Evidence map›Paper›PMID 20860784›Full record

Trial reportHealth expectations : an international journal of public participation in health care and health policy2011

Preferences for mode of delivery after previous caesarean section: what do women want, what do they get and how do they value outcomes?

Clare L Emmett, Alan A Montgomery, Deirdre J Murphy, DiAMOND Study Group

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Health expectations : an international journal of public participation in health care and health policy, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Mode of delivery preferences in a diverse population of pregnant women.American journal of obstetrics and gynecology · 2015
    Article
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Clare L EmmettAcademic Unit of Primary Health Care, University of Bristol, Bristol, UK. Clare.emmett@bristol.ac.uk
Alan A Montgomery
Deirdre J Murphy
DiAMOND Study Group

Funding

Medical Research Council G0800800
6 · The paper itself

Abstract

backgroundWomen with one previous caesarean section must decide which mode of delivery they would prefer in their next pregnancy. This involves a choice between attempted vaginal birth and elective caesarean section.

objectiveTo explore women's mode of delivery preferences and the values placed on the outcomes of decision making. Greater insight into these issues could benefit both clinical care and future research.

designObservational study using longitudinal data collected within a randomized controlled trial. SETTING AND

participantsSeven hundred and forty-two women with one previous caesarean section recruited at four antenatal clinics in South West England and Scotland.

main outcome measuresMode of delivery preference recorded at 19 and 37 weeks' gestation and visual analogue scale ratings of health and delivery outcomes.

resultsComparison of mid and late pregnancy preferences and actual mode of delivery shows that 57% of women hold the same mode of delivery preferences at both times and 65% of women actually have the birth they prefer. The visual analogue scale ratings show variation in the way women value the outcomes of the decision. DISCUSSION AND

conclusionsUnderstanding the way women's mode of delivery preferences change, how these relate to actual mode of delivery and how women value the outcomes of their decision will be beneficial to health professionals who wish to support women both during pregnancy and after birth. In addition, the visual analogue scale ratings provide evidence that may improve the development of population-level and economic models of decision making.

Indexed as

Patient PreferenceVaginal Birth after CesareanAdultDecision MakingEnglandFemaleHumansPregnancyScotlandSurveys and Questionnaires

Identifiers

PMID20860784
PMCPMC5060598

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.