What are pregnant women told about models of maternity care in Australia? A retrospective study of women’s reports

Stevens, Gabrielle, Thompson, Rachel, Kruske, Sue, Watson, Bernadette and Miller, Yvette D. (2014) What are pregnant women told about models of maternity care in Australia? A retrospective study of women’s reports. Patient Education and Counseling, 97 1: 114-121. doi:10.1016/j.pec.2014.07.010

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Author Stevens, Gabrielle
Thompson, Rachel
Kruske, Sue
Watson, Bernadette
Miller, Yvette D.
Title What are pregnant women told about models of maternity care in Australia? A retrospective study of women’s reports
Journal name Patient Education and Counseling   Check publisher's open access policy
ISSN 0738-3991
1873-5134
Publication date 2014-10
Sub-type Article (original research)
DOI 10.1016/j.pec.2014.07.010
Open Access Status
Volume 97
Issue 1
Start page 114
End page 121
Total pages 8
Place of publication Shannon, Co. Clare, Ireland
Publisher Elsevier
Collection year 2015
Language eng
Formatted abstract
Objective: To describe women's reports of the model of care options General Practitioners (GPs) discussed with them at the first pregnancy consultation and women's self-reported role in decision-making about model of care.

Methods: Women who had recently given birth responded to survey items about the models of care GPs discussed, their role in final decision-making, and socio-demographic, obstetric history, and early pregnancy characteristics.

Results: The proportion of women with whom each model of care was discussed varied between 8.2% (for private midwifery care with home birth) and 64.4% (GP shared care). Only 7.7% of women reported that all seven models were discussed. Exclusive discussion about private obstetric care and about all public models was common, and women's health insurance status was the strongest predictor of the presence of discussions about each model. Most women (82.6%) reported active involvement in final decision-making about model of care.

Conclusion: Although most women report involvement in maternity model of care decisions, they remain largely uninformed about the breadth of available model of care options.

Practical implications: Strategies that facilitate women's access to information on the differentiating features and outcomes for all models of care should be prioritized to better ensure equitable and quality decisions.
Keyword Decision support
Information provision
Informed decision-making
Maternity care
Models of care
Patient participation
Primary care
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2015 Collection
School of Psychology Publications
 
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Created: Fri, 12 Sep 2014, 13:26:58 EST by Vicki Percival on behalf of School of Nursing, Midwifery and Social Work