A clear and adequately funded preconception care pathway is needed from epilepsy diagnosis, including support for stress. Understanding what influences maternalisation may help understand uptake of preconception care.

criterion. However, we acknowledged in the paper that other clinical, health system-related and sociodemographic issues could have been considered, but were beyond the scope of our study. We sought to make our methodology transparent, recognising that others might consider different criteria to define stillbirth preventability. For the paper, we describe the clinical conditions, rather than the technical ICD-10 designations, to make the results more understandable to clinicians reading the paper.Despite these nuances, we are confident thatthedatasupportourmainconclusions that the majority of stillbirths occurring in many low-resource settings are preventable withgenerally availableresources, and the most common medical conditions associated with stillbirth in these settings include a small-for-gestational-age fetus, pre-eclampsia, placental abruption and deaths occurring after admission to the hospital. Focusing on improving obstetric care for these conditions should result in a substantial reduction in stillbirths in many low-resource settings.

Shared decision-making is considered key to influencing women's motivation to choose vaginal birth after caesarean section (VBAC), as when women's self-determination is respected, they are more likely to avoid intervention. However, the shared decision-making conversation can be challenging. This article introduces the ARCS-V (attention, relevance, confidence, satisfaction, volition), an model for understanding and responding to women's motivation to share the decision about VBAC vs repeat caesarean section. Each of the model's components are introduced, including the psychological basis for managing a shared conversation; capturing and holding women's attention on what they need to learn; matching the learning goals with women's personal goals; building their confidence to achieve their optimal birth; and ensuring they are satisfied with decision-making experience. When these educational conditions are met, women are more likely to use shared decision-making conversations to choose optimally.

This a preprint and has not been peer reviewed. Data may be preliminary.

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