Evaluation of decision aid program for women choosing method of birth after previous csesarean in Japan

2015 Fiscal Year Final Research Report

• Project/Area Number: 23593320
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Research Field: Lifelong developmental nursing
• Research Institution: Fukuoka Prefectural University
• Principal Investigator: Torigoe Ikuyo 福岡県立大学, 看護学部, 准教授 (30217591)
• Co-Investigator(Kenkyū-buntansha): YOSHIDA Shizuka 福岡県立大学, 看護学部, 助教 (30453236)
• Research Collaborator: Shorten Allison Yale School of Nursing, 准教授
• Project Period (FY): 2011-04-28 – 2016-03-31
• Keywords: 反復帝王切開 / VBAC / TOLAC / 意思決定の共有 / 決定援助 / インフォームドチョイス

Outline of Final Research Achievements

This study is to evaluate a decision aid intervention for supporting women choosing method of birth for women with prior cesarean delivery. The quasi-experimental before and after study involving 39 pregnant women was conducted within three institutions, in collaboration with four clinicians.
Increase in knowledge scores and decrease in DCS scores were observed after women received the decision aid intervention and were statistically significant. Birth satisfaction scores were highest for women who achieved VBAC compared with women who experienced repeat cesarean. Women felt the decision aid helped them to “face own decision making” and create a “feeling supported”. This study suggests the potential value of decision support during pregnancy. Women's individual values and preferences must be respected by health professionals from the shared decision making. Strategies to support women’s decision making in collaboration with pregnancy care providers is needed.

Free Research Field

周産期における女性の意思決定支援