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Impact of shared decision-making on women's childbirth preferences: A cluster randomised controlled trial.
López-Gimeno, Encarnación; Falguera-Puig, Gemma; García-Sierra, Rosa; Vicente-Hernández, Mª Mercedes; Cubero, Lucia Burgos; Seguranyes, Gloria.
Afiliación
  • López-Gimeno E; Sexual and Reproductive Healthcare Services (ASSIR), Barcelona, Catalan Health Institute (ICS), Research Group on Sexual and Reproductive Healthcare (GRASSIR) (2021-SGR-01489), 08007 Barcelona, Spain; Department of Public Health, Mental Health and Maternal and Child Health Nursing, Faculty of Nursin
  • Falguera-Puig G; Sexual and Reproductive Healthcare Services (ASSIR), Nord Metropolitan Area, Catalan Health Institut (ICS), Research Group on Sexual and Reproductive Healthcare (GRASSIR) (2021-SGR-01489), 08007 Barcelona, Spain.
  • García-Sierra R; Research Institut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAP JGol), Spain; Nursing Department, Faculty of Medicine, Campus Bellaterra, Universitat Autònoma de Barcelona, Barcelona, Spain; Primary Care Group, Germans Trias i Pujol Research Institute (IGTP), Badalona, Spain; Mult
  • Vicente-Hernández MM; Sexual and Reproductive Healthcare Services (ASSIR), Nord Metropolitan Area, Catalan Health Institut (ICS), Research Group on Sexual and Reproductive Healthcare (GRASSIR) (2021-SGR-01489), 08007 Barcelona, Spain; Sexual and Reproductive Healthcare Services (ASSIR), Badalona, Catalan Health Institute
  • Cubero LB; Sexual and Reproductive Healthcare Services (ASSIR), Catalan Health Institute (ICS), Mollet del Vallés, Spain.
  • Seguranyes G; Department of Public Health, Mental Health and Maternal and Child Health Nursing, Faculty of Nursing, University of Barcelona, Hospitalet LL, Spain; Sexual and Reproductive Healthcare Services (ASSIR), Nord Metropolitan Area, Catalan Health Institut (ICS), Research Group on Sexual and Reproductive H
Midwifery ; 133: 103999, 2024 Jun.
Article en En | MEDLINE | ID: mdl-38643600
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.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Prioridad del Paciente / Toma de Decisiones Conjunta Límite: Adult / Female / Humans / Pregnancy Idioma: En Revista: Midwifery Asunto de la revista: ENFERMAGEM / OBSTETRICIA Año: 2024 Tipo del documento: Article Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Prioridad del Paciente / Toma de Decisiones Conjunta Límite: Adult / Female / Humans / Pregnancy Idioma: En Revista: Midwifery Asunto de la revista: ENFERMAGEM / OBSTETRICIA Año: 2024 Tipo del documento: Article Pais de publicación: Reino Unido