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      How baloch women make decisions about the risks associated with different childbirth settings in southeast iran.

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          Abstract

          In Zahedan City in Southeast Iran, some women prefer to give birth at home despite the availability of the equipped hospitals and expert advice that hospital births are safer.

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          Most cited references43

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          Analyzing Qualitative Data

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            Utilization of maternal health care services in Southern India.

            This paper examines the patterns and determinants of maternal health care utilization across different social settings in South India: in the states of Andhra Pradesh, Karnataka, Kerala and Tamil Nadu. Data from the National Family Health Survey (NFHS) carried out during 1992-93 across most states in India are used. Results show that utilization of maternal health care services is highest in Kerala followed by Tamil Nadu, Andhra Pradesh and Karnataka. Utilization of maternal health care services is not only associated with a range of reproductive, socio-economic, cultural and program factors but also with state and type of health service. The interstate differences in utilization could be partly due to variations in the implementation of maternal health care program as well as differences in availability and accessibility between the states. In the case of antenatal care, there was no significant rural-urban gap, thanks to the role played by the multipurpose health workers posted in the rural areas to provide maternal health care services. The findings of this study provide insights for planning and implementing appropriate maternal health service delivery programs in order to improve the health and well-being of both mother and child.
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              Staying home to give birth: why women in the United States choose home birth.

              Approximately 1% of American women give birth at home and face substantial obstacles when they make this choice. This study describes the reasons that women in the United States choose home birth. A qualitative descriptive secondary analysis was conducted in a previously collected dataset obtained via an online survey. The sample consisted of 160 women who were US residents and planned a home birth at least once. Content analysis was used to study the responses from women to one essay question: "Why did you choose home birth?" Women who participated in the study were mostly married (91%) and white (87%). The majority (62%) had a college education. Our analysis revealed 508 separate statements about why these women chose home birth. Responses were coded and categorized into 26 common themes. The most common reasons given for wanting to birth at home were: 1) safety (n = 38); 2) avoidance of unnecessary medical interventions common in hospital births (n = 38); 3) previous negative hospital experience (n = 37); 4) more control (n = 35); and 5) comfortable, familiar environment (n = 30). Another dominant theme was women's trust in the birth process (n = 25). Women equated medical intervention with reduced safety and trusted their bodies' inherent ability to give birth without interference.
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                Author and article information

                Journal
                Nurs Midwifery Stud
                Nursing and midwifery studies
                International Neuroscience Institute
                2322-1488
                2322-1488
                Mar 2015
                : 4
                : 1
                Affiliations
                [1 ] Faculty of Nursing and Midwifery, Zahedan University of Medical Sciences, Zahedan, IR Iran.
                [2 ] Faculty of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran.
                [3 ] Department of Demography and Population Studies, Faculty of Social Science, University of Tehran, Tehran, IR Iran.
                Article
                10.17795/nmsjournal24453
                4377531
                25830159
                4f8bd315-5b4a-4bd2-a7bd-3be5ce514a2f
                History

                Child,Decision Making,Iran,Risk Assessment,Risk Management
                Child, Decision Making, Iran, Risk Assessment, Risk Management

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