Women's experiences of decision-making and attitudes in relation to induction of labour: A survey study.

Women and Birth : Journal of the Australian College of Midwives
Dominiek CoatesAmanda Henry

Abstract

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. 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. 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 respo...Continue Reading

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Citations

Nov 5, 2020·International Journal of Environmental Research and Public Health·Desirée Mena-TudelaVíctor Manuel González-Chordá
Sep 25, 2021·BJOG : an International Journal of Obstetrics and Gynaecology·N López-JiménezA Hernández-Martínez

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