Obstetrical outcome in women with self-prepared birth plan

Hadar, Eran; Raban, Oded; Gal, Bracha; Yogev, Yariv; Melamed, Nir

doi:10.3109/14767058.2012.678438

Cited by 19 publications

(20 citation statements)

References 8 publications

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“…One might even argue against using birth plans in the absence of better outcome scores. However, international literature is showing mixed results and international organizations (World Health Organization and National Institute for Health and Care Excellence) and national guidelines advocate its use…”

Section: Discussionmentioning

confidence: 99%

“…Some report that women with a birth plan have an improved childbirth experience and are more satisfied, possibly correlating with the number of fulfilled birth plan requests . Women with a birth plan feel more in control during labor, more often have vaginal births, and have a more physiological birth process . There are mixed results in women with a birth plan on the use of an epidural .…”

Section: Introductionmentioning

confidence: 99%

“…Women with a birth plan feel more in control during labor, more often have vaginal births, and have a more physiological birth process . There are mixed results in women with a birth plan on the use of an epidural . However, others found no improvement in childbirth experience in women with a birth plan, or even found that women with a birth plan are less satisfied .…”

Section: Introductionmentioning

confidence: 99%

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Prevalence, characteristics, and satisfaction of women with a birth plan in The Netherlands

Jolles

Vries

Hollander

et al. 2019

Birth

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Background:The use of birth plans to facilitate shared decision making in childbirth is widely recommended by international agencies and by the Dutch Integrated Birth Care protocol (2016). This study evaluated the use of birth plans in The Netherlands. Methods: A retrospective study was conducted during 2017 in a Dutch academic hospital. Women who gave birth after 33 weeks of gestational age were included (N = 1159). Medical records were searched for a birth plan, either a note or attached file. Socio-demographic, relevant medical and obstetrical characteristics fulfilling criteria for secondary care, and postpartum satisfaction were collected and related to birth plans. Postpartum satisfaction was scored on a scale from 0 to 10. The "net promoter score" (NPS), a quality of care indicator, was also computed. For analysis, independent t test, chi-square test, ANOVA, and two-way between ANOVA were used. Results: A birth plan was noted in the medical records of 34.7% of women. Women with a birth plan were on average older, primiparous, of Dutch ethnicity, and more likely to have a complicated medical history, psychological condition, or fertility treatment. The mean postpartum satisfaction score was 8.28 and the NPS for customer satisfaction was 36.1, falling in the good range. No significant differences in postpartum satisfaction related to birth plans were found. Conclusions: Although birth plans are recommended for every pregnant woman, this is not everyday practice yet. The purpose of birth plans, to facilitate shared decision making, is therefore not fully realized. Implementation strategies are needed to increase adoption of birth plans for every woman. K E Y W O R D S birth care plan, birth plan, satisfaction, shared decision making How to cite this article: Jolles MW, de Vries M, Hollander MH, van Dillen J. Prevalence, characteristics, and satisfaction of women with a birth plan in The Netherlands. Birth. 2019;46:686-692.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Prevalence, characteristics, and satisfaction of women with a birth plan in The Netherlands

Jolles

Vries

Hollander

et al. 2019

Birth

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“…There were no statistically signifi cant differences in cesarean rate (17% in the birth plan group versus 12% in the group without a birth plan). Hadar, Raban, Gal, Yogev, and Melamed (2012) conducted a retrospective study of the outcomes of women with self-prepared birth plans in Israel. They found that these women were less likely to undergo a cesarean birth when compared to women who did not prepare a birth plan (9.3% versus 19.5%).…”

Section: Cesarean Birthsmentioning

confidence: 99%

“…Again, no interviews with the patients were conducted to confi rm this supposition. Hadar et al (2012) reported that of 91.6% of women requesting no episiotomy, 34% received one. Of 46% of women requesting no epidural, 27% received one.…”

Section: Honoring Requestsmentioning

confidence: 99%

Birth Plans

White-Corey

2013

McN: The American Journal of Maternal/Child Nursing

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Although some nurses and physicians might suggest that women who write birth plans are at greater risk of a cesarean birth, research has not supported this myth. The research studies on this topic have suggested, actually, that women who write birth plans do not have higher cesarean rates or worse obstetric outcomes. Birth plans have been shown to inform and empower women, and lead to more satisfaction with their birth experiences. The purpose of this article is to present the existing evidence on perinatal outcomes in women with birth plans and to explore the phenomenon of divergent perceptions among care givers.

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