Please use this identifier to cite or link to this item: http://hdl.handle.net/2381/33350
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dc.contributor.authorArmstrong, Natalie-
dc.contributor.authorKenyon, Sara-
dc.date.accessioned2015-10-22T10:58:15Z-
dc.date.available2015-10-22T10:58:15Z-
dc.date.issued2015-12-09-
dc.identifier.citationHealth (London), 2015, 1363459315617311en
dc.identifier.issn1363-4593-
dc.identifier.urihttp://hea.sagepub.com/content/early/2015/12/08/1363459315617311.abstracten
dc.identifier.urihttp://hdl.handle.net/2381/33350-
dc.description.abstractChoice and patient involvement in decision-making are strong aspirations of contemporary healthcare. One of the most striking areas in which this is played out is maternity care where recent policy has focused on choice and supporting normal birth. However, birth is sometimes not straightforward and unanticipated complications can rapidly reduce choice. We draw on the accounts of women who experienced delay during labour with their first child. This occurs when progress is slow, and syntocinon is administered to strengthen and regulate contractions. Once delay has been recognised the clinical circumstances limit choice. Drawing on Mol’s work on the logics of choice and care, we explore how, although often upsetting, women accepted that their choices and plans were no longer feasible. The majority were happy to defer to professionals who they regarded as having the necessary technical expertise, while some adopted a more traditional medical model and actively rejected involvement in decision making altogether. Only a minority wanted to continue active involvement in decision-making, although the extent to which the possibility existed for them to do so was questionable. Women appeared to accept that their ideals of choice and involvement had to be abandoned, and that clinical circumstances legitimately changed events.en
dc.language.isoenen
dc.publisherSAGE Publications (UK and US)en
dc.rightsCopyright © the authors, 2015. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-commercial License (http://creativecommons.org/licenses/by-nc/3.0), which permits unrestricted use, distribution, and reproduction in any medium non-commercially, provided the original author and source are credited.en
dc.subjectUKen
dc.subjectChoiceen
dc.subjectmaternityen
dc.subjectqualitativeen
dc.titleWhen choice becomes limited: women’s experiences of delay in labouren
dc.typeJournal Articleen
dc.identifier.doi10.1177/1363459315617311-
dc.identifier.eissn1461-7196-
dc.description.statusPeer-revieweden
dc.description.versionPost-printen
dc.type.subtypeArticle-
pubs.organisational-group/Organisationen
pubs.organisational-group/Organisation/COLLEGE OF MEDICINE, BIOLOGICAL SCIENCES AND PSYCHOLOGYen
pubs.organisational-group/Organisation/COLLEGE OF MEDICINE, BIOLOGICAL SCIENCES AND PSYCHOLOGY/School of Medicineen
pubs.organisational-group/Organisation/COLLEGE OF MEDICINE, BIOLOGICAL SCIENCES AND PSYCHOLOGY/School of Medicine/Department of Health Sciencesen
pubs.organisational-group/Organisation/COLLEGE OF MEDICINE, BIOLOGICAL SCIENCES AND PSYCHOLOGY/Themesen
pubs.organisational-group/Organisation/COLLEGE OF MEDICINE, BIOLOGICAL SCIENCES AND PSYCHOLOGY/Themes/Populationen
pubs.organisational-group/Organisation/COLLEGE OF MEDICINE, BIOLOGICAL SCIENCES AND PSYCHOLOGY/Themes/RESULTen
dc.dateaccepted2015-10-15-
Appears in Collections:Published Articles, Dept. of Health Sciences

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