Understanding risk, patient and provider preferences, and obstetrical decision making: approach to delivery after cesarean

Semin Perinatol. 2010 Oct;34(5):331-6. doi: 10.1053/j.semperi.2010.05.006.

Abstract

Decision making regarding approach to delivery after cesarean is complex and requires consideration of the probabilities of clinical outcomes and the preferences of pregnant women. Depending on the clinical situation, a range of management options may be appropriate, and understanding women's beliefs and values regarding the process and outcomes of obstetrical interventions, as well as providing them with clear information regarding risk, is a necessary part of providing evidence-based, patient-centered care. We conducted a review of the literature on risk communication, patient and provider preferences, and obstetrical decision-making and offer recommendations on how to incorporate patient preferences in the context of delivery after cesarean.

Publication types

  • Review

MeSH terms

  • Cesarean Section, Repeat
  • Communication
  • Female
  • Humans
  • Patient Education as Topic
  • Patient Preference*
  • Physician-Patient Relations*
  • Pregnancy
  • Risk Factors
  • Trial of Labor
  • Vaginal Birth after Cesarean* / adverse effects
  • Vaginal Birth after Cesarean* / statistics & numerical data