Each user of the maternity services will have a dif ferent service experience. The experience will vary depending on the place of birth, type of antenatal care, delivery and postnatal support. However, to be effective service providers, the provision ought to be responsive to the needs of the consumers. This paper considers the development of the maternity services, reflecting on the current envi ronment in which the provision is delivered and attempts to characterise users of the provision to facilitate an understanding of consumer needs. This research considered primigravidae and multi parous users of the maternity provision and explored their access to information and their use of information with particular consideration of their referent groups. This study produced inter esting results, not least that both primigravidae and multiparous users are prepared to abdicate respon sibility for some aspects of their decision-making to medical professionals. Sub-categorisations of primigravida and multipara users and various socio-economic groups were also constructed.
Alexander L., Sandridge J. and Moore L. (1993). Patient satisfaction: an outcome measure for maternity services. J Perinatal Neonatal Nursing;7(2), 28-39
2.
Audit Commission (1993). Their Health Your Business: The New Role of the District Health Authority National Health Service Report No 11. London: HMSO
3.
Audit Commission (1997). First Class Delivery: Improving Maternity Services in England and Wales. Abingdon, Oxon: Audit Commission Publications
4.
Ball J.A. (1987). Reactions to Motherhood - The Role of Postnatal Care. Cambridge: Cambridge University Press
5.
Beard R. (1992). Pregnancy Care in the 1990s. Lancaster. The Partheon Publishing Group
6.
Beech B.A. (1984). Perinatal Services and Prenatal Care - User Perspective Association for Improvements in the Maternity Services. London: AIMS
7.
Beech B.A. (1985). The Role of Consumer Advocacy in Birth Care Association for Improvements in the Maternity Services. London: AIMS
8.
Berry L. (1980). Services marketing is different. Business; May-June, 24-29
9.
Brown S.W., Fisk R.P. and Bitner M.J. (1994). The development and emergence of services marketing thought. Int J Service Industry Mgmt;5(1), 21-48
10.
Charles J. and Curtis L. (1994). Birth afterthoughts: setting up a listening service . Midwives Chronicle and Nursing Notes; 107(1278), 266-268
11.
Commission For Racial Equality (1994). Race Relations Code of Practice in Maternity Services. London: Commission for Racial Equality
12.
DoH (Department Of Health) (1991). The Patient's Charter. London: HMSO
13.
DoH (Department Of Health) (1993). Changing Childbirth: Part 1 Report of the Expert Maternity Group. London: HMSO
14.
Dunlop W. (1993). Changing childbirth - commentary II. Brit J Obst Gynaecol;100, 1072-1074
15.
Frisch D. and Clemen R.T. (1994). Beyond expected utility: rethinking behavioural decision research. Psychological Bull;116 (1), 46-54
16.
Gabbott M. and Hogg G. (1998) Consumers and Services. Chichester : Wiley & Sons
17.
Green J.M. (1993). Expectations and experiences of pain in labour: Findings from a large prospective study. Birth;20(2), 65-72
18.
Green J.M., Coupland V.A. and Kitzinger J. (1990). Expectations, experiences and psychological outcomes of childbirth: a prospective study of 825 women. Birth;17(1), 15-24
19.
Hutton E. (1994). What women want from midwives. Brit J Midwifery;2(12), 608-611
20.
Jacoby A. (1987). Women's preferences for and satisfaction with current procedures in childbirth- findings from a national study. Midwifery;3, 117-124
21.
Lumley J. (1985). Assessing satisfaction with childbirth. Birth;12(1), 4-14
22.
Macstravic R.S. (1984). Marketing by managing relationships. Health Progress;69(9), 49-60
23.
Marshall B.S. and Javalgi R.G. (1995). The market for obstetrical services: an integrative approach to building relationships. J Services Marketing, 9(1), 60-68
24.
Melia R.J., Morgan M., Wolfe C D A and Swan A.V. (1991). Consumers' views of the maternity services: implications for change and quality assurance. J Pub Health Med;13(2), 120-126
25.
Midris (1997). Evidence-Based Informed Choice in Maternity Care. Bristol: MIDRIS and the NHS Centre for Reviews and Dissemination
26.
Miles M.B. and Huberman M.A. (1994). An Expanded Sourcebook: Qualitative Data Analysis . London: Sage Publications
27.
MORI Health Research (1993). Study of Mothers Who Had Given Birth in England since April 1989 Unpublished
28.
North Thames Regional Health Authority And The Nct (1995). Birth choices in north Essex: findings of a recent project carried out by the National Childbirth Trust. Midwives ; 108(1293), 328
29.
O'Meara C. (1993). An evaluation of consumer perspectives of childbirth and parenting education. Midwifery;9, 210-219
30.
Pierce P. (1996). When the patient chooses: describing unaided decision in healthcare. Human Factors;38(2), 278-288
31.
Ritchie J. and Spencer L. (1994). Qualitative Data Analysis for Applied Policy Research. Chapter 9 in Analysing Qualitative Data (Edited by A Bryman and R G Burgess). London: Routledge
32.
Scottish Office (1993). Provision of Maternity Services in Scotland: A Policy Review. Health Policy and Public Health Directorate, Home and Health DepartmentLondon: HMSO
33.
Scottish Office (1995). Antenatal Care CRAG/SCOTMEG Working Group on Maternity Services
34.
Shapiro P.A., Muskin P.R., Redelmeier D.A., Rozin P. and Kahneman D. (1993). Patient decision-making. J Am Med Assoc; 270(20), 2432
35.
Smith L F P (1996). Views of pregnant women on the involvement of general practitioners in maternity care. Brit J Gen Prac;46(405), 243-247
