Trial reportBMJ (Clinical research ed.)2002
Qualitative study of evidence based leaflets in maternity care.
Trial report in BMJ (Clinical research ed.), 2002. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers, 8 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
55 citing papers in PubMed, 8 syntheses or guidelines pooled it.
- Healthcare workers' perceptions and experiences of communicating with people over 50 years of age about vaccination: a qualitative evidence synthesis.The Cochrane database of systematic reviews · 2021Pooled it
- Women's experiences of decision-making and informed choice about pregnancy and birth care: a systematic review and meta-synthesis of qualitative research.BMC pregnancy and childbirth · 2020Pooled it
- What influences birth place preferences, choices and decision-making amongst healthy women with straightforward pregnancies in the UK? A qualitative evidence synthesis using a 'best fit' framework approach.BMC pregnancy and childbirth · 2017Pooled it
- Can shared decision-making reduce medical malpractice litigation? A systematic review.BMC health services research · 2015Pooled it
- "Many miles to go …": a systematic review of the implementation of patient decision support interventions into routine clinical practice.BMC medical informatics and decision making · 2013Pooled it
- A systematic review of decision support needs of parents making child health decisions.Health expectations : an international journal of public participation in health care and health policy · 2008Pooled it
- Interventions before consultations for helping patients address their information needs.The Cochrane database of systematic reviews · 2007Pooled it
- Information for pregnant women about caesarean birth.The Cochrane database of systematic reviews · 2004Pooled it
- Trial
- Study protocol for reducing childbirth fear: a midwife-led psycho-education intervention.BMC pregnancy and childbirth · 2013Trial
- Use of evidence based leaflets to promote informed choice in maternity care: randomised controlled trial in everyday practice.BMJ (Clinical research ed.) · 2002Trial
- Article
- Assessing Maternal Satisfaction: Patient-Centered Care, Hospital Environment, and Information-Seeking in Chanika Hospital in Tanzania.Journal of personalized medicine · 2024Article
- Decision aids for patients with carotid stenosis.Journal of vascular surgery · 2024Review
- Article
- A survey on the perceptions of midwives, women, and support persons on the introduction of a support person information resource.European journal of midwifery · 2024Article
- Informing about childbirth without increasing anxiety: a qualitative study of first-time pregnant women and partners' perceptions and needs.BMC pregnancy and childbirth · 2023Article
- Strategies to improve interpersonal communication along the continuum of maternal and newborn care: A scoping review and narrative synthesis.PLOS global public health · 2023Article
- First-time Mothers' Understanding and Use of a Pregnancy and Parenting Mobile App (The Baby Buddy App): Qualitative Study Using Appreciative Inquiry.JMIR mHealth and uHealth · 2022Article
- Vaginal Birth at Term - Part 1. Guideline of the DGGG, OEGGG and SGGG (S3-Level, AWMF Registry No. 015/083, December 2020).Geburtshilfe und Frauenheilkunde · 2022Article
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo examine the use of evidence based leaflets on informed choice in maternity services.
designNon-participant observation of 886 antenatal consultations. 383 in depth interviews with women using maternity services and health professionals providing antenatal care.
settingWomen's homes; antenatal and ultrasound clinics in 13 maternity units in Wales.
participantsChildbearing women and health professionals who provide antenatal care.
interventionProvision of 10 pairs of Informed Choice leaflets for service users and staff and a training session in their use.
main outcome measuresParticipants' views and commonly observed responses during consultations and interviews.
resultsHealth professionals were positive about the leaflets and their potential to assist women in making informed choices, but competing demands within the clinical environment undermined their effective use. Time pressures limited discussion, and choice was often not available in practice. A widespread belief that technological intervention would be viewed positively in the event of litigation reinforced notions of "right" and "wrong" choices rather than "informed" choices. Hierarchical power structures resulted in obstetricians defining the norms of clinical practice and hence which choices were possible. Women's trust in health professionals ensured their compliance with professionally defined choices, and only rarely were they observed asking questions or making alternative requests. Midwives rarely discussed the contents of the leaflets or distinguished them from other literature related to pregnancy. The visibility and potential of the leaflets as evidence based decision aids was thus greatly reduced.
conclusionsThe way in which the leaflets were disseminated affected promotion of informed choice in maternity care. The culture into which the leaflets were introduced supported existing normative patterns of care and this ensured informed compliance rather than informed choice.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.