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Published in: BMC Pregnancy and Childbirth 1/2011

Open Access 01-12-2011 | Research article

Shaping public opinion on the issue of childbirth; a critical analysis of articles published in an Australian newspaper

Authors: Meredith J McIntyre, Karen Francis, Ysanne Chapman

Published in: BMC Pregnancy and Childbirth | Issue 1/2011

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Abstract

Background

The Australian government has announced a major program of reform with the move to primary maternity care, a program of change that appears to be at odds with current general public perceptions regarding how maternity care is delivered.

Methods

A critical discourse analysis of articles published in 'The Age', a newspaper with national distribution, subsequent to the release of the discussion paper by the Australian Government in 2008 was undertaken. The purpose was to identify how Australian maternity services are portrayed and what purpose is served by this representation to the general public.

Results

Findings from this critical discourse analysis revealed that Australian maternity services are being portrayed to the general public as an inflexible outdated service struggling to meets the needs of pregnant women and in desperate need of reform. The style of reporting employed in this newspaper involved presenting to the reader the range of expert opinion relevant to each topic, frequently involving polarised positions of the experts on the issue.

Conclusions

The general public are presented with a conflict, caught between the need for changes that come with the primary maternity model of care and fear that these change will undermine safe standards. The discourse; 'Australia is one of the safest countries in which to give birth or be born, what is must be best', represents the situation where despite major deficiencies in the system the general public may be too fearful of the consequences to consider a move away from reliance on traditional medical-led maternity care.
Literature
1.
go back to reference Commonwealth of Australia: Improving Maternity Services in Australia; A discussion paper from the Australian Government. 2008, Commonwealth of Australia Commonwealth of Australia: Improving Maternity Services in Australia; A discussion paper from the Australian Government. 2008, Commonwealth of Australia
2.
go back to reference Commonwealth of Australia: Improving Maternity Services in Australia; the report of the maternity services review. 2009, Commonwealth of Australia Commonwealth of Australia: Improving Maternity Services in Australia; the report of the maternity services review. 2009, Commonwealth of Australia
3.
go back to reference Laws P, Li Z, Sullivan E: Australia's mothers and babies 2008: Perinatal statistic series no. 24. Cat. No. PER 50. Canberra: AIHW2010 Laws P, Li Z, Sullivan E: Australia's mothers and babies 2008: Perinatal statistic series no. 24. Cat. No. PER 50. Canberra: AIHW2010
4.
go back to reference Kitzinger S, Green JM, Chalmers B, Keirse MJN, Lindstrom K, Hemminki E: Why do women go along with this stuff?. Birth: Issues in Perinatal Care. 2006, 33 (2): 154-8.CrossRef Kitzinger S, Green JM, Chalmers B, Keirse MJN, Lindstrom K, Hemminki E: Why do women go along with this stuff?. Birth: Issues in Perinatal Care. 2006, 33 (2): 154-8.CrossRef
5.
go back to reference Bayes S, Fenwick J, Hauck Y: A qualitative analysis of women's short accounts of labour and birth in a Western Australian public tertiary hospital. Journal of Midwifery & Women's Health. 2008, 53 (1): 53-61.CrossRef Bayes S, Fenwick J, Hauck Y: A qualitative analysis of women's short accounts of labour and birth in a Western Australian public tertiary hospital. Journal of Midwifery & Women's Health. 2008, 53 (1): 53-61.CrossRef
6.
go back to reference Fenwick J, Hauck Y, Downie J, Butt J: The childbirth expectations of a self selected cohort of Western Australian women. Midwifery. 2005, 21: 23-35. 10.1016/j.midw.2004.07.001.CrossRefPubMed Fenwick J, Hauck Y, Downie J, Butt J: The childbirth expectations of a self selected cohort of Western Australian women. Midwifery. 2005, 21: 23-35. 10.1016/j.midw.2004.07.001.CrossRefPubMed
7.
go back to reference Fisher C, Hauck Y, Fenwick J: How social context impacts on women's fears of childbirth: a Western Australian example. Social Science & Medicine. 2006, 63 (1): 64-75. 10.1016/j.socscimed.2005.11.065.CrossRef Fisher C, Hauck Y, Fenwick J: How social context impacts on women's fears of childbirth: a Western Australian example. Social Science & Medicine. 2006, 63 (1): 64-75. 10.1016/j.socscimed.2005.11.065.CrossRef
8.
go back to reference Fenwick J, Gamble J, Nathan E, Bayes S, Hauck Y: Pre- and postpartum levels of childbirth fear and the relationship to birth outcomes in a cohort of Australian women. Journal of Clinical Nursing. 2009, 18 (5): 667-77. 10.1111/j.1365-2702.2008.02568.x.CrossRefPubMed Fenwick J, Gamble J, Nathan E, Bayes S, Hauck Y: Pre- and postpartum levels of childbirth fear and the relationship to birth outcomes in a cohort of Australian women. Journal of Clinical Nursing. 2009, 18 (5): 667-77. 10.1111/j.1365-2702.2008.02568.x.CrossRefPubMed
9.
go back to reference Dahlen H: Undone by fear? Deluded by trust?. Midwifery. 2010, 26 (2): 156-62. 10.1016/j.midw.2009.11.008.CrossRefPubMed Dahlen H: Undone by fear? Deluded by trust?. Midwifery. 2010, 26 (2): 156-62. 10.1016/j.midw.2009.11.008.CrossRefPubMed
10.
go back to reference Klein MC, Sakala C, Simkin P, Davis-Floyd R, Rooks JP, Pincus J: Roundtable discussion: part 2. Why do women go along with this stuff?. Birth: Issues in Perinatal Care. 2006, 33 (3): 245-50.CrossRef Klein MC, Sakala C, Simkin P, Davis-Floyd R, Rooks JP, Pincus J: Roundtable discussion: part 2. Why do women go along with this stuff?. Birth: Issues in Perinatal Care. 2006, 33 (3): 245-50.CrossRef
11.
go back to reference Ricki Lake: The business of being born. 2007 Ricki Lake: The business of being born. 2007
12.
go back to reference MacColl M: The Birth Wars - The conflict putting Australian women and babies at risk. 2009, St Lucia: University of Queensland Press MacColl M: The Birth Wars - The conflict putting Australian women and babies at risk. 2009, St Lucia: University of Queensland Press
13.
go back to reference McIntyre M, Francis K, Chapman Y: The struggle for contested boundaries in the move to collaborative care teams in Australian maternity care. Midwifery. McIntyre M, Francis K, Chapman Y: The struggle for contested boundaries in the move to collaborative care teams in Australian maternity care. Midwifery.
14.
go back to reference Fairclough N: Analysing Discourse:Textual analysis for social research. 2003, London: Routledge Fairclough N: Analysing Discourse:Textual analysis for social research. 2003, London: Routledge
15.
go back to reference Foucault M, editor: The Archaeology of Knowledge. 1972, London: Travistock Foucault M, editor: The Archaeology of Knowledge. 1972, London: Travistock
16.
go back to reference Foucault M, editor: Truth and Power. Power/Knowledge: Selected Interviews and other Writings 1972-1977. Edited by: Gordon C. 1980, London: Harvester Press Foucault M, editor: Truth and Power. Power/Knowledge: Selected Interviews and other Writings 1972-1977. Edited by: Gordon C. 1980, London: Harvester Press
17.
go back to reference Jaworski A, Coupland N, editors: The discourse reader. 1999, London: Routledge Jaworski A, Coupland N, editors: The discourse reader. 1999, London: Routledge
18.
go back to reference Cheek J, Porter S: Reviewing Foucault: possibilities and problems for nursing and health care. Nursing Inquiry. 1997, 4: 108-19. 10.1111/j.1440-1800.1997.tb00084.x.CrossRefPubMed Cheek J, Porter S: Reviewing Foucault: possibilities and problems for nursing and health care. Nursing Inquiry. 1997, 4: 108-19. 10.1111/j.1440-1800.1997.tb00084.x.CrossRefPubMed
19.
go back to reference Powers P: The Methodology of Discourse Analysis. 2001, Massachussetts: Jones & Bartlett Powers P: The Methodology of Discourse Analysis. 2001, Massachussetts: Jones & Bartlett
20.
go back to reference Nixon A, Power C: Towards a framework for establishing rigour in a discourse analysis of midwifery professionalisation. Nursing Inquiry. 2007, 14 (1): 71-9. 10.1111/j.1440-1800.2007.00352.x.CrossRefPubMed Nixon A, Power C: Towards a framework for establishing rigour in a discourse analysis of midwifery professionalisation. Nursing Inquiry. 2007, 14 (1): 71-9. 10.1111/j.1440-1800.2007.00352.x.CrossRefPubMed
21.
go back to reference Chouliaraki L, Fairclough N, editors: Discourse in late modernity: Rethinking critical discourse analysis. 1999, Edinburgh: Edinburgh UP Chouliaraki L, Fairclough N, editors: Discourse in late modernity: Rethinking critical discourse analysis. 1999, Edinburgh: Edinburgh UP
22.
go back to reference Fairclough N, editor: Discourse & Social change. 1992, UK: Polity Press Fairclough N, editor: Discourse & Social change. 1992, UK: Polity Press
23.
go back to reference Smith JL: Critical discourse analysis for nursing research. Nursing Inquiry. 2007, 14 (1): 60-70. 10.1111/j.1440-1800.2007.00355.x.CrossRefPubMed Smith JL: Critical discourse analysis for nursing research. Nursing Inquiry. 2007, 14 (1): 60-70. 10.1111/j.1440-1800.2007.00355.x.CrossRefPubMed
24.
go back to reference Cheek J: Postmodern and Poststructural Approaches to Nursing Research. 2000, Thousand Oaks: SAGE Cheek J: Postmodern and Poststructural Approaches to Nursing Research. 2000, Thousand Oaks: SAGE
25.
go back to reference Maternity Coalition: Maternity Coalition: Submission to maternity services review. 2008 Maternity Coalition: Maternity Coalition: Submission to maternity services review. 2008
26.
go back to reference Perinatal research centre: Perinatal Research Centre: Submission to maternity services review. 2008 Perinatal research centre: Perinatal Research Centre: Submission to maternity services review. 2008
27.
go back to reference Brown , Darcy M, Bruinsma F: Having a baby in Victoria 1989-2000: continuity and change in the decade following the Victorian Ministerial Review of Birthing Services. Australian & New Zealand Journal of Public Health. 2002, 26 (3): 242-50. 10.1111/j.1467-842X.2002.tb00681.x.CrossRef Brown , Darcy M, Bruinsma F: Having a baby in Victoria 1989-2000: continuity and change in the decade following the Victorian Ministerial Review of Birthing Services. Australian & New Zealand Journal of Public Health. 2002, 26 (3): 242-50. 10.1111/j.1467-842X.2002.tb00681.x.CrossRef
28.
go back to reference Davey , Davey M, Bruinsma F: Women's views and experiences of postnatal hospital care in the Victorian Survey of Recent Mothers 2000. Midwifery. 2005, 21 (2): 109-26. 10.1016/j.midw.2004.09.006.CrossRefPubMed Davey , Davey M, Bruinsma F: Women's views and experiences of postnatal hospital care in the Victorian Survey of Recent Mothers 2000. Midwifery. 2005, 21 (2): 109-26. 10.1016/j.midw.2004.09.006.CrossRefPubMed
29.
go back to reference Multicultural Centre for Women's Health: Multicultural Centre for Women's Health: Submission to maternity services review. 2008 Multicultural Centre for Women's Health: Multicultural Centre for Women's Health: Submission to maternity services review. 2008
30.
go back to reference Jordan RG, Murphy PA: Risk assessment and risk distortion: finding the balance. Journal of Midwifery & Women's Health. 2009, 54 (3): 191-200.CrossRef Jordan RG, Murphy PA: Risk assessment and risk distortion: finding the balance. Journal of Midwifery & Women's Health. 2009, 54 (3): 191-200.CrossRef
31.
go back to reference National Rural Women's Coalition: National Rural Women's Coalition: Submission to maternity services review. 2008 National Rural Women's Coalition: National Rural Women's Coalition: Submission to maternity services review. 2008
32.
go back to reference National Consensus Framework for Rural Maternity Services: National Consensus Framework for Rural Maternity Services. 2008 National Consensus Framework for Rural Maternity Services: National Consensus Framework for Rural Maternity Services. 2008
33.
go back to reference National Rural Health Alliance: The importance of birthing in the bush: Submission to maternity services review. 2008 National Rural Health Alliance: The importance of birthing in the bush: Submission to maternity services review. 2008
34.
go back to reference Hutton EK, Reitsma AH, Kaufman K: Outcomes Associated with Planned Home and Planned Hospital Births in Low-Risk Women Attended by Midwives in Ontario, Canada, 2003-2006: A Retrospective Cohort Study. Birth. 2009, 36 (3): 180-9. 10.1111/j.1523-536X.2009.00322.x.CrossRefPubMed Hutton EK, Reitsma AH, Kaufman K: Outcomes Associated with Planned Home and Planned Hospital Births in Low-Risk Women Attended by Midwives in Ontario, Canada, 2003-2006: A Retrospective Cohort Study. Birth. 2009, 36 (3): 180-9. 10.1111/j.1523-536X.2009.00322.x.CrossRefPubMed
35.
go back to reference de Jonge A, van der Goes BY, Ravelli ACJ, Amelink-Verburg MP, Mol BW, Nijhuis JG, Bennenbroek Gravenhorst J, Buitendijk S: Perinatal mortality and morbidity in a nationwide cohort of 529 688 low-risk planned home and hospital births. BJOG: An International Journal of Obstetrics & Gynaecology. 2009, 116 (9): 1177-84. 10.1111/j.1471-0528.2009.02175.x.CrossRef de Jonge A, van der Goes BY, Ravelli ACJ, Amelink-Verburg MP, Mol BW, Nijhuis JG, Bennenbroek Gravenhorst J, Buitendijk S: Perinatal mortality and morbidity in a nationwide cohort of 529 688 low-risk planned home and hospital births. BJOG: An International Journal of Obstetrics & Gynaecology. 2009, 116 (9): 1177-84. 10.1111/j.1471-0528.2009.02175.x.CrossRef
36.
go back to reference Royal Australian and New Zealand College of Obstetricians and Gynaecologists: RANZCOG: Submission to maternity services review. 2008 Royal Australian and New Zealand College of Obstetricians and Gynaecologists: RANZCOG: Submission to maternity services review. 2008
37.
go back to reference Pesce AF: National Association of Specialist Obstetricians and Gynaecologists Submission National Maternity Services Review. 2008 Pesce AF: National Association of Specialist Obstetricians and Gynaecologists Submission National Maternity Services Review. 2008
38.
go back to reference Australian Medical Association: AMA: Submission to maternity services review. 2008 Australian Medical Association: AMA: Submission to maternity services review. 2008
39.
go back to reference Wax JR, Lucas FL, Lamont M, Pinette MG, Cartin A, Blackstone J: Maternal and newborn outcomes in planned home birth vs planned hospital births: a metaanalysis. American Journal of Obstetrics & Gynecology. 2010, 203 (3): 243-e1-8CrossRef Wax JR, Lucas FL, Lamont M, Pinette MG, Cartin A, Blackstone J: Maternal and newborn outcomes in planned home birth vs planned hospital births: a metaanalysis. American Journal of Obstetrics & Gynecology. 2010, 203 (3): 243-e1-8CrossRef
40.
go back to reference McLachlan HL, Gold L, Forster DA, Yelland J, Rayner J, Rayner S: Women's views of postnatal care in the context of the increasing pressure on postnatal beds in Australia. Women and Birth. 2009, 22 (4): 128-33. 10.1016/j.wombi.2009.04.003.CrossRefPubMed McLachlan HL, Gold L, Forster DA, Yelland J, Rayner J, Rayner S: Women's views of postnatal care in the context of the increasing pressure on postnatal beds in Australia. Women and Birth. 2009, 22 (4): 128-33. 10.1016/j.wombi.2009.04.003.CrossRefPubMed
41.
go back to reference van Teijlingen ER, Hundley V, Rennie AM, Graham W, Fitzmaurice A: Maternity Satisfaction Studies and Their Limitations: "What Is, Must Still Be Best". Birth. 2003, 30 (2): 75-82. 10.1046/j.1523-536X.2003.00224.x.CrossRefPubMed van Teijlingen ER, Hundley V, Rennie AM, Graham W, Fitzmaurice A: Maternity Satisfaction Studies and Their Limitations: "What Is, Must Still Be Best". Birth. 2003, 30 (2): 75-82. 10.1046/j.1523-536X.2003.00224.x.CrossRefPubMed
42.
go back to reference Dahlen HG, Barclay LM, Homer CS: The novice birthing: theorising first-time mothers' experiences of birth at home and in hospital in Australia. Midwifery. 2010, 26 (1): 53-63. 10.1016/j.midw.2008.01.012.CrossRefPubMed Dahlen HG, Barclay LM, Homer CS: The novice birthing: theorising first-time mothers' experiences of birth at home and in hospital in Australia. Midwifery. 2010, 26 (1): 53-63. 10.1016/j.midw.2008.01.012.CrossRefPubMed
43.
go back to reference Callister LC: How is evidence-based decision making promoted for childbearing women in Australia?. MCN: The American Journal of Maternal Child Nursing. 2009, 34 (2): 131-10.1097/01.NMC.0000347310.46445.5a.PubMed Callister LC: How is evidence-based decision making promoted for childbearing women in Australia?. MCN: The American Journal of Maternal Child Nursing. 2009, 34 (2): 131-10.1097/01.NMC.0000347310.46445.5a.PubMed
44.
go back to reference Weaver JJ, Statham H, Richards M: Are there "unnecessary" cesarean sections? Perceptions of women and obstetricians about cesarean sections for nonclinical indications. Birth: Issues in Perinatal Care. 2007, 34 (1): 32-41.CrossRef Weaver JJ, Statham H, Richards M: Are there "unnecessary" cesarean sections? Perceptions of women and obstetricians about cesarean sections for nonclinical indications. Birth: Issues in Perinatal Care. 2007, 34 (1): 32-41.CrossRef
45.
go back to reference Newman L: The health care system as a social determinant of health: qualitative insights from South Australian meternity consumers. Australian Health Review. 2009, 33 (1): 62-71.CrossRefPubMed Newman L: The health care system as a social determinant of health: qualitative insights from South Australian meternity consumers. Australian Health Review. 2009, 33 (1): 62-71.CrossRefPubMed
46.
go back to reference Australian College of Midwives: Australian College of Midwives: submission to maternity services review. 2008 Australian College of Midwives: Australian College of Midwives: submission to maternity services review. 2008
47.
go back to reference Laynhapuy Homelands Association Inc: Submission to the National Review of Maternity Services. 2008 Laynhapuy Homelands Association Inc: Submission to the National Review of Maternity Services. 2008
48.
go back to reference Country women's association NSW: Submission to the National review of maternity services. 2008 Country women's association NSW: Submission to the National review of maternity services. 2008
49.
go back to reference Northern Territory Health and Community Services Complaints Commission: Submission to National Review of Maternity Services. 2008 Northern Territory Health and Community Services Complaints Commission: Submission to National Review of Maternity Services. 2008
Metadata
Title
Shaping public opinion on the issue of childbirth; a critical analysis of articles published in an Australian newspaper
Authors
Meredith J McIntyre
Karen Francis
Ysanne Chapman
Publication date
01-12-2011
Publisher
BioMed Central
Published in
BMC Pregnancy and Childbirth / Issue 1/2011
Electronic ISSN: 1471-2393
DOI
https://doi.org/10.1186/1471-2393-11-47

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