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Heidi Preis Michal Eisner Rony Chen Yael Benyamini 《Women and birth : journal of the Australian College of Midwives》2019,32(1):e110-e117
Problem
Birth preferences, such as mode and place of birth and other birth options, have important individual and societal implications, yet few studies have investigated the mechanism which predicts a wide range of childbirth options simultaneously.Background
Basic beliefs about birth as a natural and as a medical process are both predictive factors for childbirth preferences. Studies investigating birth beliefs, preferences, and actual birth are rare.Aim
To test a predictive model of how these beliefs translate into birth preferences and into actual birth related-options.Methods
Longitudinal observational study including 342 first-time expectant mothers recruited at women’s health centres and natural birth communities in Israel. All women filled out questionnaires including basic birth beliefs and preferred birth options. Two months postpartum, they filled out a questionnaire including detailed questions regarding actual birth.Findings
Stronger beliefs about birth being natural were related to preferring a more natural place and mode of birth and preferring more natural birth-related options. Stronger beliefs about birth being medical were associated with opposite options. The preferences mediated the association between the birth beliefs and actual birth. The beliefs predicted the preferences better than they predicted actual birth.Discussion
Birth beliefs are pivotal in the decision-making process regarding preferred and actual birth options. In a medicalized obstetric system, where natural birth is something women need to actively seek out and insist on, the predictive powers of beliefs and of preferences decrease.Conclusion
Women’s beliefs should be recognized and birth preferences respected. 相似文献2.
Internet discussion platforms in China provide a hugely interesting and relevant source for understanding dynamics of online discussions in a unique context. Adopting the theoretical lens of public deliberation, this paper investigates the evolution of patterns of similar-minded and different-minded interactions over time on a Chinese online discussion forum. We analyse the content and reply networks of 18,000+ messages on four highly debated topics on the Bulletin Board System (BBS) platform Tianya. Findings provide nuanced evidence to the phenomenon of increased network homophily over time, mitigated in discussions where the difference between opinion sides is smaller, and participants have positive opinions. Providing empirical foundation for testing and refining the tenets of public deliberation in the unique socio-cultural and institutional environment of China, this study lays ground for future investigation on independent variables for understanding dynamics of online discussions, and for studies comparing cases across different contexts. 相似文献
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