Impact of shared decision-making on women's childbirth preferences : A cluster randomised controlled trial
López-Gimeno, Encarnación (Universitat de Barcelona)
Falguera Puig, Gemma (Institut Germans Trias i Pujol)
García-Sierra, Rosa (Institut Català de la Salut)
Burgos Cubero, Lucia (Institut Català de la Salut)
Seguranyes, Gloria (Institut Català de la Salut)

Date:	2024
Abstract:	Background: Midwives provide counselling for birth plans (BPs) to women during prenatal care; however, the impact of individualised BP counselling interventions based on shared decision-making (SDM) regarding women's preferences is unknown. Methods: This randomised cluster trial included four primary healthcare units. Midwives provided BP counselling based on SDM to women in the intervention group (IG) during prenatal care along with a handout about evidence-based recommendations. Women in the control group (CG) received standard BP counselling from midwives. The main outcome was preference changes concerning BPs. Results: A total of 461 (95. 5 %) pregnant women received BP counselling (IG, n = 247; CG, n = 214). Women in the IG changed their BP preferences for 13 items compared with those in the CG. These items were: using an unique space during birth (81. 1 % vs 51. 6 %; p < 0. 001), option for light graduation (63 % vs 44. 7 %; p < 0. 001), listening to music (57. 3 % vs 43. 6 %; p = 0. 006), drinking fluids during labour (84. 6 % vs 93. 6 %; p = 0. 005), continuous monitoring (59 % vs 37. 8 %; p < 0. 001); desire for natural childbirth (36. 6 % vs 25 %; p = 0. 014), epidural analgesia (55. 1 % vs 43. 6 %; p = 0. 023); breathing techniques (65. 2 % vs 50. 5 %; p = 0. 003), massage (74. 9 % vs 55. 3 %; p < 0. 001); birthing ball use (81. 9 % vs 56. 9 %; p < 0. 001), spontaneous pushing (49. 3 % vs 28. 7 %; p < 0. 001), choosing birth position (69. 6 % vs 41. 5 %) and delayed umbilical cord clamping (67. 8 % vs 44. 1 %; p = 0. 001). Conclusion: SDM counselling, together with a handout about evidence-based recommendations on childbirth and newborn care, produced more changes in women's preferences expressed in the BP than standard counselling.
Rights:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, i la comunicació pública de l'obra, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original. No es permet la creació d'obres derivades.
Language:	Anglès
Document:	Article ; recerca ; Versió publicada
Subject:	Birth plan ; Counselling ; Share decision-making ; Midwife
Published in:	Midwifery, Vol. 133 (2024) , art. 103999, ISSN 0266-6138

DOI: 10.1016/j.midw.2024.103999

9 p, 1.2 MB

The record appears in these collections:
Research literature > UAB research groups literature > Research Centres and Groups (research output) > Health sciences and biosciences > Institut d'Investigació en Ciencies de la Salut Germans Trias i Pujol (IGTP)
Articles > Research articles
Articles > Published articles