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Choosing a Birth Setting: A Shared Decision-Making Approach.

Erin K George1, Stephanie Mitchell2, Dawn Stacey3

  • 1Connell School of Nursing, Boston College, Chestnut Hill, Massachusetts.

Journal of Midwifery & Women'S Health
|May 26, 2022
PubMed
Summary
This summary is machine-generated.

Choosing a birth setting (birth center, home, or hospital) impacts perinatal outcomes. Shared decision-making empowers individuals to align birth location choices with personal values and health needs, potentially reducing disparities.

Keywords:
birth centersbirth settinghome birthhospital birthpatient decision aidpatient-centered careperinatal careshared decision-making

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Area of Science:

  • Perinatal Health
  • Shared Decision-Making
  • Health Equity

Background:

  • Perinatal outcomes differ significantly across various birth settings, including birth centers, home births, and hospital births.
  • Individualized choices regarding birth settings are crucial for maternal and infant well-being.

Purpose of the Study:

  • To explore a patient-centered, shared decision-making model for selecting birth settings.
  • To facilitate informed, values-based decisions regarding birth location.
  • To investigate how shared decision-making can improve access to beneficial birth settings.

Main Methods:

  • This study utilizes a case study approach.
  • Focuses on shared decision-making principles in the context of birth settings.
  • Examines the role of patient decision aids in the process.

Main Results:

  • Shared decision-making enhances an individual's ability to weigh the benefits and risks of different birth settings.
  • Informed choices align birth location preferences with personal values and health considerations.
  • Patient decision aids can empower individuals in their birth setting selection.

Conclusions:

  • A patient-centered, shared decision-making approach is vital for informed birth setting choices.
  • Shared decision-making can promote greater equity in accessing birth settings that support positive perinatal outcomes.
  • This approach has the potential to mitigate perinatal health disparities in the United States.