Shared Decision Making for Women’s Choices About Mode of Birth After a Previous Cesarean: Patient and Provider Perspectives

The presentation will describe our quantitative pilot project which seeks to objectively determine, through pre/post surveys, the effects of a newly developed decision tools on women’s mode of birth after cesarean choices; knowledge on the risks and benefits of each option; and level of satisfaction with the tools. The study also explores prenatal providers’ opinions about the tools and its impact upon their shared decision making (SDM) with patients. We hypothesize that the tools will increase women’s knowledge and their level of satisfaction, and that providers will find the tools useful and that they will increase their ease of performing SDM. This is vital research because women need effective strategies to support their decision making between labor after cesarean and elective repeat cesarean birth. Decision aids can support patients and providers in SDM, and have been shown to be successful in helping women choose and stick with their choices.