scholarly journals On speaking terms: a Delphi study on shared decision-making in maternity care

2014 ◽  
Vol 14 (1) ◽  
Author(s):  
Marianne J Nieuwenhuijze ◽  
Irene Korstjens ◽  
Ank de Jonge ◽  
Raymond de Vries ◽  
Antoine Lagro-Janssen
Keyword(s):  
Decision Making ◽  
Shared Decision Making ◽  
Maternity Care ◽  
Delphi Study ◽  
Shared Decision

scholarly journals Women’s Participation in Decision-Making in Maternity Care: A Qualitative Exploration of Clients’ Health Literacy Skills and Needs for Support

2021 ◽  
Vol 18 (3) ◽  
pp. 1130
Author(s):  
Laxsini Murugesu ◽  
Olga C. Damman ◽  
Marloes E. Derksen ◽  
Danielle R. M. Timmermans ◽  
Ank de Jonge ◽  
...  
Keyword(s):  
Decision Making ◽  
Health Literacy ◽  
Shared Decision Making ◽  
Maternity Care ◽  
General Information ◽  
Literacy Skills ◽  
Reliable Information ◽  
Functional Health ◽  
Shared Decision ◽  
Participation In Decision Making

Shared decision-making requires adequate functional health literacy (HL) skills from clients to understand information, as well as interactive and critical HL skills to obtain, appraise and apply information about available options. This study aimed to explore women’s HL skills and needs for support regarding shared decision-making in maternity care. In-depth interviews were held among women in Dutch maternity care who scored low (n = 10) and high (n = 13) on basic health literacy screening test(s). HL skills and perceived needs for support were identified through thematic analysis. Women appeared to be highly engaged in the decision-making process. They mentioned searching and selecting general information about pregnancy and labor, constructing their preferences based on their own pre-existing knowledge and experiences and by discussions with partners and significant others. However, women with low basic skills and primigravida perceived difficulties in finding reliable information, understanding probabilistic information, constructing preferences based on benefit/harm information and preparing for consultations. Women also emphasized dealing with uncertainties, changing circumstances of pregnancy and labor, and emotions. Maternity care professionals could further support clients by guiding them towards reliable information. To facilitate participation in decision-making, preparing women for consultations (e.g., agenda setting) and supporting them in a timely manner to understand benefit/harm information seem important.

scholarly journals Women’s traumatic childbirth experiences: Reflections and implications for practice

2018 ◽  
Vol 1 (1) ◽  
Author(s):  
Fontein-Kuipers Yvonne
Keyword(s):  
Decision Making ◽  
Informed Consent ◽  
Shared Decision Making ◽  
Maternity Care ◽  
Shared Decision ◽  
Intrapartum Care ◽  
Care Needs ◽  
Traumatic Birth ◽  
Traumatic Childbirth ◽  
Childbirth Experiences

Objective: This study aims to explore women’s traumatic childbirth experiences in order to make maternity care professionals more aware of women’s intrapartum care needs to prevent traumatic experiences. Methods: A qualitative exploratory study with a constant comparison/ grounded theory design was performed. Thirty-six interviews were conducted with women who had given birth in a Dutch birth setting. Findings: Four themes, playing a profound role in the occurrence of traumatic birth experiences, emerged: 1 Midwife-LED care – Maternity care professionals’ unilateral decision making during intrapartum care. 2. Alienation – Women’s experiences of feeling distant and estranged from the childbirth event and the experience. 3. Situatedness – The difference of the impact of interventions in situations when complications or emergencies are present in contrast to when interventions are performed without an emergency reason. 4. Discrepancies - Paradoxes between expectations (ought self) and reality (actual self) - on an interpersonal (woman) and intrapersonal (woman-midwife) level. Implications for practice: Intrapartum care needs to include informed-consent and shared-decision making. Practitioners need to continuously evaluate if the woman is consistently part of her own childbearing process. Practitioners need to provide personalised care, make an effort to explain (emergency) situations, be conscious of their non-verbal communication and maintain an ongoing dialogue with the woman. Conclusion: Intrapartum care can be adapted, adopting a woman-centred approach, in order to prevent women’s traumatic childbirth experiences. This study can serve as a valuable assistance for maternity services, midwifery practice, research and for developing guidance in the field of midwifery practitioners’ education. Keywords: Traumatic birth experience, Maternity care, Intrapartum care, Informed-consent, Shared-decision making, Woman-centred care, Qualitative research.

Needs of parents and professionals to improve shared decision-making in interprofessional maternity care practice: A qualitative study

Birth ◽  
2018 ◽  
Vol 45 (3) ◽  
pp. 245-254 ◽  
Author(s):  
Joyce Molenaar ◽  
Irene Korstjens ◽  
Marijke Hendrix ◽  
Raymond de Vries ◽  
Marianne Nieuwenhuijze
Keyword(s):  
Decision Making ◽  
Qualitative Study ◽  
Shared Decision Making ◽  
Maternity Care ◽  
Care Practice ◽  
Shared Decision

scholarly journals Shared decision‐making in maternity care: Acknowledging and overcoming epistemic defeaters

2019 ◽  
Vol 25 (6) ◽  
pp. 1113-1120 ◽  
Author(s):  
Keith Begley ◽  
Deirdre Daly ◽  
Sunita Panda ◽  
Cecily Begley
Keyword(s):  
Decision Making ◽  
Shared Decision Making ◽  
Maternity Care ◽  
Shared Decision

Planned Home VBAC in the United States, 2004-2009: Outcomes, Maternity Care Practices, and Implications for Shared Decision Making

Birth ◽  
2015 ◽  
Vol 42 (4) ◽  
pp. 299-308 ◽  
Author(s):  
Kim J. Cox ◽  
Marit L. Bovbjerg ◽  
Melissa Cheyney ◽  
Lawrence M. Leeman
Keyword(s):  
United States ◽  
Decision Making ◽  
Shared Decision Making ◽  
Maternity Care ◽  
The United States ◽  
Shared Decision ◽  
Care Practices

scholarly journals Towards a global framework for assessing male involvement in maternal health: results of an international Delphi study

BMJ Open ◽  
2021 ◽  
Vol 11 (9) ◽  
pp. e051361
Author(s):  
Anna Galle ◽  
Sally Griffin ◽  
Nafissa Osman ◽  
Kristien Roelens ◽  
Olivier Degomme
Keyword(s):  
Decision Making ◽  
Maternal Health ◽  
Gender Equality ◽  
Shared Decision Making ◽  
Delphi Study ◽  
Male Involvement ◽  
Shared Decision ◽  
Emotional Involvement ◽  
International Panel ◽  
Sensitivity Specificity

PurposeCurrently, no standard instrument exists for assessing the concept of male involvement in maternal health, hampering comparison of results and interpretation of the literature. The aim of this study was to construct the key elements of a global multidimensional male involvement framework, based on the latest evidence and input of experts in the field.MethodsFor this purpose, a Delphi study, including an international panel of 26 experts, was carried out. The study consisted of three rounds, with 92% of respondents completing all three surveys. Experts were asked to rate indicators within six categories in terms of validity, feasibility, sensitivity, specificity and context robustness. Furthermore, they were encouraged to clarify their rating with open text responses. Indicators were excluded or adapted according to experts’ feedback before inclusion. A 85% agreement was used as threshold for consensus.ResultsA general consensus was reached for a global framework for assessing male involvement in maternal health, consisting of five categories: involvement in communication, involvement in decision-making, practical involvement, physical involvement and emotional involvement.ConclusionsUsing the male involvement framework as a tool to assess the concept of male involvement in maternal health at local, national, and international levels could allow improved assessment and comparison of study findings. Further research is needed for refining the indicators according to context and exploring how shared decision-making, gender equality and women’s empowerment can be assessed and facilitated within male involvement programmes.

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