The effect of shared decision-making in choosing the method of labor analgesia on childbirth experience among primiparous women
Childbearing women reported moderate and sometimes low levels of autonomy in decision-making with their health care providers especially about their pain relief type and which may affect their childbirth experience. There is limited evidence about the effect of shared decision-making about childbirt...
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| description | Childbearing women reported moderate and sometimes low levels of autonomy in decision-making with their health care providers especially about their pain relief type and which may affect their childbirth experience. There is limited evidence about the effect of shared decision-making about childbirth pain relief on childbirth experience and satisfaction.
The present study aimed to assess the effect of shared decision-making in choosing the method of labor analgesia on childbirth experience and satisfaction among primiparous women.
This interventional study was conducted on 66 primiparous women with 38-42 weeks gestational age and with symptoms of labor and childbirth onset. Women were assigned into the intervention and control groups in a ratio of 1: 1 using blocked randomization. The intervention group received shared decision making about the advantages and disadvantages of labor analgesia methods, and the control group received routine care. Questionnaires, including obstetrics and demographic characteristics, Labor Agentry Scale (LAS), McKay Childbirth Satisfaction Rating Scale (MCSRS), Support and Control In Birth (SCIB) were completed. Data were analyzed by SPSS24 software and independent t-test and ANCOVA were used.
After the intervention, the mean score of childbirth experience in the intervention group was significantly higher than that in the control group [Mean Difference (MD): 6.77, 95% CI: 2.72 to 10.82, (P |
| doi_str_mv | 10.1371/journal.pone.0274559 |
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The present study aimed to assess the effect of shared decision-making in choosing the method of labor analgesia on childbirth experience and satisfaction among primiparous women.
This interventional study was conducted on 66 primiparous women with 38-42 weeks gestational age and with symptoms of labor and childbirth onset. Women were assigned into the intervention and control groups in a ratio of 1: 1 using blocked randomization. The intervention group received shared decision making about the advantages and disadvantages of labor analgesia methods, and the control group received routine care. Questionnaires, including obstetrics and demographic characteristics, Labor Agentry Scale (LAS), McKay Childbirth Satisfaction Rating Scale (MCSRS), Support and Control In Birth (SCIB) were completed. Data were analyzed by SPSS24 software and independent t-test and ANCOVA were used.
After the intervention, the mean score of childbirth experience in the intervention group was significantly higher than that in the control group [Mean Difference (MD): 6.77, 95% CI: 2.72 to 10.82, (P <0.001)]. Further, the mean score of childbirth satisfaction in the intervention group was significantly higher than that in the control group [MD: 19.06, 95% CI: 9.63 to 28.49, (P<0.001)]. The mean score of control and support during childbirth and its subscales in the intervention group was significantly higher than that in the control group after the intervention [MD: 17.21, 95% CI: 9.40 to 25.03, (P <0.001)].
It is recommended that mothers should be involved in treatment decisions during childbirth since they are considered an important part of providing care during labor and childbirth.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0274559</identifier><identifier>PMID: 36791114</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Analgesia ; Analgesia, Obstetrical - methods ; Analgesics ; Biology and Life Sciences ; Care and treatment ; Childbirth ; Childbirth & labor ; Clinical decision making ; Complications and side effects ; Decision making ; Decision Making, Shared ; Developing countries ; Ethics ; Evidence-based medicine ; Female ; Gestational age ; Health aspects ; Health care industry ; Hospitals ; Humans ; Intervention ; Labor ; Labor Pain - therapy ; Labor, Obstetric ; LDCs ; Likert scale ; Maternal child nursing ; Medicine and Health Sciences ; Methods ; Obstetrics ; Pain ; Pain perception ; Parturition ; Patient outcomes ; Patient Satisfaction ; Pregnancy ; Pregnant women ; Quality improvement ; Questionnaires ; Sample size ; Social Sciences ; Surveys and Questionnaires ; Womens health</subject><ispartof>PloS one, 2023-02, Vol.18 (2), p.e0274559-e0274559</ispartof><rights>Copyright: © 2023 Shahveisi et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.</rights><rights>COPYRIGHT 2023 Public Library of Science</rights><rights>2023 Shahveisi et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2023 Shahveisi et al 2023 Shahveisi et al</rights><rights>2023 Shahveisi et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c622t-6f11ce709450d35bc67d0c4a0745dc3de11522cdb33e985b409454c50a63aeb33</citedby><cites>FETCH-LOGICAL-c622t-6f11ce709450d35bc67d0c4a0745dc3de11522cdb33e985b409454c50a63aeb33</cites><orcidid>0000-0002-9482-6684</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9931133/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9931133/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2102,2928,23866,27924,27925,53791,53793,79600,79601</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36791114$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Mordaunt, Dylan A</contributor><creatorcontrib>Shahveisi, Maryam</creatorcontrib><creatorcontrib>Nourizadeh, Roghaiyeh</creatorcontrib><creatorcontrib>Mehrabi, Esmat</creatorcontrib><title>The effect of shared decision-making in choosing the method of labor analgesia on childbirth experience among primiparous women</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Childbearing women reported moderate and sometimes low levels of autonomy in decision-making with their health care providers especially about their pain relief type and which may affect their childbirth experience. There is limited evidence about the effect of shared decision-making about childbirth pain relief on childbirth experience and satisfaction.
The present study aimed to assess the effect of shared decision-making in choosing the method of labor analgesia on childbirth experience and satisfaction among primiparous women.
This interventional study was conducted on 66 primiparous women with 38-42 weeks gestational age and with symptoms of labor and childbirth onset. Women were assigned into the intervention and control groups in a ratio of 1: 1 using blocked randomization. The intervention group received shared decision making about the advantages and disadvantages of labor analgesia methods, and the control group received routine care. Questionnaires, including obstetrics and demographic characteristics, Labor Agentry Scale (LAS), McKay Childbirth Satisfaction Rating Scale (MCSRS), Support and Control In Birth (SCIB) were completed. Data were analyzed by SPSS24 software and independent t-test and ANCOVA were used.
After the intervention, the mean score of childbirth experience in the intervention group was significantly higher than that in the control group [Mean Difference (MD): 6.77, 95% CI: 2.72 to 10.82, (P <0.001)]. Further, the mean score of childbirth satisfaction in the intervention group was significantly higher than that in the control group [MD: 19.06, 95% CI: 9.63 to 28.49, (P<0.001)]. The mean score of control and support during childbirth and its subscales in the intervention group was significantly higher than that in the control group after the intervention [MD: 17.21, 95% CI: 9.40 to 25.03, (P <0.001)].
It is recommended that mothers should be involved in treatment decisions during childbirth since they are considered an important part of providing care during labor and childbirth.</description><subject>Analgesia</subject><subject>Analgesia, Obstetrical - methods</subject><subject>Analgesics</subject><subject>Biology and Life Sciences</subject><subject>Care and treatment</subject><subject>Childbirth</subject><subject>Childbirth & labor</subject><subject>Clinical decision making</subject><subject>Complications and side effects</subject><subject>Decision making</subject><subject>Decision Making, Shared</subject><subject>Developing countries</subject><subject>Ethics</subject><subject>Evidence-based medicine</subject><subject>Female</subject><subject>Gestational age</subject><subject>Health aspects</subject><subject>Health care industry</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Intervention</subject><subject>Labor</subject><subject>Labor Pain - therapy</subject><subject>Labor, Obstetric</subject><subject>LDCs</subject><subject>Likert scale</subject><subject>Maternal child nursing</subject><subject>Medicine and Health Sciences</subject><subject>Methods</subject><subject>Obstetrics</subject><subject>Pain</subject><subject>Pain perception</subject><subject>Parturition</subject><subject>Patient outcomes</subject><subject>Patient Satisfaction</subject><subject>Pregnancy</subject><subject>Pregnant women</subject><subject>Quality improvement</subject><subject>Questionnaires</subject><subject>Sample size</subject><subject>Social Sciences</subject><subject>Surveys and Questionnaires</subject><subject>Womens 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experience among primiparous women</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2023-02-15</date><risdate>2023</risdate><volume>18</volume><issue>2</issue><spage>e0274559</spage><epage>e0274559</epage><pages>e0274559-e0274559</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Childbearing women reported moderate and sometimes low levels of autonomy in decision-making with their health care providers especially about their pain relief type and which may affect their childbirth experience. There is limited evidence about the effect of shared decision-making about childbirth pain relief on childbirth experience and satisfaction.
The present study aimed to assess the effect of shared decision-making in choosing the method of labor analgesia on childbirth experience and satisfaction among primiparous women.
This interventional study was conducted on 66 primiparous women with 38-42 weeks gestational age and with symptoms of labor and childbirth onset. Women were assigned into the intervention and control groups in a ratio of 1: 1 using blocked randomization. The intervention group received shared decision making about the advantages and disadvantages of labor analgesia methods, and the control group received routine care. Questionnaires, including obstetrics and demographic characteristics, Labor Agentry Scale (LAS), McKay Childbirth Satisfaction Rating Scale (MCSRS), Support and Control In Birth (SCIB) were completed. Data were analyzed by SPSS24 software and independent t-test and ANCOVA were used.
After the intervention, the mean score of childbirth experience in the intervention group was significantly higher than that in the control group [Mean Difference (MD): 6.77, 95% CI: 2.72 to 10.82, (P <0.001)]. Further, the mean score of childbirth satisfaction in the intervention group was significantly higher than that in the control group [MD: 19.06, 95% CI: 9.63 to 28.49, (P<0.001)]. The mean score of control and support during childbirth and its subscales in the intervention group was significantly higher than that in the control group after the intervention [MD: 17.21, 95% CI: 9.40 to 25.03, (P <0.001)].
It is recommended that mothers should be involved in treatment decisions during childbirth since they are considered an important part of providing care during labor and childbirth.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>36791114</pmid><doi>10.1371/journal.pone.0274559</doi><tpages>e0274559</tpages><orcidid>https://orcid.org/0000-0002-9482-6684</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Analgesia Analgesia, Obstetrical - methods Analgesics Biology and Life Sciences Care and treatment Childbirth Childbirth & labor Clinical decision making Complications and side effects Decision making Decision Making, Shared Developing countries Ethics Evidence-based medicine Female Gestational age Health aspects Health care industry Hospitals Humans Intervention Labor Labor Pain - therapy Labor, Obstetric LDCs Likert scale Maternal child nursing Medicine and Health Sciences Methods Obstetrics Pain Pain perception Parturition Patient outcomes Patient Satisfaction Pregnancy Pregnant women Quality improvement Questionnaires Sample size Social Sciences Surveys and Questionnaires Womens health |
| title | The effect of shared decision-making in choosing the method of labor analgesia on childbirth experience among primiparous women |
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