Pain relief in labour: a qualitative study to determine how to support women to make decisions about pain relief in labour

Background Engagement in decision making is a key priority of modern healthcare. Women are encouraged to make decisions about pain relief in labour in the ante-natal period based upon their expectations of what labour pain will be like. Many women find this planning difficult. The aim of this qualitative study was to explore how women can be better supported in preparing for, and making, decisions during pregnancy and labour regarding pain management. Methods Semi-structured interviews were conducted with 13 primiparous and 10 multiparous women at 36 weeks of pregnancy and again within six weeks postnatally. Data collection and analysis occurred concurrently to identify key themes. Results Three main themes emerged from the data. Firstly, during pregnancy women expressed a degree of uncertainty about the level of pain they would experience in labour and the effect of different methods of pain relief. Secondly, women reflected on how decisions had been made regarding pain management in labour and the degree to which they had felt comfortable making these decisions. Finally, women discussed their perceived levels of control, both desired and experienced, over both their bodies and the decisions they were making. Conclusion This study suggests that the current approach of antenatal preparation in the NHS, of asking women to make decisions antenatally for pain relief in labour, needs reviewing. It would be more beneficial to concentrate efforts on better informing women and on engaging them in discussions around their values, expectations and preferences and how these affect each specific choice rather than expecting them to make to make firm decisions in advance of such an unpredictable event as labour

Marketing Planning of Small-Sized Farms by the Fuzzy Game Theory

Walking fosters self‐efficacy, empathy, and connection, and large and small democratic actions. Such capacity seems especially the case when walking is attended by certain spatial qualities that engender, for instance, physical accessibility, a capacity to socialise, a sense of safety, or a pleasing aesthetic. Sometimes, adverse spatial alternatives dominate and then – at very least – indifference seems to loom large and spatial injustices prevail. And in the worst conditions, indifference and injustice tip over into fear and danger. This paper's orientation is towards optimism, however. Our conceptual focus is on the relationship of walking to geography and philosophical pragmatism, and on small and effective antidotes to indifference and injustice. Our empirical contributions come from a qualitative research project in Wollongong, Australia, and specifically from conversations with 25 adult residents who shared with us their experiences of regular walks in the city centre. We interpret those experiences in pragmatic terms as transactions – or experiments in what to do and how – in relation to self, others, and environs. We show how participants are affected by walks and the transactional spaces created by them, and consider how they come to care for things that might not directly concern or affect them. In the process, we discern that they experience how their actions shape and can enrich life in the city – findings that have wider salience for those interested in spatial qualities, spatial justice, and democratising impulses

Inscribing the Victor’s Land: Nationalistic Authorship in Sri Lanka’s Post-war Northeast

This article examines the nationalistic authorship of space in Sri Lanka’s post-conflict Northeast as part of the state’s nation-building strategy and as a continuation of a post-colonial process of Sinhala-Buddhist nationalistic revival. Exploring issues of historiography, conflict resolution, physical vehicles of ideology and collective memory, the article demonstrates how land policies, development and the tourism industry in a post-conflict context can go hand-in-hand with dispossession, militarisation and the humiliation of a ‘defeated’ minority community

Cultural capital and the literary field

The literary field has been conceptualised in social scientific work as patterned in particular ways. Historically, popular reading has been linked with contested processes of social change. Tastes for reading have, following Bourdieu, been seen as embedded in continuing processes of distinction and the making of hierarchies. Research has demonstrated the ways in which these hierarchies might be reflective of gender as well as class relationships. This paper examines the findings of the Cultural Capital and Social Exclusion study in the light of these debates. The survey gathered data about the types of reading material used by a representative sample of the UK population, including their preferences for newspapers, magazines and books. The paper reports on a number of possible relationships identified in the study about the location of reading as a social practice, drawing on the survey data and explanatory accounts of respondents’ reading preferences drawn from focus groups and interviews. The regularity of participation in reading and ownership of books are outlined in relation to occupational class. Evidence relating to the reading of magazines and newspapers is then examined in the light of contemporary policy concerns. Patterns of taste in books are explored, examining preferences for ‘literary’ genres, gender, education and ethnicity. The paper concludes by addressing the position of taste for, and knowledge of, specific works representing a range of positions within the literary field to complete the picture of cultural capital and the literary field in the contemporary UK