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1.
Australia’s low fertility rate is commonly attributed to deliberate decisions by women to avoid having children. Existing
theoretical explanations of fertility decision-making mostly view childbearing as a rational, voluntary process and focus
on the ‘costs’ to women of having children. Although this may help explain why women do not have children, it contributes
very little to understanding why women do have children. This study describes childbearing desires, expectations and outcomes
in a population-based sample of 569 30–34-years-old Australian women recruited from the Australian Electoral Roll in 2005.
Most women surveyed wanted to have children, and their childbearing outcomes were associated with biological, psychological
and social factors including the lack of a partner and adverse health conditions. The factors and their relative importance
varied by parity. Most women had fewer children than they desired, and many would have children, or more children, if their
circumstances were different. These data challenge prevailing assumptions about women’s childbearing behaviour that women
are able to choose when and if they have a child. Based on the findings, a conceptual framework of childbearing behaviour
is proposed which builds on existing theoretical explanations to explain why women do and do not have children, differences
by parity, and the role of circumstances in women’s childbearing behaviour. The findings and conceptual framework have implications
for public policies, and indicate that multiple approaches are required which are sensitive to and address the barriers women
face in family formation. 相似文献
2.
Ann M. Kingsbury Maria Plotnikova Alexandra Clavarino Abullah Mamun Jake M. Najman 《Women and birth : journal of the Australian College of Midwives》2018,31(1):52-58
Background
Sound evidence has linked the experience of adversity with depression. Less is known about this association over time.Aim
The aim of this study is to determine whether or not social adversity experienced by pregnant women is associated with their patterns of depressive symptoms over their reproductive life course.Methods
Data were obtained from a cohort of women collected at their first obstetrical clinic visit of an index pregnancy (time-point 1) and at a further six time-points to 27 years following the birth. Latent Class Growth Modelling was used to estimate trajectories of women’s depressive symptoms over this time period. Logistic regression modelling determined the prospective association between measures of adversity in pregnancy and 27-year postpartum depression trajectories, controlling for potential confounders.Findings
Experiencing financial problems, housing problems, serious disagreements with partners and with others, and experiencing serious health problems in pregnancy were associated with membership of high and middle depression trajectories over the 27 years. Having someone close die or have a serious illness was associated with the high depression trajectory only. Younger maternal age and low family-income at first clinic visit were also associated with an increased risk of women’s membership of both high and middle depression trajectories.Conclusions
Experiencing adversity during pregnancy predicts subsequent patterns of maternal depression over an extended period of women’s reproductive life course. It is not clear whether women’s experiences of adversity during pregnancy were causally associated with subsequent depression or whether there are other explanations of the observed association. 相似文献3.
Clemence Due Kate Obst Damien W. Riggs Catherine Collins 《Women and birth : journal of the Australian College of Midwives》2018,31(4):331-338
Background
Despite increased awareness of the psychological impact of pregnancy loss, a lack of recognition continues with regards to women’s experiences. Healthcare professionals have an important role to play in supporting women following a pregnancy loss, yet to date only a relatively small body of research has examined women’s experiences with healthcare providers.Aim
This paper seeks to contribute to the literature on women’s engagement with healthcare professionals by exploring the experiences of an Australian sample.Method
Fifteen heterosexual women living in South Australia were interviewed about their experiences of pregnancy loss. A thematic analysis was undertaken, focused on responses to one interview question that explored experiences with healthcare professionals.Findings
Three themes were identified. The first theme involved negative experiences with healthcare providers, and included four subthemes: (1) ‘confusing and inappropriate language and communication’, (2) ‘the hospital environment’, (3) ‘lack of emotional care’, and (4) ‘lack of follow-up care’. Under the second theme of positive experiences, the sub-themes of (1) ‘emotionally-engaged and present individual staff’, and (2) ‘the healthcare system as a whole’ were identified. Finally, a third theme was identified, which focused holistically on the importance of healthcare professionals.Conclusion
The paper concludes by discussing the importance of training for healthcare professionals in supporting women who experience a pregnancy loss, and the need for further research to explore the experiences of other groups of people affected by pregnancy loss. 相似文献4.
Ana Patrícia Hilário 《Journal of women & aging》2013,25(6):498-509
ABSTRACTThere has been a tendency within the literature to ignore how men and women who are very ill and at the end of life perceive and experience their visibly altered bodies. This article aims to provide new insights about this matter. A qualitative research approach was adopted. In-depth interviews were conducted with 10 hospice patients, 20 family members, and 20 members of hospice staff. Findings reveal that because of masculine and feminine norms, physical appearance is more a matter of concern to women than to men who are close to death. This contradicts theories that suggest that patients experience a disinvestment on their sense of masculinity and femininity alongside the process of bodily deterioration and decay prior impending potential death. 相似文献
5.
Using data on monozygotic (MZ) (identical) female twins from the Minnesota Twin Registry, we estimate the causal effect of schooling on completed fertility, probability of being childless, and age at first birth using the within-MZ twins methodology. We find strong cross-sectional associations between schooling and the fertility outcomes, and some evidence that more schooling causes women to have fewer children and delay childbearing, though not to the extent that interpreting cross-sectional associations as causal would imply. Our conclusions are robust when taking account of (1) endogenous within-twin pair schooling differences due to reverse causality and (2) measurement error in schooling. We also investigate possible mechanisms and find that the effect of women’s schooling on completed fertility is not mediated through husband’s schooling but may be mediated in part through age at first marriage. 相似文献
6.
《Women and birth : journal of the Australian College of Midwives》2021,34(4):e396-e405
BackgroundThe process of developing a survey instrument to evaluate women’s experiences of their maternity care is complex given that maternity care encapsulates various contexts, services, professions and professionals across the antenatal, intranatal and postnatal periods.AimTo identify and prioritise items for inclusion in the National Maternity Experience Survey, a survey instrument to evaluate women’s experiences of their maternity care in the Republic of Ireland.MethodsThis study used an adapted two-phase exploratory sequential mixed methods design. Phase one identified items for possible inclusion and developed an exhaustive item pool through a systematic review, focus groups and one to one interviews, and a gap analysis. Phase two prioritised the items for inclusion in the final item bank through a Delphi study and consensus review.FindingsFollowing iterative consultation with key stakeholder groups, a bank of 95 items have been prioritised and grouped within eight distinct care sections; care during your pregnancy, care during your labour and birth, care in hospital after the birth of your baby, specialised care for your baby, feeding your baby, care at home after the birth of your baby, overall care and you and your household.ConclusionRobust and rigorous methods have been used to develop a bank of 95 suitable items for inclusion in the National Maternity Experience Survey. 相似文献
7.
Mary Arends-Kuenning 《Demography》2001,38(4):481-496
In Bangladesh, family planning workers' visits reduce the costs of contraception and may increase the demand. If visits increase demand or if workers are targeting their visits, past visits by family planning workers should have a positive and significant effect on later probabilities of adopting contraceptive methods. Longitudinal data show that past visits are not significant in hazard models for adoption of contraceptive methods, whereas visits in the current round are significant. Therefore family planning workers' visits affect women's contraceptive behavior by decreasing the costs of contraception. Results of contraceptive discontinuation hazard models further support this hypothesis. 相似文献
8.
We use data from the Indonesia Family Life Survey to investigate the impact of a major expansion in access to midwifery services on health and pregnancy outcomes for women of reproductive age. Between 1990 and 1998 Indonesia trained some 50,000 midwives. Between 1993 and 1997 these midwives tended to be placed in relatively poor communities that were relatively distant from health centers. We show that additions of village midwives to communities between 1993 and 1997 are associated with a significant increase in body mass index in 1997 relative to 1993 for women of reproductive age, but not for men or for older women. The presence of a village midwife during pregnancy is also associated with increased birthweight. Both results are robust to the inclusion of community-level fixed effects, a strategy that addresses many of the concerns about biases because of nonrandom program placement. 相似文献
9.
Sarah E. Bledsoe Cynthia F. Rizo Traci L. Wike Candace Killian-Farrell Julia Wessel Anne-Marie O. Bellows Alison Doernberg 《Women and birth : journal of the Australian College of Midwives》2017,30(5):e248-e257
Problem
Adolescent mothers and their children are at high-risk for depression and the associated negative educational, social, health, and economic outcomes.Background
However, few pregnant adolescent women with depression receive psychiatric services, especially low-income or racial/ethnic minority adolescent women.Aim
This qualitative study explores perceptions of depression, psychiatric services, and barriers to accessing services in a sample of low-income, pregnant racial/ethnic minority adolescent women. Our goal was to better understand the experiences of depression during pregnancy for these vulnerable adolescent women, and thereby improve their engagement and retention in services for perinatal depression.Methods
We recruited 20 pregnant adolescent women who screened positive for depression from 2 public health prenatal clinics in the southeastern United States. Participants were low-income and primarily racial/ethnic minority women between 14 and 20 years old. Data were collected through individual in-depth, ethnographically informed interviews.Findings
Generally, participants lacked experience with psychiatric services and did not recognize their symptoms as depression. However, participants perceived a need for mood improvement and were interested in engaging in services that incorporated their perspective and openly addressed stigma.Discussion
Participants reported practical and psychological barriers to service engagement, but identified few cultural barriers. Family perceptions of psychiatric services served as both a barrier and support.Conclusion
Adolescent women are more likely to engage in psychiatric services if those services reduce practical and psychological barriers, promise relief from the symptoms perceived as most meaningful, and address underlying causes of depression. Culture may affect Latina adolescent women’s perceptions of depression and services. 相似文献10.
Leonora Risse 《Journal of Population Research》2010,27(3):213-240
In 2004, at a time when the nation was experiencing the lowest fertility trends in its history, the Australian Federal Government
introduced the offer of a cash payment of 3,000 to all women on the birth of a new baby. The maternity payment, commonly known as the baby bonus, was increased to3,000 to all women on the birth of a new baby. The maternity payment, commonly
known as the baby bonus, was increased to 4,000 in 2006 and to $5,000 in 2008. While not explicitly declared a pronatalist
policy at the time of its introduction, the baby bonus was later credited with helping to halt the decline of the nation’s
aggregate birth rates. This paper examines the effect of this policy on Australian women’s childbearing intentions from 2001
to 2008, using panel data from the Household, Income and Labour Dynamics (HILDA) Survey. The results indicate that the introduction
of the baby bonus coincided with a statistically significant increase in women’s childbearing intentions. More specifically,
the strongest increase occurred among women from lower-income households, potentially implying that the policy had the strongest
effect on women who, given their current characteristics, are relatively likely to be reliant on welfare assistance to raise
their children over the long term. The inferences drawn from the paper’s findings raise concern over the capacity of the baby
bonus policy to reduce aggregate dependency rates. 相似文献
11.
12.
Nasrin Tayyari Dehbarez Stina Lou Niels Uldbjerg Anne Møller Dorte Gyrd-Hansen Rikke Søgaard 《Women and birth : journal of the Australian College of Midwives》2018,31(6):e389-e394
Objective
To investigate pregnant women’s decision making in relation to their choice of birthing hospital and, in particular, their priorities regarding hospital characteristics.Methods
The focus of this study was the choice of birthing hospital among pregnant women. A qualitative interview design was used and women were recruited during their first pregnancy-related visit to a general practitioner. The interviews were conducted using a semi-structured interview guide, and a thematic analysis of the data was carried out.Results
Women made their hospital choice decision independently and they relied extensively on their own or peers’ experiences. Travel distance played a role, but some women were willing to incur longer travel times to give birth at a specialized hospital in order to try to reduce the risks (in case of unexpected events). The women associated the presence of specialized services and staff that were more qualified and experienced with increased safety. Other priorities included continuity of care (i.e., being seen by the same midwife) as well as service availability, which in this case referred to the possibility of a water birth and postnatal hoteling services.Conclusions
The choice of hospital provider appears to be strongly influenced by experience, whether personal experience or the experience of peers. However, there appears to be room for more information to be provided on safety and service attributes as an instrument for making an informed decision. 相似文献13.
《Women and birth : journal of the Australian College of Midwives》2023,36(2):e237-e245
BackgroundMost women who give up smoking during pregnancy relapse to smoking postnatally. Evidence on strategies that are helpful in maintaining smoking cessation during and beyond pregnancy is limited.AimThis paper aims to explore Aboriginal women’s experiences of quitting smoking, relapsing, and preventing relapse, focusing on the strategies they applied for attaining and maintaining abstinence and the support they received.MethodsQualitative interviews were conducted between October 2020 and June 2021, in urban New South Wales, Australia, with 12 Aboriginal women who either smoked tobacco or quit smoking and had been pregnant in the last five years. Aboriginal Research Assistants recruited participants, participated in data collection and data analysis. Data were thematically analysed.ResultsMajor themes that emerged from the data include: a) aspiration to be abstinent; b) strong mindset; c) strategies to stay smoke-free; d) supports received; and e) service and policy recommendations. Protecting children from second-hand smoke had salience for the maintenance of abstinence. Having a strong mindset was perceived as a prerequisite to staying smoke-free. Use of multiple coping strategies in combination was frequently expressed. Knowledge about tobacco-related harms, the way nicotine dependence works, and the available support options was empowering and enabled informed decision making and actions around smoking cessation.ConclusionThis qualitative study conducted with 12 Aboriginal women revealed that Aboriginal women employ multiple strategies (cognitive, behavioural and social) to quit smoking and stay smoke-free. The strategies warrant further exploration with different Aboriginal communities across Australia and consideration of inclusion in smoking cessation care. 相似文献
14.
Music is an important part of the human experience, arguably contributing to identity and the formation of relationships and group memberships. However, the way women are portrayed in music has been identified as harmful and disempowering. Past research relating music to these trends has often failed to “give voice” to participants by asking them what think about the music they listen to, which is in itself disempowering. Therefore, the aim of this study was to gain an understanding of young women’s perspectives of popular music. Face-to-face, in-depth, semi-structured interviews were conducted with 10 young women. Causal layered analysis was used to deconstruct participants’ understandings of popular music. Findings revealed that for participants, music can both reflect and contribute to conflicting worldviews regarding women’s freedom of expression and sexual conservatism. Music also acted as a conduit for discussion of the social construction of women; participants articulated that female artists are seen rather than heard, reduced to body parts and commodified. Findings indicate that participants are cognizant of gendered power differences in music, rendering popular music in particular a mechanism for the oppression of women, but also a useful means to monitor and challenge problematic cultural attitudes directed at women. 相似文献
15.
Hazel MacRae 《Journal of women & aging》2013,25(3):211-224
ABSTRACTBased on data obtained from in-depth, qualitative interviews conducted with 30 older Canadian women, this article examines older women’s experiences with, and views of, physicians. The research participants report a very high level of satisfaction with the patient–physician relationship; however, they also report physician shortcomings. Findings indicate that participants’ satisfaction with the patient–physician relationship was influenced by “stories about other doctors,” rationalizations and justifications, and a high level of patient assertiveness. 相似文献
16.
《Women and birth : journal of the Australian College of Midwives》2022,35(5):440-446
BackgroundThe COVID-19 pandemic has had a profound effect on the emotional well-being of expecting mothers. Sweden’s unique strategy for managing COVID-19 involved no national lockdown. Emphasis was instead placed on limiting crowding and asking citizens to practice social distancing measures.AimTo gain a deeper understanding of how women not infected by SARS-CoV-2 experienced pregnancy during the COVID-19 pandemic in Sweden.MethodsThis was a qualitative study with a reflective lifeworld approach. Fourteen women that had not contracted COVID-19 and who were pregnant during the first and second wave of the pandemic were interviewed. Data were analysed with a phenomenological reflective lifeworld approach.FindingsThe essence of the women’s experiences of being pregnant during the COVID-19 pandemic was best described as being in the shadow of the unknown, where the COVID-19 pandemic could at times totally overshadow the experience of being pregnant, while at other times, rays of sunlight pierced through the clouds. The experience was characterised by having to deal with the uncertainties caused by the pandemic and feelings of being in an information echo. Women felt socially isolated and had to face maternal check-ups without the support of their partners. There was, however, a strong trust in maternal health-care services despite the lack of information available.ConclusionBeing in the shadow of the unknown represents the uncertainties posed by the COVID-19 pandemic on the experience of pregnancy. Sufficient information, a companion of choice and screening for emotional well-being are important factors in maternity care during pandemics. 相似文献
17.
A single latent variable model of health status and therapeutic health care utilization is estimated for parents and own children
of 6,557 US households. The equation system that identifies latent health status simultaneously determines a number of indicators
of general health, including presence of morbidity symptoms, mobility limitations, medication needs, and utilization of therapeutic
health care services. The main goal of the paper was to obtain an unbiased estimate of parents’ marginal substitution rate
between own and child health. Results indicate that parents’ valuation of their children’s health exceeds their valuation
of own health by almost twofold on average.
相似文献
Thomas D. CrockerEmail: |
18.
Rosalind Haddrill Georgina L. Jones Dilly Anumba Caroline Mitchell 《Women and birth : journal of the Australian College of Midwives》2018,31(3):220-231
Background
Delayed access to antenatal care in high income countries is associated with poor maternal, fetal and neonatal outcomes. The aim was to synthesise the diverse body of evidence around women’s views of early antenatal care and barriers to attendance in such countries. Critical Interpretive Synthesis integrates the process of systematic review with the qualitative methods of meta-ethnography and grounded theory, with a focus on theory generation to inform policy, practice and future research.Methods
Database searches were conducted, supplemented with reference and citation tracking and website searching between February 2014 and April 2016. Qualitative data analysis methods were used to extract and summarise the key themes from each study. A taxonomy of constructs was created, with the synthesis developed to thread these together. Fifty-four papers were synthesised, including qualitative, quantitative, mixed method and systematic review, published between 1987 and 2016.Findings
Seventeen constructs around the core concept of ‘acceptance of personal and public pregnancies’ were produced. Acceptance of the ‘personal’ pregnancy considers the contribution of mindset in the recognition and acceptance of pregnancy, influenced by knowledge of pregnancy symptoms, pregnancy planning and desire. Acceptance of the ‘public’ pregnancy considers women’s assessment of the social consequences of pregnancy, and the relevance and priority of antenatal care.Conclusion
Critical Interpretive Synthesis offers a systematic yet creative approach to the synthesis of diverse evidence. The findings offer new perspectives on women’s perceptions of early pregnancy and attendance for care, which may be used to facilitate timely antenatal provision for all pregnant women. 相似文献19.
《Women and birth : journal of the Australian College of Midwives》2021,34(6):585-592
ProblemPregnancy loss is a distressing experience for parents, however no research has addressed grandmothers’ experiences of grief and support following a child’s pregnancy loss.BackgroundNo research has specifically addressed grandmothers’ experiences of support and bereavement care following pregnancy loss.AimThis study seeks to understand three key areas: (1) the support grandmothers provide to their child; (2) the support they received themselves following pregnancy loss, and; (3) supports desired by grandmothers. The study aims to contribute insights into actions midwives could take to support grandmothers following pregnancy loss.MethodsSemi-structured interviews were conducted with 14 grandmothers to understand their support experiences. Interviews were analysed using Braun and Clarke’s approach to thematic analysis.FindingsThemes related directly to the three research questions: one: providing support, comprising two themes — being strong, protecting their family and the challenges of knowing how to help. Two, receiving support, also comprised two themes — lack of professional support offered to grandmothers and informal support and self-support strategies. Three, desired support, comprised three themes — I had no idea: increasing knowledge of pregnancy loss, peer support helps: they know how it feels, and honouring our grandchildren, making meaning.DiscussionGrandmothers may give extensive support to their child following pregnancy loss but lack confidence and face challenges in doing so. Few formal supports are available to grandmothers themselves, with grandmothers relying on their social networks for their own support.ConclusionsGrandmothers need early access to information and guidance from midwives and hospital bereavement services, as well as ongoing peer support with flexible delivery options. 相似文献
20.
《Women and birth : journal of the Australian College of Midwives》2022,35(5):e477-e486
BackgroundExperiencing complications in pregnancy is stressful for women and can impact on fetal and maternal outcomes. Supportive encounters with health professionals can reduce the worry women experience. Further research is needed to understand women’s perspectives on communicating with their healthcare providers about their concerns.AimThis study explored women’s experiences of receiving information about pregnancy complications from healthcare providers and their interactions with multiple professionals and services during pregnancy.MethodsThis was a qualitative interpretive study. Semi-structured interviews were conducted with 20 women experiencing pregnancy complications recruited from antenatal services at two hospitals in Sydney. Inductive thematic analysis was used to analyse the data.FindingsWomen had a range of reactions to their diagnoses, including concern for their baby, for themselves and for their labour. Most women reported that communication with healthcare providers was distressing, they were not listened to and staff used insensitive, abrupt language. Women were also distressed by delays in education, receiving contradictory information and having to repeatedly share their stories with different health professionals. In some cases, this damaged the therapeutic relationship and reduced trust towards healthcare providers. Midwives were generally preferred over doctors because they had a more woman-centred approach.ConclusionTo improve women’s experiences of care for pregnancy complications, it is critical to improve the communication skills of maternity service providers. Women’s need for information, resources and support can best be provided by continuity of care with a named health professional, for example, a midwife working within an integrated multidisciplinary antenatal service model. 相似文献