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Updated: Jun 23, 2026
05:37
An R-Based Landscape Validation of a Competing Risk Model
Published on: September 16, 2022
Risk assessment and risk distortion: finding the balance
Robin G Jordan1, Patricia Aikins Murphy
1robin.jordan@frontierschool.edu
Journal of Midwifery & Women'S Health
|May 5, 2009
Summary
Standard obstetric practices often label all pregnant women as high-risk, leading to unnecessary interventions. Evidence-based risk assessment and tools like the Paling Palette can improve prenatal care communication and outcomes.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
- Health Psychology
Background:
- Pregnancy and birth are frequently viewed as high-risk medical events requiring constant monitoring.
- Universal risk scoring and surveillance are standard obstetric practices aimed at risk reduction.
- The normalization of technology in prenatal care can undermine women's innate knowledge of childbirth.
Purpose of the Study:
- To analyze the impact of risk stratification in prenatal care.
- To explore the consequences of labeling pregnant women as high-risk.
- To advocate for evidence-based risk assessment and improved patient-provider communication.
Main Methods:
- Literature review on risk management in obstetrics.
- Analysis of the psychological effects of high-risk labeling.
- Discussion of communication strategies in prenatal care.
Main Results:
- Labeling women as high-risk can lead to increased unnecessary interventions and negative psychological effects.
- Over-reliance on technology may diminish women's trust in their own birth experiences.
- Current communication practices may foster compliance over informed choice.
Conclusions:
- Evidence-based risk assessment is crucial for optimal prenatal care.
- Tools like the Paling Palette can facilitate balanced risk communication.
- Shifting from universal risk management to individualized, evidence-based approaches is necessary.
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