Choosing a Model of Maternity Care: Decision Support Needs of Australian Women

Stevens, Gabrielle, Miller, Yvette D., Watson, Bernadette and Thompson, Rachel (2015) Choosing a Model of Maternity Care: Decision Support Needs of Australian Women. Birth, 43 2: 167-175. doi:10.1111/birt.12212

Author Stevens, Gabrielle
Miller, Yvette D.
Watson, Bernadette
Thompson, Rachel
Title Choosing a Model of Maternity Care: Decision Support Needs of Australian Women
Journal name Birth   Check publisher's open access policy
ISSN 1523-536X
Publication date 2015-12-14
Year available 2015
Sub-type Article (original research)
DOI 10.1111/birt.12212
Open Access Status Not yet assessed
Volume 43
Issue 2
Start page 167
End page 175
Total pages 9
Place of publication Hoboken, NJ, United States
Publisher Wiley-Blackwell Publishing
Collection year 2016
Language eng
Formatted abstract
Background: Access to information on the features and outcomes associated with the various models of maternity care available in Australia is vital for women's informed decision-making. This study sought to identify women's preferences for information access and decision-making involvement, as well as their priority information needs, for model of care decision-making.

Methods: A convenience sample of adult women of childbearing age in Queensland, Australia were recruited to complete an online survey assessing their model of care decision support needs. Knowledge on models of care and socio-demographic characteristics were also assessed.

Results: Altogether, 641 women provided usable survey data. Of these women, 26.7 percent had heard of all available models of care before starting the survey. Most women wanted access to information on models of care (90.4%) and an active role in decision-making (99.0%). Nine priority information needs were identified: cost, access to choice of mode of birth and care provider, after hours provider contact, continuity of carer in labor/birth, mobility during labor, discussion of the pros/cons of medical procedures, rates of skin-to-skin contact after birth, and availability at a preferred birth location. This information encompassed the priority needs of women across age, birth history, and insurance status subgroups.

Conclusions: This study demonstrates Australian women's unmet needs for information that supports them to effectively compare available options for model of maternity care. Findings provide clear direction on what information should be prioritized and ideal channels for information access to support quality decision-making in practice.
Keyword Decision-making
Information needs
Maternity care
Models of care
Patient decision aids
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2016 Collection
School of Medicine Publications
School of Psychology Publications
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