- Title
- Women's experiences of decision-making and attitudes in relation to induction of labour: a survey study
- Creator
- Coates, Dominiek; Donnolley, Natasha; Foureur, Maralyn; Henry, Amanda
- Relation
- Women and Birth Vol. 34, Issue 2, p. e170-e177
- Publisher Link
- http://dx.doi.org/10.1016/j.wombi.2020.02.020
- Publisher
- Elsevier
- Resource Type
- journal article
- Date
- 2021
- Description
- Background: Rates of induction of labour have been increasing globally to up to one in three pregnancies in many high-income countries. Although guidelines around induction, and strength of the underlying evidence, vary considerably by indication, shared decision-making is increasingly recognised as key. The aim of this study was to identify women's mode of birth preferences and experiences of shared decision-making for induction of labour. Method: An antenatal survey of women booked for an induction at eight Sydney hospitals was conducted. A bespoke questionnaire was created assessing women's demographics, indication for induction, pregnancy model of care, initial birth preferences, and their experience of the decision-making process. Results: Of 189 survey respondents (58% nulliparous), major reported reasons for induction included prolonged pregnancy (38%), diabetes (25%), and suspected fetal growth restriction (8%). Most respondents (72%) had hoped to labour spontaneously. Major findings included 19% of women not feeling like they had a choice about induction of labour, 26% not feeling adequately informed (or uncertain if informed), 17% not being given alternatives, and 30% not receiving any written information on induction of labour. Qualitative responses highlight a desire of women to be more actively involved in decision-making. Conclusion: A substantial minority of women did not feel adequately informed or prepared, and indicated they were not given alternatives to induction. Suggested improvements include for face-to-face discussions to be supplemented with written information, and for shared decision-making interventions, such as the introduction of decision aids and training, to be implemented and evaluated.
- Subject
- induction of labour; women's experiences; shared decision-making; mode of birth preferences; SDG 3; Sustainable Development Goals
- Identifier
- http://hdl.handle.net/1959.13/1462187
- Identifier
- uon:46405
- Identifier
- ISSN:1871-5192
- Language
- eng
- Reviewed
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