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Decision aid tool could cut the number of Caesarean sections by 4000 a year

n aids can reduce decisional conflict among pregnant women with one previous caesarean section. The researchers say:

this is an important finding, as detailed descriptions and probability information about obstetric complications might be considered as potentially alarming.

They also acknowledge the mode of delivery results are intriguing and ask why should a more complex decision aid influence the mode of delivery"

Ongoing parallel qualitative work indicates that explicit consideration of personal values attached to potential outcomes challenges womens perceptions of the optimal decision and this may influence their resolve to achieve a vaginal birth.

They conclude:

Although the content was carefully designed to not favour one mode of delivery over another, even a small absolute change in decisions could have a substantial impact on national rates of caesarean section.


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Contact: Rebecca Spargo
rspargo@bma.org.uk
020-738-36174
BMJ-British Medical Journal
31-May-2007


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