Listening to Haitian Women and their Health Care Providers: Insight into Shared Decision-making After Cesarean Section

Chinkam, Somphit; Mezwa, Kathryn; Pierre, Kimberly Ashley; Steer-Massaro, Courtney; Herbey, Ivan; Louis, Kettie R.; Mars, Dana; Shorten, Allison

doi:10.1353/hpu.2021.0072

Cited by 2 publications

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“…Studies have shown that particularly long-term risks are less acknowledged and spread [ 50 – 52 ]. Women with previous CS have described a lack of information on birthing options affecting their childbirth decision-making [ 53 ]. Another study found the majority of women to have very little information about their mode of delivery from healthcare professionals [ 54 ].…”

Section: Discussionmentioning

confidence: 99%

“Because it eases my Childbirth Plan”: a qualitative study on factors contributing to preferences for caesarean section in Thailand

Nuampa

Ratinthorn

Lumbiganon

et al. 2023

BMC Pregnancy Childbirth

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Background Although caesarean section (CS) rates have increased rapidly in Thailand, the upward trend is not supported by significant maternal or perinatal health benefits. The appropriate use of CS through QUALIty DECision-making by women and providers (QUALI-DEC project) aims to design and implement a strategy to optimize the use of CS through non-clinical interventions. This study aimed to explore the factors influencing women’s and health professionals’ preferences for CS delivery in Thailand. Methods We conducted a formative qualitative study by using semi-structured in-depth interviews with pregnant and postpartum women, and healthcare staff. Purposive sampling was used to recruit participants from eight hospitals across four regions of Thailand. Content analysis was used to develop the main themes. Results There were 78 participants, including 27 pregnant and 25 postpartum women, 8 administrators, 13 obstetricians, and 5 interns. We identified three main themes and seven sub-themes of women and healthcare providers’ perceptions on CS: (1) avoiding the negative experiences from vaginal birth (the pain of labor and childbirth, uncertainty during the labor period); (2) CS is a safer mode of birth (guarantees the baby’s safety, a protective shield for doctors); and (3) CS facilitates time management (baby’s destiny at an auspicious time, family’s management, manage my work/time). Conclusions Women mentioned negative experiences and beliefs about vaginal delivery, labor pain, and uncertain delivery outcomes as important factors influencing CS preferences. On the other hand, CS is safer for babies and facilitates multiple tasks in women’s lives. From health professionals’ perspectives, CS is the easier and safer method for patients and them. Interventions to reduce unnecessary CS, including QUALI-DEC, should be designed and implemented, taking into consideration the perceptions of both women and healthcare providers.

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Section: Discussionmentioning

confidence: 99%

“Because it eases my Childbirth Plan”: a qualitative study on factors contributing to preferences for caesarean section in Thailand

Nuampa

Ratinthorn

Lumbiganon

et al. 2023

BMC Pregnancy Childbirth

View full text Add to dashboard Cite

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“…These DAs also enhance understanding in a consistent way by providing systematic feedback to the user as well as using graphical, numerical and textual anchoring formats. At the same time, SDM counselling tailored to meet the cultural values and needs of pregnant women can support all stakeholders as they partake in SDM related to caesarean section (Chinkam et al, 2021). However, literacy levels, comprehension or requisite skills, and access to electronic resources vary among pregnant women (Kingdon et al, 2018).…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of shared decision‐making for mode of delivery after caesarean section: A systematic review and meta‐analysis of randomized controlled trials

Yu,

Sun,

Gong

et al. 2024

Journal of Clinical Nursing

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AimTo review the content, format and effectiveness of shared decision‐making interventions for mode of delivery after caesarean section for pregnant women.DesignSystematic review and meta‐analysis.MethodsSix databases (PubMed, Web of science Core Collection, Cochrance Network, Embase, CINAHL, PsycINFO) were searched starting at the time of establishment of the database to May 2023. Following the PRISMAs and use Review Manager 5.3 software for meta‐analysis. Two review authors independently assessed the quality of the studies using the risk of bias 2 tool. The protocol was registered in PROSPERO (CRD42023410536).ResultsThe search strategy obtained 1675 references. After abstract and full text screening, a total of seven studies were included. Shared decision‐making interventions include decision aids and counselling that can help pregnant women analyse the pros and cons of various options and help them make decisions that are consistent with their values. The pooled results showed that shared decision‐making intervention alleviated decisional conflicts regarding mode of delivery after caesarean section, but had no effect on knowledge and informed choice.ConclusionThe results of our review suggest that shared decision‐making is an effective intervention to improve the quality of decision‐making about the mode of delivery of pregnant women after caesarean section. However, due to the low quality of the evidence, it is recommended that more studies be conducted in the future to improve the quality of the evidence.Correlation with Clinical PracticeThis systematic review and meta‐analysis provides evidence for the effectiveness of shared decision‐making for mode of delivery after cesarean section and may provide a basis for the development of intervention to promote the participation of pregnant women in the decision‐making process.

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Listening to Haitian Women and their Health Care Providers: Insight into Shared Decision-making After Cesarean Section

Cited by 2 publications

References 0 publications

“Because it eases my Childbirth Plan”: a qualitative study on factors contributing to preferences for caesarean section in Thailand

“Because it eases my Childbirth Plan”: a qualitative study on factors contributing to preferences for caesarean section in Thailand

Effectiveness of shared decision‐making for mode of delivery after caesarean section: A systematic review and meta‐analysis of randomized controlled trials

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