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.
Kristen is a DONA-certified birth doula, PhD student in philosophy, writer, and social media strategist in Columbus, Ohio. She currently writes the blog Birthing Beautiful Ideas, where she shares information relevant to pregnancy, birth, and parenting. In 2010, she attended the NIH Consensus Development Conference on Vaginal Birth after Cesarean as a consumer advocate. Inspired both by her personal experiences with cesarean section and VBAC and by her passion for broadening the accessibility of maternity care data and research, she soon went on to co-edit “A Woman’s Guide to VBAC: Navigating the NIH Consensus Recommendations.”
Objectives: Patient decision aids can be used to support pregnant women engaging in shared decisions, but little is known about their effects in obstetrics. The authors aimed to evaluate the effects of patient decision aids designed for pregnant women on clinical and psychosocial outcomes. Conclusions: Patient decision aids have the potential to improve obstetric care. However, currently the evidence base is limited by the small number of studies, the quality of the studies and because they involved heterogeneous decision aids, patient groups and outcomes.
Posted in Decision Aid Effectiveness, Patient Decision Aids, Patient Involvement, Patient Preferences, SDM in Maternity Care, Special Populations
Tagged BMJ, decision aids, decision support, decision-making, evidence-based medicine, external cephalic version, labour analgesia, obstetrics, pregnancy, pregnant women, shared decision making, women
Due to the complexity of prenatal screening, researchers are creating a decision aid tool (a DVD and booklet) that can be mailed to patients prior to a first prenatal visit, making it accessible, private, and able to be shared with all decision makers. This project aims to provide a decision aid to pregnant women and their families, in order to decrease decisional tension and improve communication between patient and provider. We believe that a DVD format is the most effective communication medium to reach the target audience of all women receiving prenatal care at DHMC.
Posted in Decision Quality, Investigator-Initiated Research, Patient Decision Aids, Patient Knowledge, Patient Preferences, Patient Satisfaction, Robert Derzon Grants, SDM Implementation, Special Populations
Tagged decision support, DHMC, pregnancy, prenatal care, prenatal screening
This study combines an emerging approach in medical sociology that focuses on the importance of new health information and disease preventability with the bedrock of literature that describes the influence of social relationships on medical decision-making.