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Published on: January 27, 2010
Assessing women's preferences for intrapartum care
1Centre for Advanced Studies in Nursing, University of Aberdeen, Foresterhill Health Centre, Westburn Road, Aberdeen, AB25 2AY, Scotland.
Birth (Berkeley, Calif.)
|March 21, 2002
Summary
Women prioritize continuity of caregiver and pain relief options in intrapartum care. A discrete choice experiment effectively gauges these preferences, informing service planning.
Area of Science:
- Maternal Health
- Health Services Research
- Consumer Preference Research
Background:
- Government reports advocate for consumer involvement in health service planning.
- Traditional satisfaction surveys have limitations in capturing nuanced preferences.
- Discrete choice experiments offer a method to quantify the importance of specific service attributes.
Purpose of the Study:
- To assess the feasibility of using a discrete choice experiment (DCE).
- To evaluate women's preferences for various aspects of intrapartum care.
- To inform the planning of maternity services based on consumer input.
Main Methods:
- Pilot study involving 301 women of low obstetric risk.
- Anonymous, self-complete questionnaire administered at the booking visit.
- Discrete choice experiment design to elicit attribute importance.
Main Results:
- Women prefer maternity units with greater caregiver continuity and more pain relief options.
- Continuous fetal heart rate monitoring, a homely environment, and routine medical staff involvement are valued.
- Women's preferences are not uniform; trade-offs exist, such as between continuity and pain relief availability.
Conclusions:
- Discrete choice experiments are valuable for assessing women's preferences in maternity care.
- This method can guide the development of patient-centered maternity services.
- Future research should incorporate qualitative methods to deepen understanding of preference formation.
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