Shared decision-making in maternity care in Saudi Arabia: A cross-sectional study

Area of Science:

• Maternal Health
• Healthcare Quality
• Patient-Centered Care

Background:

• Shared decision-making (SDM) enhances patient satisfaction and reduces decisional conflict in maternity care.
• Understanding SDM's prevalence and influencing factors is vital for improving women's healthcare experiences.

Purpose of the Study:

• To investigate the prevalence of SDM in Saudi Arabian maternity care.
• To identify factors associated with low SDM.
• To examine the correlation between SDM and perceived respect in maternity care.

Main Methods:

• A nationwide online survey was conducted from January to May 2023.
• 505 women aged 18+ who were pregnant or had recently given birth participated.
• Validated scales (MADM, MORi) assessed SDM and respect levels.

Main Results:

• 34.1% of women reported low to very low SDM.
• Factors linked to low SDM included seeing different obstetricians and instrumental vaginal birth.
• Low SDM was positively associated with feeling disrespected during maternity care.

Conclusions:

• Over one-third of women experience suboptimal SDM in Saudi maternity care.
• Continuity of care, including seeing the same obstetrician, is essential.
• Healthcare providers must prioritize SDM and respectful care to enhance patient satisfaction.