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Differences Between Patient and Provider Perceptions of Informed Decision Making About Epidural Analgesia Use During Childbirth

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Abstract:

The objective of this study was to determine whether differences exist between patient and provider perceptions regarding the decision-making process around use of epidural analgesia during childbirth. The dyadic patient‐provider Decisional Conflict Scale was modified to measure first-time mother (n = 35) and maternity care provider (n = 52) perceptions. Providers perceived a greater degree of informed decision making than patients (84.97 vs. 79.41, p = .04) and were more likely to recall they upheld patients’ rights to make informed choices than patients were to perceive their rights had been upheld (85.95 vs. 71.73, p < .01). This incongruity highlights the need to align legal principles with practice to create mutual agreement between stakeholder perceptions of informed decision making.

Keywords: childbirth decision making; epidural analgesia; informed choice; patient and provider perceptions; shared decision making

Document Type: Research Article

DOI: http://dx.doi.org/10.1891/1058-1243.23.2.104

Publication date: January 1, 2014

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springer/jpe/2014/00000023/00000002/art00007
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