Differences Between Patient and Provider Perceptions of Informed Decision Making About Epidural Analgesia Use During Childbirth

Overview

Journal J Perinat Educ

Publisher Springer

Date 2014 May 20

PMID 24839385

Citations 8

Authors

Holly Bianca Goldberg

Allison Shorten

Affiliations

Soon will be listed here.

Abstract

The objective of this study was to determine whether differences exist between patient and provider perceptions regarding the decision-making process around use of epidural analgesia during childbirth. The dyadic patient-provider Decisional Conflict Scale was modified to measure first-time mother (n = 35) and maternity care provider (n = 52) perceptions. Providers perceived a greater degree of informed decision making than patients (84.97 vs. 79.41, p = .04) and were more likely to recall they upheld patients' rights to make informed choices than patients were to perceive their rights had been upheld (85.95 vs. 71.73, p < .01). This incongruity highlights the need to align legal principles with practice to create mutual agreement between stakeholder perceptions of informed decision making.

Citing Articles

Consent and refusal of procedures during labour and birth: a survey among 11 418 women in the Netherlands.

van der Pijl M, Klein Essink M, van der Linden T, Verweij R, Kingma E, Hollander M BMJ Qual Saf. 2023; 33(8):511-522.

PMID: 37217317 PMC: 11287523. DOI: 10.1136/bmjqs-2022-015538.

The effect of shared decision-making in choosing the method of labor analgesia on childbirth experience among primiparous women.

Shahveisi M, Nourizadeh R, Mehrabi E PLoS One. 2023; 18(2):e0274559.

PMID: 36791114 PMC: 9931133. DOI: 10.1371/journal.pone.0274559.

Long-term support referrals to enhance food security and well-being in older adults: Texas physicians and nurses on what works.

Chaudhuri N, Alvi L, Williams A Z Gesundh Wiss. 2023; :1-13.

PMID: 36714070 PMC: 9868501. DOI: 10.1007/s10389-022-01800-5.

Patient-centred consent in women's health: does it really work in antenatal and intra-partum care?.

Nicholls J, David A, Iskaros J, Lanceley A BMC Pregnancy Childbirth. 2022; 22(1):156.

PMID: 35216563 PMC: 8876066. DOI: 10.1186/s12884-022-04493-6.

Epidural analgesia and related ethical issues among pregnant women: Literature review.

Abuhammad S, Alholi E Ann Med Surg (Lond). 2021; 65:102305.

PMID: 33948175 PMC: 8080457. DOI: 10.1016/j.amsu.2021.102305.

References

Gravel K, Legare F, Graham I . Barriers and facilitators to implementing shared decision-making in clinical practice: a systematic review of health professionals' perceptions. Implement Sci. 2006; 1:16. PMC: 1586024. DOI: 10.1186/1748-5908-1-16. View

Meng K . ['Informed consent' in public health activities: based on the universal declaration on bioethics and human rights, UNESCO]. J Prev Med Public Health. 2008; 41(5):339-44. DOI: 10.3961/jpmph.2008.41.5.339. View

Green J, Coupland V, Kitzinger J . Expectations, experiences, and psychological outcomes of childbirth: a prospective study of 825 women. Birth. 1990; 17(1):15-24. DOI: 10.1111/j.1523-536x.1990.tb00004.x. View

Wirtz V, Cribb A, Barber N . Patient-doctor decision-making about treatment within the consultation--a critical analysis of models. Soc Sci Med. 2005; 62(1):116-24. DOI: 10.1016/j.socscimed.2005.05.017. View

Levy V . Protective steering: a grounded theory study of the processes by which midwives facilitate informed choices during pregnancy. J Adv Nurs. 1999; 29(1):104-12. DOI: 10.1046/j.1365-2648.1999.00867.x. View

Rosen P, Anell A, Hjortsberg C . Patient views on choice and participation in primary health care. Health Policy. 2001; 55(2):121-8. DOI: 10.1016/s0168-8510(00)00122-6. View

Elwyn G, Edwards A, Gwyn R, Grol R . Towards a feasible model for shared decision making: focus group study with general practice registrars. BMJ. 1999; 319(7212):753-6. PMC: 28229. DOI: 10.1136/bmj.319.7212.753. View

Hamilton B, Martin J, Ventura S . Births: preliminary data for 2009. Natl Vital Stat Rep. 2014; 59(3):1-19. View

Bekker H, Thornton J, Airey C, Connelly J, Hewison J, Robinson M . Informed decision making: an annotated bibliography and systematic review. Health Technol Assess. 1999; 3(1):1-156. View

10.

JUNG H, Wensing M, Grol R . What makes a good general practitioner: do patients and doctors have different views?. Br J Gen Pract. 1998; 47(425):805-9. PMC: 1410074. View

11.

Entwistle V, Watt I . Patient involvement in treatment decision-making: the case for a broader conceptual framework. Patient Educ Couns. 2006; 63(3):268-78. DOI: 10.1016/j.pec.2006.05.002. View

12.

. ACOG Committee Opinion No. 358: professional responsibilities in obstetric-gynecologic education. Obstet Gynecol. 2007; 109(1):239-42. DOI: 10.1097/00006250-200701000-00056. View

13.

Leblanc A, Kenny D, OConnor A, Legare F . Decisional conflict in patients and their physicians: a dyadic approach to shared decision making. Med Decis Making. 2009; 29(1):61-8. DOI: 10.1177/0272989X08327067. View

14.

Harrison M, Kushner K, Benzies K, Rempel G, Kimak C . Women's satisfaction with their involvement in health care decisions during a high-risk pregnancy. Birth. 2003; 30(2):109-15. DOI: 10.1046/j.1523-536x.2003.00229.x. View

15.

Rothenbacher D, Lutz M, Porzsolt F . Treatment decisions in palliative cancer care: patients' preferences for involvement and doctors' knowledge about it. Eur J Cancer. 1997; 33(8):1184-9. DOI: 10.1016/s0959-8049(97)00034-8. View

16.

Jomeen J, Martin C . The impact of choice of maternity care on psychological health outcomes for women during pregnancy and the postnatal period. J Eval Clin Pract. 2008; 14(3):391-8. DOI: 10.1111/j.1365-2753.2007.00878.x. View

17.

Van den Bergh B, Mulder E, Mennes M, Glover V . Antenatal maternal anxiety and stress and the neurobehavioural development of the fetus and child: links and possible mechanisms. A review. Neurosci Biobehav Rev. 2005; 29(2):237-58. DOI: 10.1016/j.neubiorev.2004.10.007. View

18.

Hindley C, Thomson A . The rhetoric of informed choice: perspectives from midwives on intrapartum fetal heart rate monitoring. Health Expect. 2005; 8(4):306-14. PMC: 5060306. DOI: 10.1111/j.1369-7625.2005.00355.x. View

19.

Shorten A, Shorten B, Keogh J, West S, Morris J . Making choices for childbirth: a randomized controlled trial of a decision-aid for informed birth after cesarean. Birth. 2005; 32(4):252-61. DOI: 10.1111/j.0730-7659.2005.00383.x. View

20.

. A patient's bill of rights: The American Hospital Association. Hospitals. 1978; 52(22):112. View