{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T17:48:37Z","timestamp":1777916917079,"version":"3.51.4"},"reference-count":35,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2019,9,26]],"date-time":"2019-09-26T00:00:00Z","timestamp":1569456000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100000867","name":"robert wood johnson foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000867","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Med Decis Making"],"published-print":{"date-parts":[[2019,10]]},"abstract":"<jats:p>Purpose. To measure utility values that describe women\u2019s willingness to tradeoff maternal morbidity for fetal benefit among pregnant and nonpregnant women of reproductive age. Methods. We recruited English-speaking women aged 18 to 45 years in clinical and community-based settings. Eight health states were studied: 4 maternal (healthy, stroke, hysterectomy, death) and 4 neonatal (healthy, severe cerebral palsy [CP], severe mental retardation [MR], death). Utilities were assessed on a subset of 9 pairs of mom\/baby delivery outcomes. Participants ranked the 9 pairs of outcomes in order of preference, then standard gamble methods were used to calculate utilities. Numeracy skills were assessed. Results. Utilities were obtained from 477 participants (recruitment rate = 94%). Twenty-one percent were pregnant, 63% were parents, and 54% were African American. Utilities did not differ significantly between pregnant and nonpregnant women or based on numeracy score. The highest (nonhealthy) values were assigned to baby healthy\/mom hysterectomy (0.999), baby healthy\/mom stroke (0.946), and baby CP\/mom healthy (0.940). The lowest values were assigned to baby death\/mom hysterectomy (0.203), baby MR\/mom death (0.150), and baby death\/mom stroke (0.087). Nonwhite participants assigned a significantly higher value to baby MR\/mom death ( P = 0.01), baby MR\/mom stroke ( P = 0.02), baby MR\/mom healthy ( P &lt; 0.01), and baby MR\/mom hysterectomy ( P = 0.02) than white participants. Conclusion. When asked to value pairs of maternal\/fetal outcomes that required a tradeoff of morbidity and mortality, women tended to assign the highest utility to combinations that resulted in a \u201chealthy baby.\u201d They assigned the lowest values to combinations that resulted in a baby\u2019s death or MR. Our findings highlight the importance of 1) assessing individual preferences and goals of care for pregnancy outcomes and 2) measuring utilities among reproductive-aged women when modeling obstetric decision making.<\/jats:p>","DOI":"10.1177\/0272989x19869910","type":"journal-article","created":{"date-parts":[[2019,9,26]],"date-time":"2019-09-26T20:38:19Z","timestamp":1569530299000},"page":"755-764","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Women\u2019s Preferences for Maternal and Neonatal Morbidity and Mortality in Childbirth"],"prefix":"10.1177","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0023-4440","authenticated-orcid":false,"given":"Brownsyne","family":"Tucker Edmonds","sequence":"first","affiliation":[{"name":"Department of OB\/GYN, Indiana University School of Medicine, Indianapolis, IN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fatima","family":"McKenzie","sequence":"additional","affiliation":[{"name":"Department of OB\/GYN, Indiana University School of Medicine, Indianapolis, IN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen M.","family":"Downs","sequence":"additional","affiliation":[{"name":"Children\u2019s Health Services Research, Department of Pediatrics, Indiana University School of Medicine, Indianapolis, IN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aaron E.","family":"Carroll","sequence":"additional","affiliation":[{"name":"Pediatric and Adolescent Comparative Effectiveness Research, Department of Pediatrics, Indiana University School of Medicine, Indianapolis, IN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2019,9,26]]},"reference":[{"issue":"4","key":"bibr1-0272989X19869910","volume":"128","author":"American College of Obstetricians and Gynecologists\u2019 Committee on Practice Bulletins\u2013Obstetrics. 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