scholarly journals Why women chose unassisted home birth in Malaysia: A qualitative study

2020 ◽  
Author(s):  
Nur Amani @ Natasha Ahmad Tajuddin ◽  
Julia Suhaimi ◽  
Siti Nurkamilla Ramdzan ◽  
Khasnur Abd Malek ◽  
Ilham Ameera Ismail ◽  
...  

Abstract Background: Incidences of unassisted home birthing practices have been increasing in Malaysia despite the accessibility to safe and affordable child birthing facilities. We aimed to explore the reasons for women to make such decisions. Methods: Twelve women participated in in-depth interviews. They were recruited using a snowballing approach. The interviews were supported by a topic guide which was developed based on the Theory of Planned Behaviour and previous literature. The interviews were audio-recorded, transcribed verbatim and analysed using thematic analysis.Results: Women in this study described a range of birthing experiences and personal beliefs as to why they chose unassisted home birth. Four themes emerged from the interviews; i) preferred birthing experience, ii) birth is a natural process, iii) expressing autonomy and iv) faith. Such decision to birth at home unassisted was firm and steadfast despite the possible risks and complications that can occur. Giving birth is perceived to occur naturally regardless of assistance, and unassisted home birth provides the preferred environment which health facilities in Malaysia may lack. They believed that they were in control of the birth processes apart from fulfilling the spiritual beliefs.Conclusions: Women may choose unassisted home birth to express their personal views and values, at the expense of the health risks. Apart from increasing mothers' awareness of the possible complications arising from unassisted home births, urgent efforts are needed to provide better birth experiences in healthcare facilities that resonate with the mothers’ beliefs and values.

2020 ◽  
Author(s):  
Nur Amani @ Natasha Ahmad Tajuddin ◽  
Julia Suhaimi ◽  
Siti Nurkamilla Ramdzan ◽  
Khasnur Abd Malek ◽  
Ilham Ameera Ismail ◽  
...  

Abstract Background: Incidences of unassisted home birthing practices have been increasing in Malaysia despite the accessibility to safe and affordable child birthing facilities. We aimed to explore the reasons for women to make such decisions. Methods: Twelve women participated in in-depth interviews. They were recruited using a snowballing approach. The interviews were supported by a topic guide which was developed based on the Theory of Planned Behaviour and previous literatures. The interviews were audio recorded, transcribed verbatim and analysed using thematic analysis. Results: Women in this study described a range of birthing experiences and personal beliefs as to why they chose unassisted home birth. Four themes emerged from the interviews; i) preferred birthing experience, ii) birth is a natural process, iii) expressing autonomy and iv) faith. Such decision to birth at home unassisted was firm and strong despite the possible risks and complications that can occur. Giving birth is perceived to occur naturally regardless of assistance, and unassisted home birth provides the preferred environment which health facilities in Malaysia may lack. They believed that they were in control of the birth processes apart from fulfilling the spiritual beliefs. Conclusions: Women may choose unassisted home birth to express their personal beliefs and values, at the expense of the health risks. Apart from increasing mothers’ awareness of the possible complications arising from unassisted home births, urgent efforts are needed to provide better birth experiences in healthcare facilities that resonate with the mothers’ beliefs and values.


2019 ◽  
Author(s):  
Nur Amani @ Natasha Ahmad Tajuddin ◽  
Julia Suhaimi ◽  
Siti Nurkamilla Ramdzan ◽  
Ahmad Ihsan Abu Bakar ◽  
Khasnur Abdul Malek ◽  
...  

Abstract Background: Reports of unassisted home birthing practices have been increasing in Malaysia despite the accessibility to safe and affordable child delivery facilities. We aimed to explore the reasons for women to make such decision. Methods: Twelve mothers participated in-depth interviews. They were identified using snowballing approach. The interviews were supported by a topic guide which was developed based on the Theory of Planned Behaviour and previous literature. The interviews were audio recorded, transcribed verbatim and analysed using thematic analysis. Results: Women in this study described a range of birthing experiences and personal beliefs to why they chose unassisted home birth. Four themes emerged from the interviews; i) preferred birthing experience, ii) a natural process, iii) expressing autonomy and iv) faith, as reasons for choosing unassisted homebirth. Such decision was firm and strong despite the possible risks and complications that can occur during home birthing. Giving birth is perceived to occur naturally regardless of assistance and home birthing provide the preferred environment which health facilities may lack. Women believed that they were much in control of the birth processes apart from fulfilling the spiritual beliefs. Conclusions: Women may choose unassisted home birth to express their personal beliefs and values, at the expense of the health risks. Apart from increasing mothers’ awareness of the possible complications arising from unassisted home births, urgent efforts is needed to providing a better birth experiences in healthcare facilities that resonate with the mothers’ beliefs and values. Keywords: Home birth; free birth; unassisted home birth; Malaysia; healthcare delivery system; qualitative.


MUSAS ◽  
2019 ◽  
Vol 4 (2) ◽  
Author(s):  
Teresa Mª Martínez-Mollá ◽  
José Siles ◽  
Mª del Carmen Solano

Objectives This study aims to identify the reasons why couples prefer home over hospital birth. Methodology The methodology is an ethnographic qualitative research design carried out in the Alicante Province between 2009 and 2014. Eleven couples that had had at least one planned home birth took part in the study. Twenty-one in-depth interviews and two life stories were carried out and five written records were obtained. For the analysis of the results, we relied on ethnography, the structural-dialectic model, and the software package ATLAS-ti v6.2. Results Three categories were identified: values, beliefs, and wishes. Among the values, it was highlighted that the participants were socially committed and critical with the system. The men were protective, respectful and participative, while the women were highly empowered, confident in their intuition and their capacity to give birth. They believe that delivery is a natural process that usually proceeds normally, a family act and a meaningful moment. Concerning home birth, they consider that there is less risk, their wishes are respected, and the father has a bigger role, contrary to what happens in a hospital birth. Participants wished to continue the tradition and for their rights to be respected and avoiding obstetric violence. Conclusions With their decision, these couples manifested their disagreement with some beliefs rooted in society and thus they refused hospital birth. When comparing the attention received both at home and at the hospital, they chose home birth to avoid obstetric violence and to have their beliefs and values respected.


Oikos ◽  
2016 ◽  
Vol 19 (39) ◽  
pp. 29
Author(s):  
Zahira Moreno Freites ◽  
María García Jiménez ◽  
Judith Hernández

RESUMENEsta investigación examina la espiritualidad y su consideración en el ambiente laboral, específicamente en los trabajadores de la Dirección de Educación Estadal del Municipio Palavecino, Estado Lara, Venezuela. El estudio de tipo descriptivo y cualitativo permitió analizar materiales teóricos relacionados con la espiritualidad en el trabajo, tomando el concepto de espiritualidad de Mitroff y Denton (1999) como marco teórico para esta investigación, además de los aportes de Pérez (2007) y Robles (2011) que exploran el tema y permitieron la elaboración de un constructo teórico para esta investigación. Los resultados evidencian que existe un alto interés por el tema de la espiritualidad tanto en la vida personal como en el trabajo y puede tratarse abiertamente en el ámbito laboral, a pesar de las limitaciones sobre el tema, su principal beneficio es que favorece el equilibrio en todos los aspectos de la vida.Palabras clave: espiritualidad, ambiente laboral, creencias y valores espirituales.An study of case on the analysis of spirituality at the workABSTRACT This research examines spirituality and its consideration in the workplace, specifically on workers of the Directorate of Education of the Municipality Palavecino State Authority, State Lara, Venezuela. The study of descriptive and qualitative analysis allowed theoretical materials related to spirituality at work, taking the concept of spirituality Mitroff and Denton (1999 ) as the theoretical framework for this research, along with the contributions of Perez (2007) and Robles ( 2011) that explore the issue and allowed the development of a theoretical construct for this research. Los results show that there is a high interest in the topic of spirituality both in personal life and at work and can openly addressed in the workplace, despite the limitations on the subject, its main benefit s that it favors the balance in all aspects of life .Keywords: spirituality, work environment, spiritual beliefs and values. Um estudo de caso na análise da espiritualidade no trabalho RESUMO Esta pesquisa analisa a espiritualidade e sua consideração no local de trabalho, especificamente nos trabalhadores do Departamento de Educação Estadual do Município Palavecino, Estado de Lara, Venezuela. O estudo de análise descritiva e qualitativa permitiu investigar materiais teóricos relacionados à espiritualidade no trabalho, tomando o conceito de espiritualidade de Mitroff e Denton (1999) como marco teórico para esta pesquisa, juntamente com as contribuições de Pérez (2007) e Robles ( 2011) que exploram o tema e permitiram o desenvolvimento de uma construção teórica para esta pesquisa. Os resultados mostram que existe um alto interesse pela temática da espiritualidade tanto na vida pessoal como no trabalho e pode-se tratar abertamente no espaço de trabalho, apesar das limitações sobre o assunto, seu principal benefício é que favorece o equilíbrio em todos os aspectos da vida.Palavras-chave: espiritualidade, ambiente de trabalho, crenças e valores espirituais.


Dementia ◽  
2021 ◽  
pp. 147130122110140
Author(s):  
Ina Luichies ◽  
Anne Goossensen ◽  
Hanneke van der Meide

This article aims to gain insight in the normative struggles of adult children caring for their ageing mother living with dementia. Two Dutch autobiographical books written by siblings recording their own caregiving experience were analysed using a narrative design. Children appear to understand their normative concerns through six fields of tension. Our analysis shows that filial caregivers describe two distinct approaches to deal with these normative tensions. One approach aims to preserve the child’s pre-existing personal beliefs and values, but also causes the child to demonstrate rigid and uncompromising behaviour at odds with the needs of their parent. The other approach is more reflective and flexible, prioritizing the needs of the vulnerable person over previously held values, providing an opportunity for better care. We conclude that caregiving children have to find their way between being faithful to their principles and showing moral flexibility.


2018 ◽  
Vol 49 (5) ◽  
pp. 1198-1215 ◽  
Author(s):  
Yochay Nadan ◽  
Netanel Gemara ◽  
Rivka Keesing ◽  
Esther Bamberger ◽  
Dorit Roer-Strier ◽  
...  

AbstractThis article addresses child protection in close-knit religious communities. Specifically, it presents the findings of a qualitative research project that examined Ultra-Orthodox Jewish parents’ perceptions and ascribed meanings of child risk and protection based on fifty in-depth interviews with parents from Israel and the USA. Here, we hone in on one key theme that emerged from our analysis of the interviews, which the interviewees themselves referred to as ‘spiritual risk’. ‘Spiritual risk’ is a complex construct comprising the following three interrelated dimensions: (i) a decline in observance of the Torah and the commandments, (ii) violation of socio-cultural norms and rules and (iii) a decline in spiritual beliefs, including the sense of connection with G-d. In the eyes of parents, it is decline in these three dimensions that constitutes the ‘spiritual risk’ to the child. ‘Spiritual risk’ can be a consequence of parental maltreatment and can result in children and adolescents moving away from the Ultra-Orthodox religious world and leaving their community. The results of this study advocate context-informed and religious-sensitive prevention and intervention programmes. They also highlight the need to include context and religious competency in the training of professionals working with diverse communities.


2018 ◽  
Vol 24 (4) ◽  
pp. 307-323 ◽  
Author(s):  
Nelson Kee Fu Tsang ◽  
Ophelia Wong ◽  
Bruce Prideaux

The key objective of this study was to develop a theory-based understanding of the role that travel advisories play in how tourists make decisions to travel to specific destinations. Many countries issue travel alerts to inform their citizens about potential risks when travelling abroad. The literature has largely ignored this area of travel research despite the potential for tourists to become embroiled in a wide range of crisis events during foreign travel. This study first examined users’ perspectives of Hong Kong’s Outbound Travel Alert system using a mix of focus groups and in-depth interviews. The study found that outbound tourists had a low level of awareness and knowledge of travel advisories and many respondents preferred alternative information sources such as the Internet, social media and commercial news channels. In comparison, representatives of travel agencies and insurance companies reported that the alert system was useful in the pursuit of their business but felt there were shortcomings that needed to be addressed. Based on these findings, a model incorporating elements of the theory of planned behaviour and the protection motivation theory was developed to assist in the assessment of travel advisory compliance intention.


2016 ◽  
Vol 22 (2) ◽  
pp. 255-265 ◽  
Author(s):  
Melissa N Galea Holmes ◽  
John A Weinman ◽  
Lindsay M Bearne

Walking is an effective but underused treatment for intermittent claudication. This qualitative study explored people’s experiences of and beliefs about their illness and walking with intermittent claudication. Using the Framework method, semi-structured in-depth interviews included 19 individuals with intermittent claudication, and were informed by the Theory of Planned Behaviour and Common Sense Model of Illness Representations. Walking was overlooked as a self-management opportunity, regardless of perceptions of intermittent claudication as severe or benign. Participants desired tailored advice, including purposeful and vigorous exercise, and the potential outcome of walking. Uncertainties about their illness and treatment may explain low walking participation among people with intermittent claudication.


2021 ◽  
Author(s):  
Roberta Guglielmetti Mugion ◽  
Pasca Maria Giovina ◽  
Di Pietro Laura ◽  
Maria Francesca Renzi

Abstract Background. The paper aims to understand the main antecedents related to the blood donation propensity related to both donors and non-donors. With our research, we will analyse the two perspectives to identify similarities and differences concentrating on the Italian context. Blood is a vital resource that strongly affects every national healthcare system's efficacy and sustainability and the system's ability to achieve the goal of universal coverage. Methods. The purpose of this paper is to understand the main antecedents of citizens' blood donation intention and the propensity to encourage communication about blood donation among both donors and non-donors. The Theory of Planned Behaviour is adopted as a theoretical lens. An empirical investigation was performed in Italy, adopting a mixed methods research design. First, a qualitative analysis was carried out through 30 in-depth interviews. Then, a survey was used to quantitatively investigate the intention to donate among both donors (N=173) and non-donors (N=87). A conceptual model was developed and tested through Structural Equation Modelling, developing a multi-group approach. Results. The present study confirms the relations proposed by the Theory of Planned Behaviour, even though some differences between the two groups are shown. The construct Information and Communication is crucial for donors, non-donors, whereas for non-donor inhibitors is vital. Service quality has an impact on the propensity to recommend and communicate the value of blood donation.Conclusion. This paper reveals the main differences between donor and non-donor perspectives. Fruitful insights for enhancing blood donation awareness are provided.


Author(s):  
Ivan Szabo

Regular and adequate reading of teachers will increase knowledge related to the topic. With the spirit of the War of Liberation, there will be a need to develop the person's consciousness to protect freedom, sovereignty and integrity. In order to help educate the education and help the production, the contents of the curriculum should be presented in class by the technical and participatory technique. Students will have to practice to work in an active participative way. To make students aware about the surrounding environment, people need to use their real-life experience to provide realistic ideas about nature social technology. Students must be encouraged to use the media to get an idea of history, terrain, culture, constitution of country and nation.


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