In August, the Informed Medical Decisions Foundation formally announced our partnership with Childbirth Connection to establish the Maternity Care Shared Decision Making Initiative. Childbirth Connection has been a leading voice in maternity care quality improvement for over 90 years. "In today's environment, women need access to evidence-based decision tools to help them navigate the complex maternity care system and make informed decisions for a safe and healthy birth. We are excited about the project and can't wait to get started," says Maureen Corry, Childbirth Connection's executive director.
Transforming care so that shared decision making is standard practice must be a multi-stakeholder effort, with women, clinicians, hospital administrators, payers and policy makers doing their part. Childbearing women and their advocates have a critical role in demanding this kind of care. Women can “vote with their feet” by choosing providers who engage them in shared decision making and honor their right to informed choice. But they can also advocate for system changes so that shared decision making becomes the standard.
Support for a model of shared medical decision making, where women and their care providers discuss risks and benefits of their different options, reveal their preferences, and jointly make a decision, is a growing expectation in obstetric care. The objective of this study was to conduct a systematic review and meta-analysis of randomized controlled trials evaluating the efficacy of different decision aid tools compared to regular care for women facing several option in the specific field of obstetric care. We included published studies about interventions designed to aid mothers' decision making and provide information about obstetrical treatment or screening options.
Posted in Patient Decision Aids, Patient Involvement, Patient Preferences, SDM in Maternity Care, Special Populations
Tagged childbirth, decision aids, decision support, decision-making, doctor-patient communication, health education, informed consent, obstetrics, patient-centered care, pregnant women, shared decision making, women