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A conceptual framework for future research on mode of delivery
Jennifer M Wu1, Meera Viswanathan, Julie S Ivy
1Department of Obstetrics and Gynecology, Duke University, DUMC 3192, 5324 McFarland Drive, Suite 310, Durham, NC 27710, USA. Jennifer.wu@duke.edu
Maternal and Child Health Journal
|November 3, 2011
Summary
This study developed a research framework for mode of delivery, identifying key factors influencing birth outcomes. It highlights patient, fetal, and societal influences on delivery method selection.
Area of Science:
- Obstetrics and Gynecology
- Public Health
- Health Services Research
Background:
- Mode of delivery decisions are complex, influenced by multiple factors.
- Existing research frameworks lack comprehensiveness in addressing these influences.
- Identifying research priorities is crucial for improving maternal and infant outcomes.
Purpose of the Study:
- To develop a comprehensive conceptual research framework for mode of delivery.
- To identify research priorities related to mode of delivery using a Delphi process.
- To provide a context for future research on factors influencing delivery mode.
Main Methods:
- Convened a multidisciplinary expert panel (North Carolina Collaborative on Mode of Delivery).
- Utilized a Delphi process and iterative revisions, including an in-person conference.
- Developed a conceptual framework illustrating causal pathways and influencing factors.
Main Results:
- A comprehensive conceptual framework for mode of delivery was finalized.
- The framework maps the interplay of patient, fetal, family, provider, cultural, and societal factors.
- Key research gaps and priorities were identified for future investigation.
Conclusions:
- The developed conceptual framework provides a holistic view of mode of delivery determinants.
- This framework will guide future research by contextualizing specific studies and highlighting knowledge gaps.
- Understanding these complex relationships is essential for evidence-based practice and policy in obstetrics.
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