ArticleBMC pregnancy and childbirth2014
On speaking terms: a Delphi study on shared decision-making in maternity care.
Article in BMC pregnancy and childbirth, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.
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Who cites it
30 citing papers in PubMed.
- Experiences of Maternal Autonomy in Childbirth and Perinatal Care in the United States: A Systematic Review and Meta-Synthesis of Qualitative Studies.Birth (Berkeley, Calif.) · 2026Review
- Enhancing maternal autonomy in choosing birthing positions: an exploratory pre-post intervention study protocol (MAM-Care).BMJ open · 2026Article
- Parents´ satisfaction with maternity clinic services in rural and urban areas in Finland: a population-based cross-sectional survey.BMC pregnancy and childbirth · 2025Article
- Women's perspectives of decision-making for labour and birth: a qualitative antenatal-postnatal paired interview study.BMJ open · 2025Article
- Co-creation of a health literate-sensitive training and conversation aid to support shared decision-making in maternity care.PEC innovation · 2024Article
- Attitudes Towards Non-directiveness Among Medical Geneticists in Germany and Switzerland.Journal of bioethical inquiry · 2024Article
- Maternity healthcare professionals' experiences of supporting women in decision-making for labour and birth: a qualitative study.BMJ open · 2024Article
- Observational
- Access to support during childbirth?: women's preferences and experiences of support person integration in a cross-sectional facility-based survey.BMC pregnancy and childbirth · 2023Review
- A bit of medical paternalism? A qualitative study on power relations between women and healthcare providers when deciding on mode of birth in five public maternity wards of Argentina.Reproductive health · 2023Article
- Development and Validity of an Intrapartum Self-Assessment Scale Aimed at Instilling Midwife-Led Care Competencies Used at Freestanding Midwifery Units.International journal of environmental research and public health · 2023Review
- Time-out in prolonged labour: development of a care model to prevent secondary fear of childbirth.BMJ open quality · 2022Article
- Women's view on shared decision making and autonomy in childbirth: cohort study of Belgian women.BMC pregnancy and childbirth · 2022Article
- A case study on the use of Public Narrative as a leadership development approach for Patient Leaders in the English National Health Service.Frontiers in public health · 2022Article
- Exploring women's experiences of participation in shared decision-making during childbirth: a qualitative study at a reference hospital in Spain.BMC pregnancy and childbirth · 2021Article
- I felt so much conflict instead of joy: an analysis of open-ended comments from people in British Columbia who declined care recommendations during pregnancy and childbirth.Reproductive health · 2021Article
- Women's Participation in Decision-Making in Maternity Care: A Qualitative Exploration of Clients' Health Literacy Skills and Needs for Support.International journal of environmental research and public health · 2021Article
- Communication in high risk ante-natal consultations: a direct observational study of interactions between patients and obstetricians.BMC pregnancy and childbirth · 2020Observational
- Measuring women's experiences of decision-making and aspects of midwifery support: a confirmatory factor analysis of the revised Childbirth Experience Questionnaire.BMC pregnancy and childbirth · 2020Article
- Evaluating Shared Decision Making in Trial of Labor After Cesarean Counseling Using Objective Structured Clinical Examinations.MedEdPORTAL : the journal of teaching and learning resources · 2020Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFor most women, participation in decision-making during maternity care has a positive impact on their childbirth experiences. Shared decision-making (SDM) is widely advocated as a way to support people in their healthcare choices. The aim of this study was to identify quality criteria and professional competencies for applying shared decision-making in maternity care. We focused on decision-making in everyday maternity care practice for healthy women.
methodsAn international three-round web-based Delphi study was conducted. The Delphi panel included international experts in SDM and in maternity care: mostly midwives, and additionally obstetricians, educators, researchers, policy makers and representatives of care users. Round 1 contained open-ended questions to explore relevant ingredients for SDM in maternity care and to identify the competencies needed for this. In rounds 2 and 3, experts rated statements on quality criteria and competencies on a 1 to 7 Likert-scale. A priori, positive consensus was defined as 70% or more of the experts scoring ≥6 (70% panel agreement).
resultsConsensus was reached on 45 quality criteria statements and 4 competency statements. SDM in maternity care is a dynamic process that starts in antenatal care and ends after birth. Experts agreed that the regular visits during pregnancy offer opportunities to build a relationship, anticipate situations and revisit complex decisions. Professionals need to prepare women antenatally for unexpected, urgent decisions in birth and revisit these decisions postnatally. Open and respectful communication between women and care professionals is essential; information needs to be accurate, evidence-based and understandable to women. Experts were divided about the contribution of professional advice in shared decision-making and about the partner's role.
conclusionsSDM in maternity care is a dynamic process that takes into consideration women's individual needs and the context of the pregnancy or birth. The identified ingredients for good quality SDM will help practitioners to apply SDM in practice and educators to prepare (future) professionals for SDM, contributing to women's positive birth experience and satisfaction with care.
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