A participatory action research study exploring women's understandings of the concept of informed choice during pregnancy and childbirth in Ireland

O’Brien, Denise; Butler, Michelle; Casey, Mary

doi:10.1016/j.midw.2017.01.002

Cited by 27 publications

(22 citation statements)

References 30 publications

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“…Our participants noted that knowing each other personally enhances communication and that good communication skills were needed for shared decision‐making. The need for woman‐centered communication, interaction, building a relationship, and a personal approach corresponds with other studies concerning improvements in maternity care . Understanding its importance and training may help to develop and improve communication skills …”

Section: Discussionmentioning

confidence: 59%

“…In spite of its benefits, shared decision‐making can be challenging for parents and maternity care professionals. It requires communication and relational skills to discuss complex health issues, the ability to adapt information to the parents’ level of knowledge, and collaboration between professionals . Professionals expect shared decision‐making to be difficult and time‐consuming and they worry about possible tensions between parents’ preferences and clinical guidelines .…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Needs of parents and professionals to improve shared decision‐making in interprofessional maternity care practice: A qualitative study

Molenaar

Korstjens

Hendrix

et al. 2018

Birth

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Parents and professionals will benefit from an intervention designed to improve SDM. A practical e-learning for all maternity care providers and e-health information for parents seems most appropriate. Key elements for the e-learning are raising awareness of the roles and responsibilities of parents and professionals, developing good communication skills and encouraging interprofessional collaboration. This requires a variety of educational strategies.

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Section: Discussionmentioning

confidence: 59%

Section: Introductionmentioning

confidence: 99%

Needs of parents and professionals to improve shared decision‐making in interprofessional maternity care practice: A qualitative study

Molenaar

Korstjens

Hendrix

et al. 2018

Birth

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“…In analysing the literature on woman-centred care, care needs to be taken to not infer the provision of woman-centred care with the protection of normal birth as they two are separate and distinct issues. Further, defining the concept of normality in childbirth is complicated, given that it differs between cultures and subcultures (Downe, 2006).Whilst midwives do work to protect normality around pregnancy labour and birth, they are also committed to upholding the process of informed decision making for women in childbirth (O'Brien et al, 2017). Feminist theory might argue, however, that in the current climate of increasing medicalisation around childbirth, the impact of a dominant obstetric hierarchy may be affecting a woman's ability to make a true, informed choice (Davis & Walker, 2010).…”

Section: Discussionmentioning

confidence: 99%

Woman-centred care: An integrative review of the empirical literature

Brady

Lee

Gibbons

et al. 2019

International Journal of Nursing Studies

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This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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“…Research suggest that the extent to which women are included in the decision-making processes during pregnancy, labour and birth varies considerably (25). Studies have found that patient involvement in decision making and provision of information is dependent on a number of factors, including how embedded the procedure is in routine care; whether there is a policy for ensuring and obtaining documented consent for the procedure and whether clinical policies or guidelines recommend its use (25). Thus, procedures such as fetal monitoring, vaginal examination, blood tests and ultrasound scans are more likely to be adopted in an 'uniformed' and 'un-consulted' decision making approach.…”

Section: Controlmentioning

confidence: 99%

“…Thus, procedures such as fetal monitoring, vaginal examination, blood tests and ultrasound scans are more likely to be adopted in an 'uniformed' and 'un-consulted' decision making approach. This suggests that the more a procedure is considered routine, the less likely there is to be decision making processes fostering patient involvement (25).…”

Section: Controlmentioning

confidence: 99%

Factors Influencing Women’s Perceptions of Choice and Control During Pregnancy and Birth: A Cross-Sectional Study.

Leahy‐Warren

Mulcahy

Corcoran

et al. 2020

Preprint

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Background Women across the world value choice and control throughout their maternity care experiences. In response to this health policy and frameworks are adapting and developing. The concepts of choice and control are extrinsically complex and open to interpretation by healthcare professionals and service users, with the two not necessarily aligning. Depending on a number of factors, women’s experiences of choice and control within the same maternity care system may be very different. This study aimed to investigate the factors influencing women’s perceptions of choice and control during pregnancy and birth in Ireland.MethodsWe conducted a cross-sectional study using an adapted version of the questionnaire from the UK national maternity experience survey (National Perinatal Epidemiology Unit). During 2017, a sample of 1,277 women were recruited from the postnatal wards of three maternity units and a tertiary maternity hospital. Poisson regression was used to assess the association between twelve factors and a series of measures of the women’s perception of choice and control. Results The majority of women were multiparous (64%), aged over 30 years (79%), educated to third level (82%), of Irish nationality (85%) and accessed public maternity care (76%). Most women reported not having choice in the model or location of their maternity care but most reported being involved enough in decision-making, especially during birth. Women who availed of private maternity care reported higher levels of choice and control than those who availed of public maternity care. This factor was the most influential factor on almost all choice and control measures.Conclusion Most women experiencing maternity care in Ireland report not having choice in the model and location of care. These are core elements of the Irish maternity strategy and significant investment will be required if improved choice is to be provided. Availing of private maternity care has the strongest influence on a woman’s perceived choice and control but many women cannot afford this type of care.

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A participatory action research study exploring women's understandings of the concept of informed choice during pregnancy and childbirth in Ireland

Cited by 27 publications

References 30 publications

Needs of parents and professionals to improve shared decision‐making in interprofessional maternity care practice: A qualitative study

Needs of parents and professionals to improve shared decision‐making in interprofessional maternity care practice: A qualitative study

Woman-centred care: An integrative review of the empirical literature

Factors Influencing Women’s Perceptions of Choice and Control During Pregnancy and Birth: A Cross-Sectional Study.

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