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Related Experiment Video

Updated: May 21, 2025

A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
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Birth plans: Developing a shared medical decision aid tool.

M Goetz-Fu1, L Gaucher2,3,4, C Huissoud2,5

  • 1Département de Gynécologie-Obstétrique, Hôpital de La Croix-Rousse, Hospices Civils de Lyon, 103 Grande Rue de La Croix-Rousse, Lyon, 69004, France. morgane.goetz9@gmail.com.

BMC Pregnancy and Childbirth
|March 18, 2025
PubMed
Summary
This summary is machine-generated.

This study developed a decision aid for expectant mothers to create birth plans, incorporating patient preferences and professional expertise. The tool addresses key childbirth topics, aiming to enhance informed decision-making during labor and delivery.

Keywords:
Birth plansBirth projectsDecision aid toolModified Delphi consensusShared medical decision

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Area of Science:

  • Obstetrics and Gynecology
  • Patient Education
  • Shared Decision-Making

Background:

  • The rise of birth plans reflects increasing patient demand for active participation in childbirth.
  • Existing birth plans may not fully capture expectant mothers' expectations or align with professional recommendations.
  • A need exists for tools that facilitate collaborative decision-making in maternity care.

Purpose of the Study:

  • To collaboratively develop a medical decision aid for expectant mothers to better prepare for childbirth.
  • To integrate patient expectations with professional expertise in a user-friendly birth planning tool.
  • To enhance informed decision-making and patient engagement in maternity care.

Main Methods:

  • Identified key birth plan topics through patient associations and professional online polls.
  • Developed initial items via professional work groups, followed by a modified Delphi consensus process.
  • Involved multidisciplinary professionals and expectant mothers across three consensus rounds to refine items.

Main Results:

  • 124 items were initially proposed across five themes: analgesia, drug administration, delivery room events, neonatal care, and perineal protection.
  • 65.3% of items achieved consensus between expectant mothers and professionals.
  • Disagreements noted in preferences for analgesia (non-medicinal favored by mothers) and information detail (delayed cord clamping favored by professionals).

Conclusions:

  • A decision aid tool was successfully co-created with expectant mothers using a modified Delphi consensus.
  • The tool addresses five core topics relevant to birth planning and patient decision-making.
  • Further clinical validation is required to assess the tool's utility in routine obstetrics consultations.