Open Access‘The System is Not Set up for the Benefit of Women’: Women’s Experiences of Decision-Making During Pregnancy and Birth in Ireland
Author(s) -
Susann Huschke
Publication year - 2021
Publication title -
qualitative health research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.303
H-Index - 113
eISSN - 1552-7557
pISSN - 1049-7323
DOI - 10.1177/10497323211055461
Subject(s) - paternalism , irish , technocracy , qualitative research , pregnancy , maternity care , childbirth , grounded theory , happening , medicine , nursing , psychology , gender studies , sociology , health care , political science , social science , history , law , philosophy , linguistics , politics , biology , performance art , genetics , art history
In this article, I draw on in-depth qualitative interviews with 23 women, conducted in 2019/2020, focusing on their involvement in decision-making during pregnancy and birth. The study is located in Ireland, where comparably progressive national policies regarding informed choice in labour and birth clash with the day-to-day reality of a heavily medicalised, paternalistic maternity care system. I represent the subjective experiences of a diverse group of women through in-depth interview excerpts. In my analysis, I move beyond describing what is happening in the Irish maternity system to discussing why this is happening – relating the findings of the research to the international literature on authoritative knowledge, technocratic hospital cultures and risk-based discourses around birth. In the last section of the article, I offer concrete, empirically grounded and innovative recommendations how to enhance women’s involvement in decision-making.