ArticleBMJ open2011
Helping pregnant women make better decisions: a systematic review of the benefits of patient decision aids in obstetrics.
Article in BMJ open, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 3 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
27 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Effectiveness of Interactive Digital Decision Aids in Prenatal Screening Decision-making: Systematic Review and Meta-analysis.Journal of medical Internet research · 2023Pooled it
- Use of Decision Support Tools to Empower Pregnant Women: Systematic Review.Journal of medical Internet research · 2020Pooled it
- Interventions for supporting pregnant women's decision-making about mode of birth after a caesarean.The Cochrane database of systematic reviews · 2013Pooled it
- Telling Not Asking: A Framework Method Analysis of Shared Decision-Making in Antenatal Clinic Consultations.Birth (Berkeley, Calif.) · 2026Article
- Development and pilot test of a pregnancy decision making tool for women with physical disabilities.Health services research · 2023Article
- Co-designing a theory-informed intervention to increase shared decision-making in maternity care.Health research policy and systems · 2023Article
- Effect of birth plans integrated into childbirth preparation classes on maternal and neonatal outcomes of Iranian women: A randomized controlled trial.Frontiers in global women's health · 2023Article
- Improving communication and teamwork during labor: A feasibility, acceptability, and safety study.Birth (Berkeley, Calif.) · 2022Article
- A Novel Decision Aid Improves Quality of Reproductive Decision-Making and Pregnancy Knowledge for Women with Inflammatory Bowel Disease.Digestive diseases and sciences · 2022Article
- Implementation strategies within a complex environment: A qualitative study of a shared decision-making intervention during childbirth.Birth (Berkeley, Calif.) · 2022Article
- Knowledge, Information Sources, and Institutional Trust of Patients Regarding Medication Use in Pregnancy: A Systematic Review.Journal of family & reproductive health · 2021Review
- Effect of Shared Decision-making on Anxiety of Women Recommended for Prenatal Screening Tests in Southeast of Iran.Journal of family & reproductive health · 2020Article
- Simulation model of the relationship between cesarean section rates and labor duration.Health care management science · 2019Article
- Effects of Shared Decision Making on Opioid Prescribing After Hysterectomy.Obstetrics and gynecology · 2019Article
- Shared Decision-Making Tool for Treatment of Perinatal Opioid Use Disorder.Psychiatric research and clinical practice · 2019Article
- Factors influencing women's perceptions of shared decision making during labor and delivery: Results from a large-scale cohort study of first childbirth.Patient education and counseling · 2018Article
- How do informal information sources influence women's decision-making for birth? A meta-synthesis of qualitative studies.BMC pregnancy and childbirth · 2018Article
- What Do Clinicians Who Deliver Maternity Services Think Patient-Centered Care Is and How Is That Different for Vulnerable Women? A Qualitative Study.Journal of pregnancy · 2018Article
- Evaluation of a Patient Education Pamphlet for Women Considering Vaginal Birth After Cesarean.The Journal of perinatal education · 2017Article
- Managing the pain of labour: factors associated with the use of labour pain management for pregnant Australian women.Health expectations : an international journal of public participation in health care and health policy · 2015Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objectives Patient decision aids can be used to support pregnant women engaging in shared decisions, but little is known about their effects in obstetrics. The authors aimed to evaluate the effects of patient decision aids designed for pregnant women on clinical and psychosocial outcomes. Design Systematic review. Data on all outcomes were extracted and summarised. All studies were critically appraised for potential sources of bias and, when possible to obtain, the reported decision aids were evaluated. Meta-analysis was not possible due to the heterogeneity of outcomes in primary studies and the small number of studies. Data sources Electronic searches were performed using Medline, Embase, the Cochrane Library and Medion databases from inception until December 2010. Reference lists of all included articles were also examined and key experts contacted. Eligibility criteria for selecting studies Eligibility criteria included randomised controlled trials, which reported on patient decision aids for women facing any treatment decision in pregnancy published in English. Studies evaluating health education material that did not address women's values and preferences were excluded. Results Patient decision aids have been developed for decisions about prenatal testing, vaginal birth after Caesarean section, external cephalic version and labour analgesia. Use of decision aids is associated with a number of positive effects including reduced anxiety, lower decisional conflict, improved knowledge, improved satisfaction and increased perception of having made an informed choice. Conclusions Patient decision aids have the potential to improve obstetric care. However, currently the evidence base is limited by the small number of studies, the quality of the studies and because they involved heterogeneous decision aids, patient groups and outcomes.
Identifiers
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.