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Consensus on the Structure and Content of Birth Plans: A Modified Delphi Study
Françoise Vendittelli1,2, Lucie Adalid3, Violaine Peyronnet4,5
1Université Clermont Auvergne, Clermont Auvergne INP, CHU Clermont-Ferrand, CNRS, Institut Pascal, Clermont-Ferrand, France.
Summary
A French national consensus was reached on a standardized birth plan structure. This new birth plan, developed through a Delphi process, includes 8 sections and 19 subsections for improved childbirth experience.
Area of Science:
- Perinatal Health
- Patient Experience
- Healthcare Consensus Building
Background:
- Birth plans are inconsistently used and structured in France, limiting research on their impact.
- Heterogeneity in birth plan content hinders assessment of childbirth experience.
- A need for a standardized French birth plan was identified.
Purpose of the Study:
- To establish a French national consensus on the optimal structure and content of birth plans.
- To create a standardized framework for birth plans in France.
- To enhance the utility of birth plans in understanding women's childbirth experiences.
Main Methods:
- A modified Delphi study involving a multidisciplinary steering committee and perinatal professionals.
- Three rounds of electronic consensus-building with user representatives and healthcare providers.
- An external board reviewed the understandability and final content of the proposed birth plan.
Main Results:
- An initial proposal of 103 formulations across 8 sections and 30 subsections was developed.
- 36 to 42 panellists participated across three Delphi consensus rounds.
- A final structured birth plan comprising 8 sections and 19 subsections was approved.
Conclusions:
- A French national consensus was achieved for a structured birth plan via a Delphi process.
- The finalized birth plan consists of 8 sections and 19 subsections.
- Inclusion of user representatives ensured patient-centered development.
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