Effectiveness of birth plan counselling based on shared decision making: A cluster randomized controlled trial (APLANT)

Background: It's unknown if shared decision making (SDM) is effective on birth plan (BP) counselling. We evaluate the effectiveness of a BP counselling intervention based on SDM, in pregnant women, with the presentation of BP to the hospital and the satisfaction with the childbirth experience....

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Autores: López Gimeno, Encarnación, Seguranyes Guillot, Glòria, Vicente Hernández, Ma. Mercedes, Burgos Cubero, Lucia, Vázquez Garreta, Griselda, Falguera Puig, Gemma
Formato: artículo
Estado:Versión publicada
Fecha de publicación:2022
País:España
Recursos:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:2445/194331
Acesso em linha:https://hdl.handle.net/2445/194331
Access Level:acceso abierto
Palavra-chave:Embaràs
Llevadores
Presa de decisions
Preparació al part
Pregnancy
Midwives
Decision making
Preparation for parenthood
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spelling Effectiveness of birth plan counselling based on shared decision making: A cluster randomized controlled trial (APLANT)López Gimeno, EncarnaciónSeguranyes Guillot, GlòriaVicente Hernández, Ma. MercedesBurgos Cubero, LuciaVázquez Garreta, GriseldaFalguera Puig, GemmaEmbaràsLlevadoresPresa de decisionsPreparació al partPregnancyMidwivesDecision makingPreparation for parenthoodBackground: It's unknown if shared decision making (SDM) is effective on birth plan (BP) counselling. We evaluate the effectiveness of a BP counselling intervention based on SDM, in pregnant women, with the presentation of BP to the hospital and the satisfaction with the childbirth experience. To identify if the BP presentation to the hospital was related to obstetric outcomes and satisfaction with the childbirth experience. Methods This was a randomised cluster trial involving 4 Primary Care Units. During pregnancy the women in the intervention group (IG) received BP counselling based on SDM together with a leaflet with evidence-based recommendations. The control group (CG) received standard midwife counselling. Mackey Satisfaction with Childbirth Rating Scale (MSCRS) was used. Findings A total of 461 (95.5%) women received BP counselling (IG n=214 and CG n=247). The results showed women of the IG presented the BP less frequently to the hospital compared to CG (57.8% vs 75.1%; p <0.001), the satisfaction with childbirth experience of the IG was high and similar to the CG (146.3 vs 149.3; p=0.247). Likewise, the IG used less analgesia epidural (84.7% vs 91.7%; p= 0.034), more frequently combined non-pharmacological and pharmacological methods for pain relief (48.8% vs 29.3%; p< 0.001) and began breastfeeding early (83.9% vs 66.3%; p< 0.001). Women who presented BP had a greater probability of spontaneous vaginal birth aOR=2.07 (95% CI: 1.23-3.5) and early skin-to-skin contact aOR=2.29 (95% CI: 1.2- 4.2). Conclusion: This counselling intervention was not effective in increasing presentation of the BP to the hospital and women's satisfaction with childbirth but was related to use a higher combination of pharmacological and non-pharmacological methods for pain relief and initiation of breastfeeding in the delivery room. Presenting the BP to the hospital increases the likelihood of spontaneous vaginal birth and early skin-to-skin contact.Public Library of Science (PLoS)2023202320222023info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion20 p.application/pdfhttps://hdl.handle.net/2445/194331Articles publicats en revistes (Infermeria de Salut Pública, Salut mental i Maternoinfantil)reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésReproducció del document publicat a: https://doi.org/10.1371/journal.pone.0274240PLoS One, 2022https://doi.org/10.1371/journal.pone.0274240cc-by (c) López Gimeno, Encarnación et al., 2022https://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:recercat.cat:2445/1943312026-05-29T05:05:01Z
dc.title.none.fl_str_mv Effectiveness of birth plan counselling based on shared decision making: A cluster randomized controlled trial (APLANT)
title Effectiveness of birth plan counselling based on shared decision making: A cluster randomized controlled trial (APLANT)
spellingShingle Effectiveness of birth plan counselling based on shared decision making: A cluster randomized controlled trial (APLANT)
López Gimeno, Encarnación
Embaràs
Llevadores
Presa de decisions
Preparació al part
Pregnancy
Midwives
Decision making
Preparation for parenthood
title_short Effectiveness of birth plan counselling based on shared decision making: A cluster randomized controlled trial (APLANT)
title_full Effectiveness of birth plan counselling based on shared decision making: A cluster randomized controlled trial (APLANT)
title_fullStr Effectiveness of birth plan counselling based on shared decision making: A cluster randomized controlled trial (APLANT)
title_full_unstemmed Effectiveness of birth plan counselling based on shared decision making: A cluster randomized controlled trial (APLANT)
title_sort Effectiveness of birth plan counselling based on shared decision making: A cluster randomized controlled trial (APLANT)
dc.creator.none.fl_str_mv López Gimeno, Encarnación
Seguranyes Guillot, Glòria
Vicente Hernández, Ma. Mercedes
Burgos Cubero, Lucia
Vázquez Garreta, Griselda
Falguera Puig, Gemma
author López Gimeno, Encarnación
author_facet López Gimeno, Encarnación
Seguranyes Guillot, Glòria
Vicente Hernández, Ma. Mercedes
Burgos Cubero, Lucia
Vázquez Garreta, Griselda
Falguera Puig, Gemma
author_role author
author2 Seguranyes Guillot, Glòria
Vicente Hernández, Ma. Mercedes
Burgos Cubero, Lucia
Vázquez Garreta, Griselda
Falguera Puig, Gemma
author2_role author
author
author
author
author
dc.subject.none.fl_str_mv Embaràs
Llevadores
Presa de decisions
Preparació al part
Pregnancy
Midwives
Decision making
Preparation for parenthood
topic Embaràs
Llevadores
Presa de decisions
Preparació al part
Pregnancy
Midwives
Decision making
Preparation for parenthood
description Background: It's unknown if shared decision making (SDM) is effective on birth plan (BP) counselling. We evaluate the effectiveness of a BP counselling intervention based on SDM, in pregnant women, with the presentation of BP to the hospital and the satisfaction with the childbirth experience. To identify if the BP presentation to the hospital was related to obstetric outcomes and satisfaction with the childbirth experience. Methods This was a randomised cluster trial involving 4 Primary Care Units. During pregnancy the women in the intervention group (IG) received BP counselling based on SDM together with a leaflet with evidence-based recommendations. The control group (CG) received standard midwife counselling. Mackey Satisfaction with Childbirth Rating Scale (MSCRS) was used. Findings A total of 461 (95.5%) women received BP counselling (IG n=214 and CG n=247). The results showed women of the IG presented the BP less frequently to the hospital compared to CG (57.8% vs 75.1%; p <0.001), the satisfaction with childbirth experience of the IG was high and similar to the CG (146.3 vs 149.3; p=0.247). Likewise, the IG used less analgesia epidural (84.7% vs 91.7%; p= 0.034), more frequently combined non-pharmacological and pharmacological methods for pain relief (48.8% vs 29.3%; p< 0.001) and began breastfeeding early (83.9% vs 66.3%; p< 0.001). Women who presented BP had a greater probability of spontaneous vaginal birth aOR=2.07 (95% CI: 1.23-3.5) and early skin-to-skin contact aOR=2.29 (95% CI: 1.2- 4.2). Conclusion: This counselling intervention was not effective in increasing presentation of the BP to the hospital and women's satisfaction with childbirth but was related to use a higher combination of pharmacological and non-pharmacological methods for pain relief and initiation of breastfeeding in the delivery room. Presenting the BP to the hospital increases the likelihood of spontaneous vaginal birth and early skin-to-skin contact.
publishDate 2022
dc.date.none.fl_str_mv 2022
2023
2023
2023
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/194331
url https://hdl.handle.net/2445/194331
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://doi.org/10.1371/journal.pone.0274240
PLoS One, 2022
https://doi.org/10.1371/journal.pone.0274240
dc.rights.none.fl_str_mv cc-by (c) López Gimeno, Encarnación et al., 2022
https://creativecommons.org/licenses/by/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc-by (c) López Gimeno, Encarnación et al., 2022
https://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 20 p.
application/pdf
dc.publisher.none.fl_str_mv Public Library of Science (PLoS)
publisher.none.fl_str_mv Public Library of Science (PLoS)
dc.source.none.fl_str_mv Articles publicats en revistes (Infermeria de Salut Pública, Salut mental i Maternoinfantil)
reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15.811543

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