title: 'She can choose, as long as I'm happy with it': a qualitative study of expectant fathers' views of birth place.
abstract: OBJECTIVE
  A programme of research was undertaken to explore which factors contributed to decisions regarding birth place. As part of this programme, the views of male partners of pregnant women were examined to gain understanding of their contribution to the decision making process, with regard to different birth settings.
  
  
  METHODS
  A qualitative interpretive approach was utilised to explore, in-depth, the views of 19 expectant fathers, in the North West of England. Semi-structured interviews were conducted, audio recorded and transcribed, following consent. Data were analysed using a thematic approach.
  
  
  RESULTS
  Four main themes were identified; Silent decisions, Powers of persuasion, Trust in a medical environment and Personal vulnerability.
  
  
  CONCLUSIONS
  Choice regarding place of birth is multi-dimensional. Expectant fathers are likely to contribute to their partner's decision making; their motivation can relate to their own beliefs and personal vulnerability as well the need to protect the women. The overwhelming trust in the medical environment dominates partner's views regarding birth place. The lack of discussion regarding birth place, between partners and with health professionals, reinforces the notion that hospital birth is safest, thus strengthening the normalization of birth in this environment. Midwives need to engage with expectant fathers to ensure that their contributions to decisions around birth place are fully informed.
authors: The University of Manchester, School of Nursing, Midwifery & Social Work, Jean McFarlane Building, Oxford Road, Manchester M13 9PL, UK. Carol.bedwell@manchester.ac.uk
authors: Carol
authors: C
authors: Bedwell
authors: Gillian
authors: G
authors: Houghton
authors: Yana
authors: Y
authors: Richens
authors: Tina
authors: T
authors: Lavender
mesh_terms: D000328:Adult; D001294:Attitude to Health; D002755:Choice Behavior; D003469:Culture; D003657:Decision Making; D004739:England; D005220:Fathers / Q000523:psychology*; D005260:Female; D006700:Home Childbirth / Q000523:psychology*; D006761:Hospitals; D006801:Humans; D007398:Interpersonal Relations; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D009035:Mothers; D009042:Motivation; D010817:Physician-Patient Relations; D011209:Power, Psychological; D011247:Pregnancy; D036301:Qualitative Research; D018454:Spouses / Q000523:psychology; D035502:Trust; D055815:Young Adult