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Related Experiment Video

Updated: Apr 27, 2026

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On speaking terms: a Delphi study on shared decision-making in maternity care.

Marianne J Nieuwenhuijze1, Irene Korstjens, Ank de Jonge

  • 1Research Centre for Midwifery Science, Faculty Midwifery Education & Studies, Zuyd University, Universiteitssingel 60, 6229 ER Maastricht, the Netherlands. m.nieuwenhuijze@av-m.nl.

BMC Pregnancy and Childbirth
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PubMed
Summary

Shared decision-making (SDM) in maternity care enhances women's childbirth experiences. This study identified key quality criteria and professional competencies for effective SDM, emphasizing continuous communication and individualized care throughout pregnancy and postpartum.

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Area of Science:

  • Maternal Health
  • Healthcare Decision-Making
  • Midwifery Research

Background:

  • Shared decision-making (SDM) positively impacts women's maternity care experiences.
  • SDM supports informed healthcare choices for individuals.
  • Focus on SDM in everyday practice for healthy women's maternity care.

Purpose of the Study:

  • To identify quality criteria for applying SDM in maternity care.
  • To determine professional competencies essential for SDM implementation.
  • To enhance women's childbirth experiences through improved SDM.

Main Methods:

  • International three-round web-based Delphi study.
  • Panel comprised experts in SDM and maternity care (midwives, obstetricians, educators, researchers, policymakers, care users).
  • Consensus achieved on quality criteria and competencies using Likert-scale ratings.

Main Results:

  • Consensus reached on 45 quality criteria and 4 competency statements for SDM.
  • SDM is a dynamic process from antenatal care through postpartum.
  • Essential elements include continuous communication, accurate information, and preparation for unexpected decisions.

Conclusions:

  • SDM in maternity care is a dynamic, individualized process.
  • Identified criteria and competencies will aid practitioners and educators in applying SDM.
  • Effective SDM contributes to positive birth experiences and increased patient satisfaction.