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Decision Making01:20

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Decision-making is a fundamental cognitive process that involves evaluating alternatives and selecting among them. This process can range from simple choices, such as deciding what to wear, to complex decisions, like choosing a major in college or a career path. The complexity of the decision often dictates the approach we use, which can be broadly categorized into two types: automatic and controlled decision-making.
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Certainty and intention in pregnancy decision-making: An exploratory study.

Brenly B Rowland1, Corinne H Rocca2, Lauren J Ralph2

  • 1UCB-UCSF Joint Medical Program (JMP), Berkeley, CA, USA.

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|November 15, 2020
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Summary

Women seeking abortion and those continuing pregnancies report similar high decision certainty. Pregnancy intention, not the decision itself, influences certainty levels, challenging the notion of abortion as uniquely difficult.

Keywords:
AbortionDecision certaintyDecision conflictPregnancy decision-makingPregnancy intentionPrenatal

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Area of Science:

  • Reproductive Health
  • Decision Science
  • Psychology

Background:

  • Abortion decisions are often perceived as difficult.
  • Research indicates high decision certainty among abortion patients.
  • Limited research exists on decision certainty for continuing pregnancies.

Purpose of the Study:

  • Compare decision certainty between women seeking abortion and those continuing pregnancies.
  • Investigate the influence of pregnancy intendedness on decision certainty.

Main Methods:

  • Administered the decisional conflict scale (DCS) to 149 pregnant women.
  • Utilized Poisson regression models adjusted for covariates.
  • Evaluated DCS scores (certainty levels) by pregnancy decision and intention.

Main Results:

  • Overall DCS scores were low, indicating high certainty (median 9.4/100).
  • No significant difference in uncertainty was found between abortion seekers and those continuing pregnancies (23% vs 19%).
  • Pregnancy intention, not the decision, was a key factor in certainty levels.

Conclusions:

  • Decision certainty is high for both abortion and continuing pregnancies.
  • Pregnancy intendedness is a more significant factor in decision certainty than the decision itself.
  • Voluntary options counseling may benefit some prenatal care patients.