Evidence map›Paper›PMID 29339041›Full record

ArticlePatient education and counseling2018

Factors influencing women's perceptions of shared decision making during labor and delivery: Results from a large-scale cohort study of first childbirth.

Laura B Attanasio, Katy B Kozhimannil, Kristen H Kjerulff

Abstract read
In one paragraph

Article in Patient education and counseling, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 1 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

36 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Patient and medical choice across public and private health providers: the case of birth timing manipulation in Brazil.The European journal of health economics : HEPAC : health economics in prevention and care · 2026
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  14. There's no place like home: optimizing the antepartum inpatient experience.Maternal health, neonatology and perinatology · 2024
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  18. Racial bias in cesarean decision-making.American journal of obstetrics & gynecology MFM · 2023
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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

3 authors.

Laura B AttanasioHealth Policy and Management, University of Minnesota School of Public Health, Minneapolis, MN, USA. Electronic address: lattanasio@umass.edu.
Katy B KozhimannilHealth Policy and Management, University of Minnesota School of Public Health, Minneapolis, MN, USA.
Kristen H KjerulffDepartment of Public Health Sciences and Department of Obstetrics and Gynecology, College of Medicine, Penn State University, Hershey, PA, USA.

Funding

Mode of First Delivery and Subsequent Child-BearingR01HD052990 · NICHD · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI KJERULFF, KRISTEN HAWTHORNE · 2008 to 2012
$3.9M
The Patient-Provider Relationship and Use of Labor Induction and Cesarean DeliveryR36HS024215 · AHRQ · UNIVERSITY OF MINNESOTA · PI ATTANASIO, LAURA B · 2015 to 2015
$35k
AHRQ HHS R36 HS024215NICHD NIH HHS R01 HD052990NIH HHS R01 HD052990
6 · The paper itself

Abstract

objectiveTo examine correlates of shared decision making during labor and delivery.

methodsData were from a cohort of women who gave birth to their first baby in Pennsylvania, 2009-2011 (N = 3006). We used logistic regression models to examine the association between labor induction and mode of delivery in relation to women's perceptions of shared decision making, and to investigate race/ethnicity and SES as potential moderators.

resultsWomen who were Black and who did not have a college degree or private insurance were less likely to report high shared decision making, as well as women who underwent labor induction, instrumental vaginal or cesarean delivery. Models with interaction terms showed that the reduction in odds of shared decision making associated with cesarean delivery was greater for Black women than for White women.

conclusionsWomen in marginalized social groups were less likely to report shared decision making during birth and Black women who delivered by cesarean had particularly low odds of shared decision making. PRACTICE IMPLICATIONS: Strategies designed to improve the quality of patient-provider communication, information sharing, and shared decision making must be attentive to the needs of vulnerable groups to ensure that such interventions reduce rather than widen disparities.

Indexed as

Choice BehaviorCommunicationDecision MakingPatient ParticipationAdultCohort StudiesDelivery, ObstetricFemaleHumansPennsylvaniaPerceptionPregnancySocial ClassCesarean deliveryDisparitiesMaternity carePatient-centered careShared decision making

Identifiers

PMID29339041
PMCPMC5977392

What OpenQuestion holds

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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.