Shaping public opinion on the issue of childbirth; a critical analysis of articles published in an Australian newspaper 英文参考文献.docVIP
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Shaping public opinion on the issue of childbirth; a critical analysis of articles published in an Australian newspaper 英文参考文献
McIntyreetal.BMCPregnancyandChildbirth2011,11:47
/1471-2393/11/47
RESEARCH ARTICLE
OpenAccess
Shapingpublicopinionontheissueofchildbirth;
acriticalanalysisofarticlespublishedinan
Australiannewspaper
MeredithJMcIntyre1*,KarenFrancis2andYsanneChapman3
Abstract
Background:TheAustraliangovernmenthasannouncedamajorprogramofreformwiththemovetoprimary
maternitycare,aprogramofchangethatappearstobeatoddswithcurrentgeneralpublicperceptionsregarding
howmaternitycareisdelivered.
Methods:Acriticaldiscourseanalysisofarticlespublishedin‘TheAge’,anewspaperwithnationaldistribution,
subsequenttothereleaseofthediscussionpaperbytheAustralianGovernmentin2008wasundertaken.The
purposewastoidentifyhowAustralianmaternityservicesareportrayedandwhatpurposeisservedbythis
representationtothegeneralpublic.
Results:FindingsfromthiscriticaldiscourseanalysisrevealedthatAustralianmaternityservicesarebeingportrayed
tothegeneralpublicasaninflexibleoutdatedservicestrugglingtomeetstheneedsofpregnantwomenandin
desperateneedofreform.Thestyleofreportingemployedinthisnewspaperinvolvedpresentingtothereader
therangeofexpertopinionrelevanttoeachtopic,frequentlyinvolvingpolarisedpositionsoftheexpertsonthe
issue.
Conclusions:Thegeneralpublicarepresentedwithaconflict,caughtbetweentheneedforchangesthatcome
withtheprimarymaternitymodelofcareandfearthatthesechangewillunderminesafestandards.Thediscourse;
‘Australiaisoneofthesafestcountriesinwhichtogivebirthorbeborn,whatismustbebest’,representsthe
situationwheredespitemajordeficienciesinthesystemthegeneralpublicmaybetoofearfulofthe
consequencestoconsideramoveawayfromrelianceontraditionalmedical-ledmaternitycare.
Background
childbirth,asituationreflectedinthenumberofhealthy
TheAustraliangovernmenthasannouncedamajorpro- Australianwomenwhoelectprivateobstetricservicesin
gram of reform with the move to primary maternity theabsenceofclinicalrisk[3].Thereisnolongerneed
care in line with the recommendations of the national to give birth to a child with abnormalities a
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