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concurrent analysis of choice and control in childbirth并发在分娩时选择的分析和控制
Snowden et al. BMC Pregnancy and Childbirth 2011, 11:40
/1471-2393/11/40
RESEARCH ARTICLE Open Access
Concurrent analysis of choice and control in
childbirth
1 2 3 4*
Austyn Snowden , Colin Martin , Julie Jomeen and Caroline Hollins Martin
Abstract
Background: This paper reports original research on choice and control in childbirth. Eight women were
interviewed as part of a wider investigation into locus of control in women with pre-labour rupture of membranes
at term (PROM) [1].
Methods: The following study uses concurrent analysis to sample and analyse narrative aspects of relevant
literature along with these interviews in order to synthesise a generalisable analysis of the pertinent issues. The
original PROM study had found that women experienced a higher degree of control in hospital, a finding that
appeared at odds with contemporary notions of choice. However, this paper contextualises this finding by
presenting narratives that lucidly subscribe to the dominant discourse of hospital as the safest place to give birth,
under the premise of assuring a live healthy baby irrespective of their management type.
Results: This complex narrative is composed of the following themes: ‘perceiving risk’, ‘being prepared’, ‘reflecting
on experience’, maintaining control’ and relinquishing control’. These themes are constructed within and around
the medical, foetocentric, risk averse cultural context. Primary data are presented throughout to show the origins
and interconnected nature of these themes.
Conclusions: Within this context it is clear that there is a highly valued role for competent health professionals
that respect, understand and are capable of facilitating genuine choice for women.
Keywords: Choice control
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