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What Should Be Discussed When Considering a Vaginal Birth? A Delphi Consensus Study.

Andrew Demetri1, Anna Davies1, Danya Bakhbakhi1

  • 1University of Bristol, Bristol, UK.

BJOG : an International Journal of Obstetrics and Gynaecology
|November 19, 2025
PubMed
Summary
This summary is machine-generated.

A new Core Information Set (CIS) for vaginal birth was developed to improve informed decision-making. This set ensures consistent information about benefits and risks for expectant parents and healthcare providers.

Keywords:
Delphi techniqueconsensuscore information setinformed consentstakeholdersvaginal birthwomenwomen's health

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Area of Science:

  • Maternal Health
  • Evidence-Based Practice
  • Healthcare Decision-Making

Background:

  • Spontaneous vaginal births are common in the UK, yet information on benefits and risks is inconsistent.
  • Inconsistent information delivery impacts patient decision-making and birth experiences.
  • A Core Information Set (CIS) standardizes essential information for informed choices.

Purpose of the Study:

  • To develop a standardized Core Information Set (CIS) for vaginal birth.
  • To ensure comprehensive and consistent information is provided to expectant parents.
  • To support informed decision-making regarding vaginal birth options.

Main Methods:

  • A UK-based Delphi study involving diverse stakeholders (pregnant women, partners, healthcare professionals) was conducted.
  • Information points were gathered from literature, patient materials, interviews, and surveys.
  • A two-round Delphi survey followed by consensus meetings refined the information points into a final CIS.

Main Results:

  • A Core Information Set (CIS) for vaginal birth was successfully developed.
  • The final CIS comprises 19 key information points.
  • These points cover the labor process, pain relief, complications, interventions, postpartum experiences, and neonatal outcomes.

Conclusions:

  • The developed CIS can enhance discussions about vaginal birth.
  • It supports informed decision-making for individuals choosing vaginal birth.
  • This standardized approach aims to improve the overall birth experience.