ArticleAmerican journal of obstetrics and gynecology2015
Mode of delivery preferences in a diverse population of pregnant women.
Article in American journal of obstetrics and gynecology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Valuing Meta-Health Effects for Use in Economic Evaluations to Inform Reimbursement Decisions: A Review of the Evidence.PharmacoEconomics · 2017Pooled it
- Labor Induction versus Expectant Management in Low-Risk Nulliparous Women.The New England journal of medicine · 2018Trial
- Influence of Neuraxial Anesthesia Technique During Vaginal and Cesarean Delivery and Association with Postpartum Depression: A Narrative Review of Literature.Neuropsychiatric disease and treatment · 2026Review
- Article
- Determining health-related quality of life and health state utility values of recurrent urinary tract infections in women.International urogynecology journal · 2023Article
- Implementation strategies within a complex environment: A qualitative study of a shared decision-making intervention during childbirth.Birth (Berkeley, Calif.) · 2022Article
- Patient decision aid for trial of labor after cesarean (TOLAC) versus planned repeat cesarean delivery: a quasi-experimental pre-post study.BMC pregnancy and childbirth · 2021Article
- Delivery Mode Preference and Associated Factors among Pregnant Mothers in Harar Regional State, Eastern Ethiopia: A Cross-Sectional Study.BioMed research international · 2021Article
- Planned vaginal delivery and cardiovascular morbidity in pregnant women with heart disease.American journal of obstetrics and gynecology · 2020Article
- The association of patient preferences and attitudes with trial of labor after cesarean.Journal of perinatology : official journal of the California Perinatal Association · 2019Observational
- Women's Preferences Regarding the Processes and Outcomes of Trial of Labor After Cesarean and Elective Repeat Cesarean Delivery.Journal of women's health (2002) · 2019Article
- Maternal and neonatal outcomes in triplet gestations by trial of labor versus planned cesarean deliveryThe journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians · 2019Article
- A pilot exploratory investigation on pregnant women's views regarding STan fetal monitoring technology.BMC pregnancy and childbirth · 2017Article
- Salient beliefs towards vaginal delivery in pregnant women: A qualitative study from Iran.Reproductive health · 2016Article
- Exploring First-time Pregnant Women's Motivations for Planning Vaginal Delivery: A Qualitative Study.Iranian journal of nursing and midwifery researchArticle
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
objectiveThe objective of the study was to assess women's preferences for vaginal vs cesarean delivery in 4 contexts: prior cesarean delivery, twins, breech presentation, and absent indication for cesarean. STUDY
designThis was a cross-sectional study of pregnant women at 24-40 weeks' gestation. After assessing stated preferences for vaginal or cesarean delivery, we used the standard gamble metric to measure the strength of these preferences and the time tradeoff metric to determine how women value the potential processes and outcomes associated with these 2 delivery approaches.
resultsAmong the 240 participants, 90.8% had a stated preference for vaginal delivery. Across the 4 contexts, these women indicated that, on average, they would accept a 59-75% chance of an attempted vaginal birth ending in a cesarean delivery before choosing a planned cesarean delivery, indicating strong preferences for spontaneous, uncomplicated vaginal delivery. Variations in preferences for labor processes emerged. Although uncomplicated labor ending in vaginal birth was assigned mean utilities of 0.993 or higher (on a 0-1 scale, with higher scores indicating more preferred outcomes), the need for oxytocin, antibiotics, or operative vaginal delivery resulted in lower mean scores, comparable with those assigned to uncomplicated cesarean delivery. Substantially lower scores (ranging from 0.432 to 0.598) were obtained for scenarios ending in severe maternal or neonatal morbidity.
conclusionAlthough most women expressed strong preferences for vaginal delivery, their preferences regarding interventions frequently used to achieve that goal varied. These data underscore the importance of educating patients about the process of labor and delivery to facilitate incorporation of informed patient preferences in shared decision making regarding delivery approach.
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