Assessing Women's Preferences for Intrapartum Care

Hundley, Vanora; Ryan, Mandy; Graham, Wendy

doi:10.1046/j.1523-536x.2001.00254.x

Cited by 85 publications

(89 citation statements)

References 20 publications

(28 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Thus, the results of our empirical comparisons of the three design strategies and the associated models suggest that researchers should exercise caution when considering the two other non-LMA design strategies. This suggests that the relatively common design strategy in the health economics literature of selecting an orthogonal fraction of the full factorial, and then randomly assigning the alternatives to choice sets may be problematic [2,5,8,[34][35][36].…”

Section: Discussionmentioning

confidence: 99%

Empirical investigation of experimental design properties of discrete choice experiments in health care

2005

View full text Add to dashboard Cite

Experimental design is critical to valid inference from the results of discrete choice experiments (DCEs). In health economics, DCEs have placed limited emphasis on experimental design, typically employing relatively small fractional factorial designs, which allow only strictly linear additive utility functions to be estimated. The extensive literature on optimal experimental design outside health economics has proposed potentially desirable design properties, such as orthogonality, utility balance and level balance. However, there are trade-offs between these properties and emphasis on some properties may increase the random variability in responses, potentially biasing parameter estimates. This study investigates empirically the design properties of DCEs, in particular, the optimal method of combining alternatives in the choice set. The study involves a forced choice between two alternatives (treatment and non-treatment for a hypothetical health care condition), each with three, four-level, alternative-specific attributes. Three experimental design approaches are investigated: a standard six-attribute, orthogonal main effects design; a design that combines alternatives to achieve utility balance, ensuring no alternatives are dominated; and a design that combines alternatives randomly. The different experimental designs did not impact on the underlying parameter estimates, but imposing utility balance increases the random variability of responses. Copyright © 2005 John Wiley & Sons, Ltd.

show abstract

Section: Discussionmentioning

confidence: 99%

Empirical investigation of experimental design properties of discrete choice experiments in health care

2005

View full text Add to dashboard Cite

show abstract

“…In our discretechoice experiment, the commodity obstetric care was presented to the respondents in form of alternative profiles that contained combinations of attributes of obstetric care (see Table 1 and Appendix A). Attributes and attribute levels that appeared important to pregnant women in previous research [26,27], and were also relevant to the Dutch context, were included in the analysis. We kept the number of attributes and their levels at a minimum to assure the feasibility of data collection.…”

Section: Preparation Of the Discrete-choice Experimentsmentioning

confidence: 99%

“…There are also problems related to self-selection and generalisation when actual behaviour is analysed [25]. Therefore, following the methodological recommendations in recent publications reporting similar analysis in other countries [26,27], we apply the method of discretechoice experiment. The discrete-choice experiment is a stated preference technique that relies on respondents' choices between hypothetical profiles to infer information about individual preferences and decision-making [28,29].…”

Section: Introductionmentioning

confidence: 99%

The choice of obstetric care by low-risk pregnant women in the Netherlands: Implications for policy and management

et al. 2009

View full text Add to dashboard Cite

“…The women in this study felt that they had some choice in the mode of delivery although they were all aware that medical and midwifery opinion supported VBAC, which may have influenced their decisions (Hundley et al 2001). The reasons they gave for wanting a vaginal birth ranged from the desire to experience normal birth, the expectation of increased bonding and easier breastfeeding, reduced pain and length of recovery and the ability to take on family responsibilities quickly, especially the care of their older children.…”

Section: Discussionmentioning

confidence: 89%

“…Women require a clear reminder of why a caesarean was performed and need to be provided with evidence-based information regarding the chances of a recurrence of the problem, which resulted in an operative delivery (Bainbridge 2002). Clinicians, both midwives and obstetricians, must ensure that current evidence informs their thinking as it is clear that women are easily influenced by professional beliefs (Hundley et al 2001). This is especially significant when it can be demonstrated that beliefs widely held by professionals are not always substantiated by the best available research.…”

Section: Discussionmentioning

confidence: 99%

Vaginal birth after caesarean section (VBAC): exploring women's perceptions

Meddings¹,

Phipps²,

Haith-Cooper³

et al. 2006

J Clin Nurs

View full text Add to dashboard Cite

Vaginal birth after caesarean section (VBAC): exploring women's PerceptionsAims and objectives. This study was designed to complement local audit data by examining the lived experience of women who elected to attempt a vaginal birth following a previous caesarean delivery. The study sought to determine whether or not women were able to exercise informed choice and to explore how they made decisions about the method of delivery and how they interpreted their experiences following the birth. Background. The rising operative birth rate in the UK concerns both obstetricians and midwives. Although the popular press has characterized birth by caesarean section as the socialites' choice, in reality, maternal choice is only one factor in determining the method of birth. However, in considering the next delivery following a caesarean section, maternal choice may be a significant indicator. While accepted current UK practice favours vaginal birth after caesarean (VBAC) in line with the research evidence indicating reduced maternal morbidity, lower costs and satisfactory neonatal outcomes, Lavender et al. point out that partnership in choice has emerged as a key factor in the decision-making process over the past few decades. Chaung and Jenders explored the issue of choice in an earlier study and concluded that the best method of subsequent delivery, following a caesarean birth, is dependent on a woman's preference. Design and methodology. Using a phenomenological approach enabled a holistic exploration of women's lived experiences of vaginal birth after the caesarean section.Results. This was a qualitative study and, as such, the findings are not transferable to women in general. However, the results confirmed the importance of informed choice and raised some interesting issues meriting the further exploration. Conclusions. Informed choice is the key to effective women-centred care. Women must have access to non-biased evidence-based information in order to engage in a collaborative partnership of equals with midwives and obstetricians. Relevance to clinical practice. This study is relevant to clinical practice as it highlights the importance of informed choice and reminds practitioners that, for women, psycho-social implications may supersede their physical concerns about birth

show abstract

Assessing Women's Preferences for Intrapartum Care

Abstract: The discrete choice experiment appears to be a useful tool in assessing the strength of women's preferences for different aspects of maternity care. Future research should include a qualitative approach to explore in greater depth the processes involved in shaping women's preferences.

Cited by 85 publications

References 20 publications

Empirical investigation of experimental design properties of discrete choice experiments in health care

Empirical investigation of experimental design properties of discrete choice experiments in health care

The choice of obstetric care by low-risk pregnant women in the Netherlands: Implications for policy and management

Vaginal birth after caesarean section (VBAC): exploring women's perceptions

Contact Info

Product

Resources

About