Women's information needs, decision-making and experiences of membrane sweeping to promote spontaneous labour

Roberts, Julie; Evans, Kerry; Spiby, Helen; Evans, Catrin; Pallotti, Phoebe; Eldridge, Jeanette

doi:10.1016/j.midw.2019.102626

Cited by 9 publications

(5 citation statements)

References 66 publications

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“…However, 56% of the 1,364 women who had the Hamilton manoeuvre performed said that the doctor had not asked for their permission beforehand. This is an example of very disrespectful care and may be occurring, unacknowledged, in many other countries as a recent systematic review [ 39 ] failed to find any research in this area. Not gaining women’s consent for interventions or procedures is not uncommon, as is shown in systematic reviews [ 40 , 41 ] and in studies conducted in a myriad of settings globally [ 15 – 17 , 41 – 43 ].…”

Section: Discussionmentioning

confidence: 99%

An online survey of women’s views of respectful and disrespectful pregnancy and early labour care in the Czech Republic

Daly,

Sedlicka,

Švanderlíková

et al. 2024

BMC Pregnancy Childbirth

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Objective To ascertain and explore the views of women and their partners, giving birth in the Czech Republic, of the level of respectful or disrespectful care provided during pregnancy and early labour. Design Ethical approval was granted for a descriptive, online anonymous survey of 65 questions, with quantitative and qualitative responses. Setting The Czech Republic.The survey was completed by 8,767 women and 69 partners in 2018. Measurements and findings Descriptive statistics and thematic analysis were used to present results. The majority of women were aged 26-35 years. Most had birthed in one of 93 hospitals, with 1.5% home births. Almost 40% never had an abdominal examination.in pregnancy. Quantitative data analysis revealed that less than half were given information on place of birth, or how to keep labour normal or non-interventionist. Almost 60% did not get information on positions for birth. Most (68%) commenced labour naturally, 25% had labour induced, 40% of them before term, and 7% had an elective caesarean section; 55% stated they had not been given any choice in the decision. Over half of those who had a membrane sweep said permission had not been sought. Half (54%) only had ‘checking’ visits from the midwife in labour. Key conclusions Findings reveal a lack of information-giving, discussion and shared decision-making from healthcare professionals during pregnancy and early labour. Some practices were non-evidenced-based, and interventions were sometimes made without consent. Implications for practice The examples of disrespectful care described in this study caused women distress during childbirth, which may result in an increased fear of childbirth or an increase in free-birthing.

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Section: Discussionmentioning

confidence: 99%

An online survey of women’s views of respectful and disrespectful pregnancy and early labour care in the Czech Republic

Daly,

Sedlicka,

Švanderlíková

et al. 2024

BMC Pregnancy Childbirth

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“…More than a third of the women had a neutral opinion on these clinical questions, a result which was like that found by Barnes et al, when asked about matters such as umbilical cord clamping [ 31 ]. This lack of position may be related to a lack of information about the advantages and disadvantages of these techniques [ 36 ]. It would be necessary, before making any decision, for women to have exhaustive and unbiased information, knowing some risks or consequences of certain decisions.…”

Section: Discussionmentioning

confidence: 99%

Does the birth plan match what is relevant to women? Preferences of Spanish women when giving birth

Artieta-Pinedo,

Paz-Pascual,

Garcia-Alvarez

et al. 2024

BMC Women's Health

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Background To support women in making shared decisions, it is important to know what is relevant to them. The aim is to explore which of the options included in birth plans (BP) are of most interest to women, and which are more controversial. In addition, the possible association of this variability with personal characteristics. Methods The data are part of a cross-sectional descriptive study, carried out in xxx, on the clinimetric characteristics of two instruments to measure women’s needs in labour and postpartum. Women were recruited consecutively by their midwives during pregnancy check-ups, receive a link to a digital questionnaire and were allowed to provide links to the questionnaires to other pregnant women. Women were asked to determine their level of agreement with statements about the birth environment, accompaniment, pain relief, medical intervention and neonatal care. The relationship between agreement with each statement, socio-demographic variables and fear of childbirth (W-DEQ-A) was analysed using a combination of descriptive statistics to analyse frequencies, and regression models to test the effect of socio-demographic variables and fear of childbirth on those items with the greatest variability. Results Two hundred forty-seven women responded. More than 90% preferred a hospital delivery, with information about and control over medical intervention, accompanied by their partner and continuous skin-to-skin contact with the newborn. There are other questions to which women attach less importance or which show greater variability, related to more clinical aspects, like foetal monitoring, placenta delivery, or cord clamping… Various factors are related to this variability; parity, nationality, educational level, risk factor or fear of childbirth are the most important. Conclusions Some items referring to the need for information and participation are practically unanimous among women, while other items on technical interventions generate greater variability. That should make us think about which ones require a decision after information and which ones should be included directly. The choice of more interventional deliveries is strongly associated with fear of childbirth.

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“…As such, evidence against which the leaflet content was compared was taken from the 58 systematic reviews in the Cochrane Database ( 11 ), that covered methods of induction ( N = 39), timing of birth ( N = 12), Cesarean as an alternative to induction ( N = 2), duration of induction ( N = 1), and place of induction ( N = 1). These were supplemented by systematic reviews on indications for induction ( 12 ) and women's views ( 13 – 15 ). Since the survey was performed, NICE has released new labor induction guidance ( 16 ).…”

Section: Methodsmentioning

confidence: 99%

Labor induction information leaflets—Do women receive evidence-based information about the benefits and harms of labor induction?

Dadelszen

Tohill²,

Wade³

et al. 2022

Front. Glob. Womens Health

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ObjectivesTo determine the extent to which a sample of NHS labor induction leaflets reflects evidence on labor induction.SettingAudit of labor induction patient information leaflets—local from WILL trial (When to Induce Labor to Limit risk in pregnancy hypertension) internal pilot sites or national-level available online.MethodsDescriptive analysis [n = 21 leaflets, 19 (one shared) in 20 WILL internal pilot sites and 2 NHS online] according to NHS “Protocol on the Production of Patient Information” criteria: general information (including indications), why and how induction is offered (including success and alternatives), and potential benefits and harms.ResultsAll leaflets described an induction indication. Most leaflets (n = 18) mentioned induction location and 16 the potential for delays due to delivery suite workloads and competing clinical priorities. While 19 leaflets discussed membrane sweeping (17 as an induction alternative), only 4 leaflets mentioned balloon catheter as another mechanical method. Induction success (onset of active labor) was presented by a minority of leaflets (n = 7, 33%), as “frequent” or in the “majority”, with “rare” or “occasional” failures. Benefits, harms and outcomes following induction were not compared with expectant care, but rather with spontaneous labor, such as for pain (n = 14, with nine stating more pain with induction). Potential benefits of induction were seldom described [n = 7; including avoiding stillbirth (n = 4)], but deemed to be likely. No leaflet stated vaginal birth was more likely following induction, but most stated Cesarean was not increased (n = 12); one leaflet stated that Cesarean risks were increased following induction. Women's satisfaction was rarely presented (n = 2).ConclusionInformation provided to pregnant women regarding labor induction could be improved to better reflect women's choice between induction and expectant care, and the evidence upon which treatment recommendations are based. A multiple stakeholder-involved and evidence-informed process to update guidance is required.

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Women's information needs, decision-making and experiences of membrane sweeping to promote spontaneous labour

Cited by 9 publications

References 66 publications

An online survey of women’s views of respectful and disrespectful pregnancy and early labour care in the Czech Republic

An online survey of women’s views of respectful and disrespectful pregnancy and early labour care in the Czech Republic

Does the birth plan match what is relevant to women? Preferences of Spanish women when giving birth

Labor induction information leaflets—Do women receive evidence-based information about the benefits and harms of labor induction?

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