Providing Information to Pregnant Women: How, What, and Where?

Watkins, Lori; Weeks, AD

doi:10.1097/01.aoa.0000366987.27944.a1

Cited by 3 publications

(3 citation statements)

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“…The obstetricians should make a professional judgment of the individual’s health and the clinical situation when deciding on whether to comply with the request [29, 30]. In the other three opinion articles, the obstetricians stated that scientific evidence is currently lacking on whether a VB or CS is the safest MOB, so there is not enough evidence to support whether women are making a “well” informed autonomous choice [31–33]. In summary, although the majority of obstetricians supported the concept of CSMR, they felt that a CSMR should only be performed after attempts have been made to establish that a CS is indeed a suitable choice for the individual.…”

Section: Maintextmentioning

confidence: 99%

Is it the decision of women to choose a cesarean section as the mode of birth? A review of literature on the views of stakeholders

Loke

Davies

Mak

2019

BMC Pregnancy Childbirth

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Background A debate on the decision of women to choose a cesarean section as the mode of birth in uncomplicated pregnancies from the views of relevant stakeholders. Main text Using five electronic databases, a literature search was conducted for studies published from January 2003 to December 2016. Studies on a woman’s right to request or to choose a cesarean section as the mode of birth in uncomplicated pregnancies were included. Fifty-five articles were identified (39 research studies and 16 opinion-based articles). Among health professionals, obstetricians were the most supportive of this right. It is argued that although women reported wanting to choose the mode of birth, with the safety of their babies as the priority, they also relied on the advice of their maternity care provider and considered it the responsibility of their obstetrician to make the decision. A higher proportion of the general public in countries with well-developed private healthcare accepted that a woman should have the freedom to choose the mode of birth. Conclusions This review provided a debate on the choice of pregnant women in uncomplicated pregnancies on the mode of birth from various stakeholders. Further research is required to explore what the meanings of autonomy of pregnant women to choose the mode of birth, and the process that they go through when making this decision. Electronic supplementary material The online version of this article (10.1186/s12884-019-2440-2) contains supplementary material, which is available to authorized users.

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Section: Maintextmentioning

confidence: 99%

Is it the decision of women to choose a cesarean section as the mode of birth? A review of literature on the views of stakeholders

Loke

Davies

Mak

2019

BMC Pregnancy Childbirth

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“…Therefore, the enthusiasm of pregnant women for shared decision making, together with sociopolitical change, has perhaps unsurprisingly led to a wide acceptance that obstetricians should enable pregnant women to share decisions about their care and treatment with them 9. However, involving patients in decision making remains a challenge for many health professionals 2 6…”

Section: Introductionmentioning

confidence: 99%

Helping pregnant women make better decisions: a systematic review of the benefits of patient decision aids in obstetrics

2011

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ObjectivesPatient decision aids can be used to support pregnant women engaging in shared decisions, but little is known about their effects in obstetrics. The authors aimed to evaluate the effects of patient decision aids designed for pregnant women on clinical and psychosocial outcomes.DesignSystematic review. Data on all outcomes were extracted and summarised. All studies were critically appraised for potential sources of bias and, when possible to obtain, the reported decision aids were evaluated. Meta-analysis was not possible due to the heterogeneity of outcomes in primary studies and the small number of studies.Data sourcesElectronic searches were performed using Medline, Embase, the Cochrane Library and Medion databases from inception until December 2010. Reference lists of all included articles were also examined and key experts contacted.Eligibility criteria for selecting studiesEligibility criteria included randomised controlled trials, which reported on patient decision aids for women facing any treatment decision in pregnancy published in English. Studies evaluating health education material that did not address women's values and preferences were excluded.ResultsPatient decision aids have been developed for decisions about prenatal testing, vaginal birth after Caesarean section, external cephalic version and labour analgesia. Use of decision aids is associated with a number of positive effects including reduced anxiety, lower decisional conflict, improved knowledge, improved satisfaction and increased perception of having made an informed choice.ConclusionsPatient decision aids have the potential to improve obstetric care. However, currently the evidence base is limited by the small number of studies, the quality of the studies and because they involved heterogeneous decision aids, patient groups and outcomes.

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“…6,22 Of course, communication, safety and respect are not the only factors associated with maternal satisfaction. However, it has recently been demonstrated, 23 and argued, 24 that communication with an experienced clinician, and feeling that delivery is safe for them and their babies, are two of the elements women most value.…”

Section: Introductionmentioning

confidence: 99%

A simple tool to measure patient perceptions of operative birth

Siassakos

Clark

Sibanda

et al. 2009

BJOG

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Objective To assess the feasibility and validity of a maternal satisfaction measurement tool, the SaFE study Patient Perception Score (PPS), after operative delivery.Design Cross-sectional survey.Setting A large maternity unit in England.Sample 150 women who had had an operative birth.Methods We recruited women within 24 hours of birth and quantified their satisfaction with two questionnaires: PPS, and the Mackey Childbirth Satisfaction Rating Scale (CSRS; modified).Main Outcome Measures Participation rate to determine feasibility; Cronbach's alpha as measure of internal consistency; PPS satisfaction scores for groups of accoucheurs of different seniority to assess construct validity; correlation coefficient of PPS scores with total scores from the CSRS questionnaire to establish criterion validity.Results Participation rate approached 85%. We observed high scores for most births except a few outliers. Internal consistency of the PPS was high (Cronbach's alpha = 0.83). Total PPS scores correlated strongly with total CSRS scores (Spearman's r = 0.64, P < 0.001).Conclusions The PPS is a simple and valid tool for patientcentred assessments. High scores were observed for most births but there were a small minority of accoucheurs who consistently scored poorly and these data could be used during appraisal and training.

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Providing Information to Pregnant Women: How, What, and Where?

Cited by 3 publications

References 0 publications

Is it the decision of women to choose a cesarean section as the mode of birth? A review of literature on the views of stakeholders

Is it the decision of women to choose a cesarean section as the mode of birth? A review of literature on the views of stakeholders

Helping pregnant women make better decisions: a systematic review of the benefits of patient decision aids in obstetrics

A simple tool to measure patient perceptions of operative birth

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