59, no. 2 (March 2014): 160–66. http://dx.doi.org/10.1111/jmwh.12113.

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Boichak, Olga. "Geopolitics of reproduction: Investigating technological mediation of maternity tourism on the Russian web." Big Data & Society 6, no. 2 (July 2019): 205395171986849. http://dx.doi.org/10.1177/2053951719868491.

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Investigating maternity tourism to the United States from Russia through the lens of technological mediation, this study foregrounds the geopolitical patterns of human reproduction that shape, and are shaped by, individual choices of maternal healthcare in a neoliberal healthcare market. Following the history of a highly popular Russian-language forum, I demonstrate how this online community gets imbricated into communicative biocapitalism – a neoliberal logic that commodifies the voice of an online user, turning networked publics into markets for medical services. Adding to the literature on data colonialism, I explore a case in which data-driven algorithms effectively alter geographical distribution of reproductive bodies, outsourcing the production of new generations of neoliberal subjects through regimes of technological mediation.
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Mohan, Suruchi, Rauf Ghani, Stephen Lindow, and Tom Farrell. "Antenatal survey of women’s birthing choices in Qatar." Journal of Perinatal Medicine 48, no. 6 (July 28, 2020): 589–99. http://dx.doi.org/10.1515/jpm-2020-0148.

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AbstractObjectivesAttitudes towards labour care and women’s choices for their preferred mode of delivery are documented in studies from the around the world, however less is known about women’s birth choices in the Middle East. This study was designed with the aim of exploring beliefs and attitudes in this region.MethodsVoluntary participation in an ethics-approved survey was offered to pregnant women attending the antenatal clinic at Sidra Medicine from August 2018 to January 2019 with no exclusion criteria.ResultsOf the 346 respondents, 58.1% were Arabic and the remainder expatriates. This group composition allowed comparison between women native and non-native to the Gulf region. Arabic and non-Arabic women differed significantly in previous birth experiences: the Arabs had had more doctor-led deliveries (45 vs. 34%), epidurals (56.6 vs. 45%) and episiotomies (65.7 vs. 54%). 70.2% of the respondents chose a normal delivery as their preferred birth mode though a smaller majority of the Arabic subgroup did (63.2 %). 60.4% preferred delivery by doctors and longer hospital stays (47.6), more so Arabic participants (64.7 and 68.6 %). Significantly less Arabs, would choose husbands as birth partners (51.2 vs. 86.2%) and more expressed a gender preference for doctors. Other group choices are presented.ConclusionsThough women in this region made comparable choices about mode of delivery as their Western counterparts, they demonstrated an expectation of a culturally distinct and more medicalized approach to care in labour. The findings highlight the need for further studies to inform regional obstetric care and health education interventions as well as tailoring maternity care services.
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Armstrong, Natalie, and Sara Kenyon. "When choice becomes limited: Women’s experiences of delay in labour." Health: An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine 21, no. 2 (July 26, 2016): 223–38. http://dx.doi.org/10.1177/1363459315617311.

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Choice and patient involvement in decision-making are strong aspirations of contemporary healthcare. One of the most striking areas in which this is played out is maternity care where recent policy has focused on choice and supporting normal birth. However, birth is sometimes not straightforward and unanticipated complications can rapidly reduce choice. We draw on the accounts of women who experienced delay during labour with their first child. This occurs when progress is slow, and syntocinon is administered to strengthen and regulate contractions. Once delay has been recognized, the clinical circumstances limit choice. Drawing on Mol’s work on the logics of choice and care, we explore how, although often upsetting, women accepted that their choices and plans were no longer feasible. The majority were happy to defer to professionals who they regarded as having the necessary technical expertise, while some adopted a more traditional medical model and actively rejected involvement in decision-making altogether. Only a minority wanted to continue active involvement in decision-making, although the extent to which the possibility existed for them to do so was questionable. Women appeared to accept that their ideals of choice and involvement had to be abandoned, and that clinical circumstances legitimately changed events.
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Rhode, Mary Ann, Erica L. Murdock, Colleen Zarate Linares, and Lina Brou. "A Descriptive Study of Maternal Choices for Labor Pain Relief." Journal of Perinatal & Neonatal Nursing 36, no. 3 (July 2022): 274–83. http://dx.doi.org/10.1097/jpn.0000000000000667.

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43

Hutchison, Lynn, and Jennifer E. Gallagher. "Health-promoting hospitals: a dream or reality?" Faculty Dental Journal 5, no. 1 (January 2014): 4–7. http://dx.doi.org/10.1308/204268514x13859766312476.

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There were 17.8 million finished consultant episodes in the year 2011–2012 in UK hospitals. 1 As well as the patients themselves, there are also relatives and friends that will visit hospitals and of course the hospital staff. Are we promoting health to this significant population? Or are we giving mixed messages, particularly in selling unhealthy food and drinks in our canteens, kiosks and vending machines? Are there healthy choices available? As recently as 1983, cigarettes were sold in a quarter of Wessex acute and maternity hospitals. 2 Nowadays this seems unthinkable. Is this different to selling sweets and sugary drinks in a dental hospital?
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Jomeen, Julie. "Choices for maternity care are they still ‘an illusion’? : A qualitative exploration of women’s experiences in early pregnancy." Clinical Effectiveness in Nursing 9 (January 2006): e191-e200. http://dx.doi.org/10.1016/j.cein.2006.10.002.

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45

Bringedal, Hilde, and Ingvild Aune. "Able to choose? Women's thoughts and experiences regarding informed choices during birth." Midwifery 77 (October 2019): 123–29. http://dx.doi.org/10.1016/j.midw.2019.07.007.

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46

Gurara, Mekdes, Kristel Muyldermans, Yves Jacquemyn, Jean-Pierre Van geertruyden, and Veerle Draulans. "Traditional birth attendants’ roles and homebirth choices in Ethiopia: A qualitative study." Women and Birth 33, no. 5 (September 2020): e464-e472. http://dx.doi.org/10.1016/j.wombi.2019.09.004.

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47

Crowe, Rachel. "Factors contributing to maternal health inequalities for women who are not white British in the UK." British Journal of Midwifery 30, no. 3 (March 2, 2022): 160–71. http://dx.doi.org/10.12968/bjom.2022.30.3.160.

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Background Women of non-white British ethnicity have a higher maternal mortality risk for reasons not yet fully understood, and report significant concerns about stereotypes, racism and overall dissatisfaction in care. This study aimed to examine what midwives perceive to be contributing factors to ethnic disparity in maternity care. Methods A systematic search of the literature was conducted to find contemporaneous, relevant studies which were appraised for inclusion and quality. Four qualitative studies were included. Results Midwives spoke about practical, cultural and logistical concerns that contribute to health inequalities; none mentioned racism. Three themes emerged: relationship barriers, logistical barriers and a sense of us vs them. Three areas of us vs them were explored: ‘incongruent expectations’, ‘structural racism, stereotypes and implicit bias’ and ‘culture vs professional accountability’. Conclusions Further research into the impact of implicit bias is needed to adequately address health inequalities for non-white British women. A national strategy could be used to set expectations for women accessing UK maternity services early in pregnancy. Midwives need to be empowered and supported to thoroughly document women's choices so that their professional responsibilities are met.
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Cooper, Megan, and Jane Warland. "“I was birthing where my choices were honoured”: how women's choice of care provider and birth place are influenced by access to water immersion." Women and Birth 32 (September 2019): S38. http://dx.doi.org/10.1016/j.wombi.2019.07.264.

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49

Oluoch-Aridi, Jackline, Francis Wafula, Gilbert Kokwaro, and Mary B. Adam. "‘We just look at the well-being of the baby and not the money required’: a qualitative study exploring experiences of quality of maternity care among women in Nairobi’s informal settlements in Kenya." BMJ Open 10, no. 9 (September 2020): e036966. http://dx.doi.org/10.1136/bmjopen-2020-036966.

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ObjectiveTo examine how women living in an informal settlement in Nairobi perceive the quality of maternity care and how it influences their choice of a delivery health facility.DesignQualitative study.SettingsDandora, an informal settlement, Nairobi City in Kenya.ParticipantsSix focus group discussions with 40 purposively selected women aged 18–49 years at six health facilities.ResultsFour broad themes were identified: (1) perceived quality of the delivery services, (2) financial access to delivery service, (3) physical amenities at the health facility, and (4) the 2017 health workers’ strike.The four facilitators that influenced women to choose a private health facility were: (1) interpersonal treatment at health facilities, (2) perceived quality of clinical services, (3) financial access to health services at the facility, and (4) the physical amenities at the health facility. The three barriers to choosing a private facility were: (1) poor quality clinical services at low-cost health facilities, (2) shortage of specialist doctors, and (3) referral to public health facilities during emergencies.The facilitators that influenced women to choose a public facility were: (1) physical amenities for dealing with obstetric emergencies and (2) early referral to public maternity during antenatal care services. Barriers to choosing a public facility were: (1) perception of poor quality clinical services, (2) concerns over security for newborns at tertiary health facilities, (3) fear of mistreatment during delivery, (4) use of unsupervised trainee doctors for deliveries, (5) poor quality of physical amenities, and (6) inadequate staffing.ConclusionThe study provides insights into decision-making processes for women when choosing a delivery facility by identifying critical attributes that they value and how perceptions of quality influence their choices.
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Eisenhauer, Elizabeth R., Alan R. Tait, Lisa Kane Low, and Cynthia M. Arslanian-Engoren. "Women’s Choices Regarding Use of Their Newborns’ Residual Dried Blood Samples in Research." Journal of Obstetric, Gynecologic & Neonatal Nursing 50, no. 4 (July 2021): 424–38. http://dx.doi.org/10.1016/j.jogn.2021.04.003.

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