Evidence map›Paper›PMID 40719063›Full record

Trial reportBJOG : an international journal of obstetrics and gynaecology2025

How Should We Communicate Information Regarding Birth Choices to Women?: An Online Randomised Survey.

Victoria Bradley, Alexandra Hunt, Eve Bunni, Carol Kingdon, Leila Finikarides, Laura Bonnett, Caroline Cunningham, Christy Burden, Jo Ficquet, William Parry-Smith and 9 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BJOG : an international journal of obstetrics and gynaecology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. What Should Be Discussed When Considering a Vaginal Birth? A Delphi Consensus Study.BJOG : an international journal of obstetrics and gynaecology · 2026
    Article
  4. 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

19 authors.

Victoria BradleyDepartment of Women's and Children's Health, Institute of Life Course and Medical Sciences, University of Liverpool, Liverpool, UK.ORCID https://orcid.org/0009-0002-2551-4713
Alexandra HuntDepartment of Health Data Science, University of Liverpool, Liverpool, UK.ORCID https://orcid.org/0000-0001-5510-0285
Eve BunniInstitute of Life Course and Medical Sciences, Department of Women's and Children's Health, Centre for Women's Health Research, University of Liverpool, Liverpool, UK.ORCID https://orcid.org/0009-0009-4991-3728
Carol KingdonDepartment of Women's and Children's Health, Institute of Life Course and Medical Sciences, University of Liverpool, Liverpool, UK.ORCID https://orcid.org/0000-0002-5958-9257
Leila FinikaridesFormer Winton Centre for Risk and Evidence Communication, University of Cambridge, Cambridge, UK.
Laura BonnettDepartment of Health Data Science, University of Liverpool, Liverpool, UK.ORCID https://orcid.org/0000-0002-6981-9212
Caroline CunninghamLiverpool Women's NHS Foundation Trust, Liverpool, UK.
Christy BurdenBristol Medical School, The University of Bristol, Bristol, UK.
Jo FicquetRoyal United Hospitals Bath, Bath, UK.
William Parry-SmithUniversity of Keele, Newcastle, UK.
Elena OteroromeroCambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
Arezou RezvaniUniversity College London Hospitals NHS Foundation Trust, London, UK.
Mairead BlackAberdeen Centre for Women's Health Research, University of Aberdeen, Aberdeen, UK.ORCID https://orcid.org/0000-0002-6841-8601
Gemma ClaytonBristol Medical School, The University of Bristol, Bristol, UK.ORCID https://orcid.org/0000-0002-9525-2758
Gordon C S SmithDepartment of Obstetrics & Gynaecology, Department of Obstetrics and Gynaecology, University of Cambridge, Cambridge, UK.ORCID https://orcid.org/0000-0003-2124-0997
Deborah LawlorBristol Medical School, The University of Bristol, Bristol, UK.
Jon HeronBristol Medical School, The University of Bristol, Bristol, UK.ORCID https://orcid.org/0000-0001-6199-5644
Abi MerrielDepartment of Women's and Children's Health, Institute of Life Course and Medical Sciences, University of Liverpool, Liverpool, UK.ORCID https://orcid.org/0000-0003-0352-2106
Options Study Collaborative Group

Funding

National Institute for Health and Care Research
6 · The paper itself

Abstract

objectiveTo identify which risk communication graphics are easiest to understand when communicating risks surrounding birth, and investigate the effect of numeracy and health literacy on understanding.

designOnline survey with randomised content.

settingUK. POPULATION: Women and their partners, healthcare professionals and stakeholders in the UK.

methodsSeven candidate graphics ('10-person', '100-person', '10-circle', '100-circle' icon arrays, 'bar charts', 'pie charts' and 'words') were co-produced with a patient and public involvement group. These were used to develop seven online surveys. Participants were recruited using social media and adverts in participating hospitals. Each participant was randomised to see one of seven surveys, the survey questions remained the same, the graphics varied. Data were collected on risk perception, perceived ease of understanding and preference, alongside demographic factors, numeracy skills and health literacy.

main outcome measuresObjective comprehension and subjective preference for graphics.

resultsThere were 858 participants, 771 women/partners/parents and 87 healthcare professionals and stakeholders. 70% of participants answered all four numeracy questions correctly, and respondents reported high health literacy (76.5% can understand health material, 72.8% were comfortable completing medical forms). All graphics were understood; however, the '100-person' icon array elicited the best score when comparing two risks (mean score 97.5% compared to next best performing graphic 95.8%), 41% believed it was the easiest to understand and 36% selected it as the preferred graphic.

conclusionsAll graphics are well understood. The '100-person' icon array scored best in terms of risk comparison and participant preference. Using this graphic may support high-quality communication of risk in maternity care.

Indexed as

CommunicationHealth LiteracyParturitionPatient Education as TopicAdultChoice BehaviorComprehensionFemaleHumansMiddle AgedPregnancySurveys and QuestionnairesUnited Kingdombirthdecision makingrisk communication

Identifiers

PMID40719063
PMCPMC12592780

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.