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Decision-Making and Knowledge Around Inductions of Labor: A Survey Study in Ireland
Allison Panaro1, Santosh Sharma1, Susann Huschke1
1School of Medicine, University of Limerick, Limerick, Ireland.
Birth (Berkeley, Calif.)
|December 12, 2025
Summary
Many women are not fully involved in decisions about labor induction (IOL) or adequately informed about its risks and benefits. Improving communication and respecting patient autonomy are crucial for informed consent in maternity care.
Area of Science:
- Maternal Health
- Reproductive Medicine
- Healthcare Decision-Making
Background:
- Globally, one in five births involve induction of labor (IOL).
- Informed decision-making is vital in pregnancy and birth, yet women often lack full involvement and information regarding IOL.
- This gap highlights a need to understand women's experiences and influencing factors in IOL decision-making.
Purpose of the Study:
- To explore women's experiences with the decision-making process for induction of labor.
- To analyze demographic factors affecting women's knowledge and involvement in IOL decisions.
Main Methods:
- An online survey was conducted with women who gave birth in Ireland between 2018 and 2023.
- Quantitative and qualitative data were collected and analyzed using descriptive, bivariate, and multivariate statistical methods.
Main Results:
- Nearly half of respondents (49.3%) felt uninvolved in their IOL decision, and 66.8% felt insufficiently informed.
- 30% of women were unaware they could decline induction.
- Higher involvement and knowledge were associated with prior pregnancies and private maternity care.
Conclusions:
- A significant number of women lack comprehensive understanding of IOL's benefits, risks, and alternatives.
- Enhancing maternal autonomy, unbiased care, and open communication between patients and providers is essential for informed consent.
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