{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T13:41:27Z","timestamp":1786369287587,"version":"build-2736575974"},"reference-count":67,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,9,17]],"date-time":"2021-09-17T00:00:00Z","timestamp":1631836800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,9,17]],"date-time":"2021-09-17T00:00:00Z","timestamp":1631836800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Pregnancy Childbirth"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Women\u2019s engagement in healthcare decision-making during childbirth has been increasingly emphasised as a priority in maternity care, since it increases satisfaction with the childbirth experience and provides health benefits for women and newborns. The birth plan was developed as a tool to facilitate communication between health professionals and women in Spain, but their value in routine practice has been questioned. Besides, little is known about women\u2019s experiences of participation in decision-making in the Spanish context. Thus, this study aimed to explore women\u2019s experiences of participation in shared decision-making during hospital childbirth.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>An exploratory qualitative study using focus groups was carried out in one maternity unit of a large reference hospital in Barcelona, Spain. Participants were first-time mothers aged 18\u2009years or older who had had a live birth at the same hospital in the previous 12\u2009months. Data collected were transcribed verbatim and analysed using a six-phase inductive thematic analysis process.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Twenty-three women participated in three focus groups. Three major themes emerged from the data: \u201cWomen\u2019s low participation in shared decision-making\u201d, \u201cLack of information provision for shared decision-making\u201d, and \u201cSuggestions to improve women\u2019s participation in shared decision-making\u201d. The women who were willing to take an active role in decision-making encountered barriers to achieving this and some women did not feel prepared to do so. The birth plan was experienced as a deficient method to promote women\u2019s participation, as health professionals did not use them. Participants described the information given as insufficient and not offered at a timely or useful point where it could aid their decision-making. Potential improvements identified that could promote women\u2019s participation were having a mutually respectful relationship with their providers, the support of partners and other members of the family and receiving continuity of a coordinated and personalised perinatal care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Enhancing women\u2019s involvement in shared decision-making requires the acquisition of skills by health professionals and women. The development and implementation of interventions that encompass a training programme for health professionals and women, accompanied by an effective tool to promote women\u2019s participation in shared decision-making during childbirth, is highly recommended.<\/jats:p><\/jats:sec>","DOI":"10.1186\/s12884-021-04070-3","type":"journal-article","created":{"date-parts":[[2021,9,17]],"date-time":"2021-09-17T09:06:09Z","timestamp":1631869569000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":33,"title":["Exploring women\u2019s experiences of participation in shared decision-making during childbirth: a qualitative study at a reference hospital in Spain"],"prefix":"10.1186","volume":"21","author":[{"given":"Mar\u00eda","family":"L\u00f3pez-Toribio","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paulina","family":"Bravo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Llupi\u00e0","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,9,17]]},"reference":[{"key":"4070_CR1","doi-asserted-by":"publisher","first-page":"1361","DOI":"10.1007\/s11606-012-2077-6","volume":"27","author":"G Elwyn","year":"2012","unstructured":"Elwyn G, Frosch D, Thomson R, Joseph-Williams N, Lloyd A, Kinnersley P, et al. Shared decision making: a model for clinical practice. J Gen Intern Med. 2012;27:1361\u20137 Springer. Available from: https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3445676\/. Cited 2021 May 22.","journal-title":"J Gen Intern Med"},{"issue":"1","key":"4070_CR2","doi-asserted-by":"publisher","first-page":"35","DOI":"10.5694\/mja14.00002","volume":"201","author":"TC Hoffmann","year":"2014","unstructured":"Hoffmann TC, L\u00e9gar\u00e9 F, Simmons MB, McNamara K, McCaffery K, Trevena LJ, et al. Shared decision making: what do clinicians need to know and why should they bother? Med J Aust. 2014;201(1):35\u20139 Available from: https:\/\/onlinelibrary.wiley.com\/doi\/full\/10.5694\/mja14.00002. Cited 2021 May 22.","journal-title":"Med J Aust"},{"issue":"4","key":"4070_CR3","doi-asserted-by":"publisher","first-page":"285","DOI":"10.1016\/S0749-3797(99)00097-5","volume":"17","author":"DL Frosch","year":"1999","unstructured":"Frosch DL, Kaplan RM. Shared decision making in clinical medicine: past research and future directions. Am J Prev Med. 1999;17(4):285\u201394. https:\/\/doi.org\/10.1016\/S0749-3797(99)00097-5.","journal-title":"Am J Prev Med"},{"key":"4070_CR4","doi-asserted-by":"publisher","first-page":"114","DOI":"10.1177\/0272989X14551638","volume":"35","author":"L Aubree Shay","year":"2015","unstructured":"Aubree Shay L, Lafata JE. Where is the evidence? a systematic review of shared decision making and patient outcomes. Med Decis Making. 2015;35:114\u201331 SAGE Publications Inc. Available from: https:\/\/pubmed.ncbi.nlm.nih.gov\/25351843\/. Cited 2021 May 22.","journal-title":"Med Decis Making"},{"issue":"4","key":"4070_CR5","doi-asserted-by":"publisher","first-page":"219","DOI":"10.1159\/000126073","volume":"77","author":"EAG Joosten","year":"2008","unstructured":"Joosten EAG, DeFuentes-Merillas L, De Weert GH, Sensky T, Van Der Staak CPF, De Jong CAJ. Systematic review of the effects of shared decision-making on patient satisfaction, treatment adherence and health status. Psychother Psychosom. 2008;77(4):219\u201326 Available from: https:\/\/www.karger.com\/Article\/FullText\/126073. Cited 2021 May 22.","journal-title":"Psychother Psychosom"},{"key":"4070_CR6","volume-title":"Shared decision making in midwifery care","author":"American College of Nurse-Midwives","year":"2017","unstructured":"American College of Nurse-Midwives. Shared decision making in midwifery care. 2017. Available from: http:\/\/www.midwife.org\/acnm\/files\/ACNMLibraryData\/UPLOADFILENAME\/000000000305\/Shared-Decision-Making-in-Midwifery-Care-10-13-17.pdf. Cited 2021 May 22."},{"key":"4070_CR7","doi-asserted-by":"crossref","unstructured":"Yu L, Yang S, Zhang C, Guo P, Zhang X, Xu M, et al. Decision aids for prenatal testing: a systematic review and meta-analysis. J Adv Nurs. 2021:jan.14875 Available from: https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jan.14875. Cited 2021 May 22.","DOI":"10.1111\/jan.14875"},{"key":"4070_CR8","doi-asserted-by":"publisher","unstructured":"Horey D, Kealy M, Ma D, Small R, Crowther CA. Interventions for supporting pregnant women\u2019s decision-making about mode of birth after a caesarean. 2013;(7):CD010041. https:\/\/doi.org\/10.1002\/14651858.CD010041.pub2.","DOI":"10.1002\/14651858.CD010041.pub2"},{"issue":"S2","key":"4070_CR9","doi-asserted-by":"publisher","first-page":"347","DOI":"10.1186\/s12884-017-1495-1","volume":"17","author":"ER Garcia","year":"2017","unstructured":"Garcia ER, Yim IS. A systematic review of concepts related to women\u2019s empowerment in the perinatal period and their associations with perinatal depressive symptoms and premature birth. BMC Pregnancy Childbirth. 2017;17(S2):347 Available from: https:\/\/bmcpregnancychildbirth.biomedcentral.com\/articles\/10.1186\/s12884-017-1495-1. Cited 2019 Jun 20.","journal-title":"BMC Pregnancy Childbirth"},{"key":"4070_CR10","doi-asserted-by":"publisher","unstructured":"Shaw D, Guise J-M, Shah N, Gemzell-Danielsson K, Joseph KS, Levy B, et al. Drivers of maternity care in high-income countries: can health systems support woman-centred care? Lancet. 2016. https:\/\/doi.org\/10.1016\/S0140-6736 Cited 2020 Aug 10.","DOI":"10.1016\/S0140-6736"},{"issue":"1","key":"4070_CR11","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/1471-2393-14-223","volume":"14","author":"MJ Nieuwenhuijze","year":"2014","unstructured":"Nieuwenhuijze MJ, Korstjens I, De Jonge A, De Vries R, Lagro-janssen A. On speaking terms: a Delphi study on shared decision-making in maternity care. BMC Pregnancy Childbirth. 2014;14(1):1\u201311.","journal-title":"BMC Pregnancy Childbirth"},{"issue":"2","key":"4070_CR12","doi-asserted-by":"publisher","first-page":"295","DOI":"10.1111\/j.1552-6909.2006.00042.x","volume":"35","author":"J Lothian","year":"2006","unstructured":"Lothian J. Birth plans: the good, the bad, and the future. J Obstet Gynecol Neonatal Nurs. 2006;35(2):295\u2013303 Available from: https:\/\/pubmed.ncbi.nlm.nih.gov\/16620258\/. Cited 2020 Aug 14.","journal-title":"J Obstet Gynecol Neonatal Nurs"},{"issue":"1","key":"4070_CR13","doi-asserted-by":"publisher","first-page":"31.e1","DOI":"10.1016\/j.ajog.2016.09.087","volume":"216","author":"AM DeBaets","year":"2017","unstructured":"DeBaets AM. From birth plan to birth partnership: enhancing communication in childbirth. Am J Obstet Gynecol. 2017;216(1):31.e1\u20134. https:\/\/doi.org\/10.1016\/j.ajog.2016.09.087.","journal-title":"Am J Obstet Gynecol"},{"issue":"11","key":"4070_CR14","first-page":"305","volume":"76","author":"C-M Anderson","year":"2017","unstructured":"Anderson C-M, Monardo R, Soon R, Lum J, Tschann M, Kaneshiro B. Patient communication, satisfaction, and trust before and after use of a standardized birth plan. Hawaii J Med Public Health. 2017;76(11):305\u20139 Available from: http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/29164014. Cited 2017 Dec 4.","journal-title":"Hawaii J Med Public Health"},{"issue":"5","key":"4070_CR15","doi-asserted-by":"publisher","first-page":"322","DOI":"10.1016\/S1526-9523(03)00278-2","volume":"48","author":"I Lundgren","year":"2003","unstructured":"Lundgren I, Berg M. Is the childbirth experience improved by a birth plan? J Midwifery Womens Health. 2003;48(5):322\u20138.","journal-title":"J Midwifery Womens Health"},{"issue":"1","key":"4070_CR16","doi-asserted-by":"publisher","first-page":"49","DOI":"10.1111\/j.1523-536X.2006.00126.x","volume":"34","author":"P Simkin","year":"2007","unstructured":"Simkin P. Birth plans: after 25 years, women still want to be heard: commentary. Birth. 2007;34(1):49\u201351. https:\/\/doi.org\/10.1111\/j.1523-536X.2006.00126.x.","journal-title":"Birth"},{"issue":"1","key":"4070_CR17","doi-asserted-by":"publisher","first-page":"43","DOI":"10.1111\/birt.12320","volume":"45","author":"Y Afshar","year":"2018","unstructured":"Afshar Y, Mei JY, Gregory KD, Kilpatrick SJ, Esakoff TF. Birth plans\u2014Impact on mode of delivery, obstetrical interventions, and birth experience satisfaction: a prospective cohort study. Birth. 2018;45(1):43\u20139 Available from: https:\/\/pubmed.ncbi.nlm.nih.gov\/29094374\/. Cited 2021 May 24.","journal-title":"Birth"},{"key":"4070_CR18","first-page":"258","volume":"54","author":"Ministerio de Sanidad","year":"2007","unstructured":"Ministerio de Sanidad. Estrategia de atenci\u00f3n al parto normal en el Sistema Nacional de Salud. Ann Phys (N Y). 2007;54:258 Available from: http:\/\/scholar.google.com\/scholar?hl=en&btnG=Search&q=intitle:No+Title#0.","journal-title":"Ann Phys (N Y)"},{"key":"4070_CR19","first-page":"1","volume-title":"Plan de parto y nacimiento: Estrategia de atenci\u00f3n al parto normal. Estrategia Nacional de salud sexual y reproductiva","author":"Comit\u00e9s Institucional y T\u00e9cnico de la Estrategia de Atenci\u00f3n al Parto Normal y de Salud Reproductiva","year":"2011","unstructured":"Comit\u00e9s Institucional y T\u00e9cnico de la Estrategia de Atenci\u00f3n al Parto Normal y de Salud Reproductiva. Plan de parto y nacimiento: Estrategia de atenci\u00f3n al parto normal. Estrategia Nacional de salud sexual y reproductiva; 2011. p. 1\u201325."},{"key":"4070_CR20","doi-asserted-by":"publisher","first-page":"41","DOI":"10.1016\/j.srhc.2017.05.006","volume":"13","author":"H Biescas","year":"2017","unstructured":"Biescas H, Benet M, Pueyo MJ, Rubio A, Pla M, P\u00e9rez-Botella M, et al. A critical review of the birth plan use in Catalonia. Sex Reprod Healthc. 2017;13:41\u201350. https:\/\/doi.org\/10.1016\/j.srhc.2017.05.006.","journal-title":"Sex Reprod Healthc"},{"issue":"3","key":"4070_CR21","doi-asserted-by":"publisher","first-page":"47","DOI":"10.1624\/105812407X217985","volume":"16","author":"T Kaufman","year":"2007","unstructured":"Kaufman T. Evolution of the birth plan. J Perinat Educ. 2007;16(3):47\u201352 Available from: http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/18566650. Cited 2019 Apr 28.","journal-title":"J Perinat Educ"},{"issue":"1","key":"4070_CR22","doi-asserted-by":"publisher","first-page":"49","DOI":"10.1007\/s11019-009-9220-0","volume":"13","author":"R Behruzi","year":"2010","unstructured":"Behruzi R, Hatem M, Goulet L, Fraser W, Leduc N, Misago C. Humanized birth in high risk pregnancy: barriers and facilitating factors. Med Health Care Philos. 2010;13(1):49\u201358 Available from: https:\/\/link.springer.com\/article\/10.1007\/s11019-009-9220-0. Cited 2021 May 23.","journal-title":"Med Health Care Philos"},{"key":"4070_CR23","doi-asserted-by":"crossref","unstructured":"Kirkham M, Edwards NP, Hewson B, Levy V, O\u2019Cathain A, Stapleton H, et al. Informed Choice in Maternity Care. 1st ed. Kirkham M, editor. New York: Palgrave Macmillan; 2004:300.","DOI":"10.5040\/9781350393417"},{"issue":"1","key":"4070_CR24","doi-asserted-by":"publisher","first-page":"343","DOI":"10.1186\/s12884-020-03023-6","volume":"20","author":"C Yuill","year":"2020","unstructured":"Yuill C, McCourt C, Cheyne H, Leister N. Women\u2019s experiences of decision-making and informed choice about pregnancy and birth care: a systematic review and meta-synthesis of qualitative research. BMC Pregnancy Childbirth. 2020;20(1):343. https:\/\/doi.org\/10.1186\/s12884-020-03023-6.","journal-title":"BMC Pregnancy Childbirth"},{"issue":"1","key":"4070_CR25","doi-asserted-by":"publisher","first-page":"10","DOI":"10.1016\/j.midw.2012.07.001","volume":"29","author":"L Dixon","year":"2013","unstructured":"Dixon L, Skinner J, Foureur M. Women\u2019s perspectives of the stages and phases of labour. Midwifery. 2013;29(1):10\u20137 Available from: https:\/\/pubmed.ncbi.nlm.nih.gov\/22906490\/. Cited 2020 Aug 14.","journal-title":"Midwifery"},{"key":"4070_CR26","volume-title":"WMA Declaration of Helsinki \u2013 ethical principles for medical research involving human subjects","author":"The World Medical Association","year":"2013","unstructured":"The World Medical Association. WMA Declaration of Helsinki \u2013 ethical principles for medical research involving human subjects. 2013. Available from: https:\/\/www.wma.net\/policies-post\/wma-declaration-of-helsinki-ethical-principles-for-medical-research-involving-human-subjects\/. Cited 2020 Nov 25."},{"issue":"6","key":"4070_CR27","doi-asserted-by":"publisher","first-page":"349","DOI":"10.1093\/intqhc\/mzm042","volume":"19","author":"A Tong","year":"2007","unstructured":"Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care. 2007;19(6):349\u201357. https:\/\/doi.org\/10.1093\/intqhc\/mzm042.","journal-title":"Int J Qual Health Care"},{"key":"4070_CR28","unstructured":"Idescat. Annual indicators. Fertility indicators. Available from: https:\/\/www.idescat.cat\/indicadors\/?id=anuals&n=10343&lang=en. Cited 2020 Aug 6."},{"key":"4070_CR29","unstructured":"Idescat. Catalonia Birth Statistics. Childbirths by maternal age and health care. Available from: http:\/\/www.idescat.cat\/pub\/?id=naix&n=5120&lang=en. Cited 2020 Aug 6."},{"key":"4070_CR30","volume-title":"Generalitat de Catalunya. Protocol de seguiment de l\u2019embar\u00e0s a Catalunya","author":"Departament de Salut","year":"2018","unstructured":"Departament de Salut. Generalitat de Catalunya. Protocol de seguiment de l\u2019embar\u00e0s a Catalunya. 2018. Available from: http:\/\/salutpublica.gencat.cat\/web\/.content\/minisite\/aspcat\/promocio_salut\/embaras_part_puerperi\/protocol_seguiment_embaras\/protocol-seguiment-embaras-2018.pdf. Cited 2019 Oct 24."},{"issue":"4","key":"4070_CR31","doi-asserted-by":"publisher","first-page":"235","DOI":"10.1046\/j.1523-536X.2003.00253.x","volume":"30","author":"MJ Green","year":"2003","unstructured":"Green MJ, Baston AH. Feeling in control during labour: concepts, correlates and consequences. Birth. 2003;30(4):235\u201347. https:\/\/doi.org\/10.1046\/j.1523-536X.2003.00253.x.","journal-title":"Birth"},{"key":"4070_CR32","unstructured":"Stewart DW, Shamdasani PN. Focus groups: Theory and practice. 3rd ed. California: SAGE Publications Inc.; 2015:224."},{"issue":"1","key":"4070_CR33","doi-asserted-by":"publisher","first-page":"80","DOI":"10.1177\/1473325010368316","volume":"11","author":"L Tufford","year":"2012","unstructured":"Tufford L, Newman P. Bracketing in qualitative research. Qual Soc Work. 2012;11(1):80\u201396 Available from: https:\/\/journals.sagepub.com\/doi\/10.1177\/1473325010368316. Cited 2021 May 25.","journal-title":"Qual Soc Work"},{"key":"4070_CR34","unstructured":"Krueger RA, Casey MA. Focus group: a practical guide for applied research. 3rd ed. California: SAGE Publications Inc.; 2000:215."},{"key":"#cr-split#-4070_CR35.1","doi-asserted-by":"crossref","unstructured":"Fusch P, Ness L. Are we there yet? Data saturation in qualitative research. Qual Rep. 2015;20","DOI":"10.46743\/2160-3715\/2015.2281"},{"key":"#cr-split#-4070_CR35.2","unstructured":"(9) Available from: https:\/\/nsuworks.nova.edu\/tqr\/vol20\/iss9\/3. Cited 2020 Sep 1."},{"issue":"2","key":"4070_CR36","doi-asserted-by":"publisher","first-page":"77","DOI":"10.1191\/1478088706qp063oa","volume":"3","author":"V Braun","year":"2006","unstructured":"Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3(2):77\u2013101. https:\/\/doi.org\/10.1191\/1478088706qp063oa Available from: http:\/\/search.proquest.com.ezp1.villanova.edu\/docview\/223135521?pq-origsite=summon&accountid=14853.","journal-title":"Qual Res Psychol"},{"issue":"13","key":"4070_CR37","doi-asserted-by":"publisher","first-page":"1802","DOI":"10.1177\/1049732316654870","volume":"26","author":"L Birt","year":"2016","unstructured":"Birt L, Scott S, Cavers D, Campbell C, Walter F. Member checking: a tool to enhance trustworthiness or merely a nod to validation? Qual Health Res. 2016;26(13):1802\u201311 Available from: https:\/\/journals.sagepub.com\/doi\/abs\/10.1177\/1049732316654870. Cited 2021 May 23.","journal-title":"Qual Health Res"},{"key":"4070_CR38","doi-asserted-by":"publisher","first-page":"2142","DOI":"10.1111\/j.1365-2648.2010.05391.x","volume":"66","author":"R Elmir","year":"2010","unstructured":"Elmir R, Schmied V, Wilkes L, Jackson D. Women\u2019s perceptions and experiences of a traumatic birth: a meta-ethnography. J Adv Nurs. 2010;66:2142\u201353 Wiley-Blackwell Publishing Ltd.","journal-title":"J Adv Nurs"},{"issue":"1","key":"4070_CR39","doi-asserted-by":"publisher","first-page":"21","DOI":"10.1186\/s12884-016-1197-0","volume":"17","author":"R Reed","year":"2017","unstructured":"Reed R, Sharman R, Inglis C. Women\u2019s descriptions of childbirth trauma relating to care provider actions and interactions. BMC Pregnancy Childbirth. 2017;17(1):21 Available from: http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/28068932. Cited 2019 May 1.","journal-title":"BMC Pregnancy Childbirth"},{"key":"#cr-split#-4070_CR40.1","doi-asserted-by":"crossref","unstructured":"Rodr\u00edguez-Almagro J, Hern\u00e1ndez-Mart\u00ednez A, Rodr\u00edguez-Almagro D, Quir\u00f3s-Garc\u00eda JM, Mart\u00ednez-Galiano JM, G\u00f3mez-Salgado J. Women's perceptions of living a traumatic childbirth experience and factors related to a birth experience. Int J Environ Res Public Health. 2019;16","DOI":"10.3390\/ijerph16091654"},{"key":"#cr-split#-4070_CR40.2","unstructured":"(9) Available from: https:\/\/pubmed.ncbi.nlm.nih.gov\/31085980\/. Cited 2020 Sep 1."},{"issue":"12","key":"4070_CR41","doi-asserted-by":"publisher","first-page":"1923","DOI":"10.1016\/j.pec.2016.07.026","volume":"99","author":"EM Castro","year":"2016","unstructured":"Castro EM, Van Regenmortel T, Vanhaecht K, Sermeus W, Van Hecke A. Patient empowerment, patient participation and patient-centeredness in hospital care: a concept analysis based on a literature review. Patient Educ Couns. 2016;99(12):1923\u201339. https:\/\/doi.org\/10.1016\/j.pec.2016.07.026.","journal-title":"Patient Educ Couns"},{"issue":"1","key":"4070_CR42","doi-asserted-by":"publisher","first-page":"138","DOI":"10.1111\/j.1369-7625.2011.00743.x","volume":"17","author":"E Tambuyzer","year":"2014","unstructured":"Tambuyzer E, Pieters G, Van Audenhove C. Patient involvement in mental health care: one size does not fit all. Health Expect. 2014;17(1):138\u201350 Available from: https:\/\/onlinelibrary.wiley.com\/doi\/full\/10.1111\/j.1369-7625.2011.00743.x. Cited 2020 Aug 10.","journal-title":"Health Expect"},{"issue":"3","key":"4070_CR43","doi-asserted-by":"publisher","first-page":"291","DOI":"10.1016\/j.pec.2013.10.031","volume":"94","author":"N Joseph-Williams","year":"2014","unstructured":"Joseph-Williams N, Elwyn G, Edwards A. Knowledge is not power for patients: a systematic review and thematic synthesis of patient-reported barriers and facilitators to shared decision making. Patient Educ Couns. 2014;94(3):291\u2013309. https:\/\/doi.org\/10.1016\/j.pec.2013.10.031.","journal-title":"Patient Educ Couns"},{"issue":"6","key":"4070_CR44","doi-asserted-by":"publisher","first-page":"1113","DOI":"10.1111\/jep.13243","volume":"25","author":"K Begley","year":"2019","unstructured":"Begley K, Daly D, Panda S, Begley C. Shared decision-making in maternity care: acknowledging and overcoming epistemic defeaters. J Eval Clin Pract. 2019;25(6):1113\u201320. https:\/\/doi.org\/10.1111\/jep.13243.","journal-title":"J Eval Clin Pract"},{"issue":"1","key":"4070_CR45","doi-asserted-by":"publisher","first-page":"22","DOI":"10.12968\/bjom.2018.26.1.22","volume":"26","author":"A Jay","year":"2018","unstructured":"Jay A, Thomas H, Brooks F. Induction of labour: how do women get information and make decisions? Findings of a qualitative study. Br J Midwifery. 2018;26(1):22\u20139 Available from: http:\/\/www.magonlinelibrary.com\/doi\/10.12968\/bjom.2018.26.1.22. Cited 2019 May 2.","journal-title":"Br J Midwifery"},{"issue":"1","key":"4070_CR46","doi-asserted-by":"publisher","first-page":"62","DOI":"10.1186\/1471-2393-14-62","volume":"14","author":"R Thompson","year":"2014","unstructured":"Thompson R, Miller YD. Birth control: to what extent do women report being informed and involved in decisions about pregnancy and birth procedures? BMC Pregnancy Childbirth. 2014;14(1):62 Available from: http:\/\/bmcpregnancychildbirth.biomedcentral.com\/articles\/10.1186\/1471-2393-14-62. Cited 2020 Aug 12.","journal-title":"BMC Pregnancy Childbirth"},{"issue":"10","key":"4070_CR47","doi-asserted-by":"publisher","first-page":"1133","DOI":"10.1111\/j.1471-0528.2004.00240.x","volume":"111","author":"A Akkad","year":"2004","unstructured":"Akkad A, Jackson C, Kenyon S, Dixon-Woods M, Taub N, Habiba M. Informed consent for elective and emergency surgery: questionnaire study. BJOG. 2004;111(10):1133\u20138 Available from: http:\/\/doi.wiley.com\/10.1111\/j.1471-0528.2004.00240.x. Cited 2020 Aug 15.","journal-title":"BJOG"},{"key":"4070_CR48","doi-asserted-by":"crossref","unstructured":"ACOG committee opinion no. 439: informed consent. Obstet Gynecol. 2009;114(2, Part 1):401\u20138. Available from: http:\/\/journals.lww.com\/00006250-200908000-00032. Cited 2020 Sep 1.","DOI":"10.1097\/AOG.0b013e3181b48f7f"},{"issue":"3","key":"4070_CR49","doi-asserted-by":"publisher","first-page":"195","DOI":"10.1111\/birt.12281","volume":"44","author":"A Kotaska","year":"2017","unstructured":"Kotaska A. Informed consent and refusal in obstetrics: a practical ethical guide. Birth. 2017;44(3):195\u20139 Available from: http:\/\/doi.wiley.com\/10.1111\/birt.12281. Cited 2020 Sep 1.","journal-title":"Birth"},{"key":"4070_CR50","doi-asserted-by":"publisher","first-page":"614","DOI":"10.1016\/j.jogc.2017.12.013","volume":"40","author":"MK Smith","year":"2018","unstructured":"Smith MK, Levy KS, Yudin MH. Informed consent during labour: patient and physician perspectives. J Obstet Gynaecol Can. 2018;40:614\u20137 Elsevier Inc.","journal-title":"J Obstet Gynaecol Can"},{"key":"4070_CR51","doi-asserted-by":"publisher","first-page":"1968","DOI":"10.1016\/j.socscimed.2012.01.041","volume":"74","author":"M Dugas","year":"2012","unstructured":"Dugas M, Shorten A, Dub\u00e9 E, Wassef M, Bujold E, Chaillet N. Decision aid tools to support women\u2019s decision making in pregnancy and birth: a systematic review and meta-analysis. Soc Sci Med. 2012;74:1968\u201378 Elsevier Science.","journal-title":"Soc Sci Med"},{"key":"4070_CR52","doi-asserted-by":"crossref","unstructured":"Stevens G, Thompson R, Watson B, Miller YD. Patient decision aids in routine maternity care: benefits, barriers, and new opportunities. Women Birth. 2016;29:30\u201334. Elsevier. Available from: https:\/\/pubmed.ncbi.nlm.nih.gov\/26342759\/. Cited 2020 Sep 9.","DOI":"10.1016\/j.wombi.2015.08.002"},{"issue":"4","key":"4070_CR53","doi-asserted-by":"publisher","first-page":"e0194906","DOI":"10.1371\/journal.pone.0194906","volume":"13","author":"S Downe","year":"2018","unstructured":"Downe S, Finlayson K, Oladapo O, Bonet M, G\u00fclmezoglu AM. What matters to women during childbirth: a systematic qualitative review. Norhayati MN, editor. PLoS One. 2018;13(4):e0194906 Available from: https:\/\/dx.plos.org\/10.1371\/journal.pone.0194906. Cited 2020 Aug 13.","journal-title":"PLoS One"},{"key":"#cr-split#-4070_CR54.1","doi-asserted-by":"crossref","unstructured":"Olza I, Leahy-Warren P, Benyamini Y, Kazmierczak M, Karlsdottir SI, Spyridou A, et al. Women's psychological experiences of physiological childbirth: a meta-synthesis. BMJ Open. 2018;8","DOI":"10.1136\/bmjopen-2017-020347"},{"key":"#cr-split#-4070_CR54.2","unstructured":"(10) Available from: https:\/\/pubmed.ncbi.nlm.nih.gov\/30341110\/. Cited 2020 Aug 13."},{"issue":"4","key":"4070_CR55","doi-asserted-by":"publisher","first-page":"267","DOI":"10.1002\/chp.21197","volume":"33","author":"F L\u00e9gar\u00e9","year":"2013","unstructured":"L\u00e9gar\u00e9 F, Moumjid-Ferdjaoui N, Drolet R, Stacey D, H\u00e4rter M, Bastian H, et al. Core competencies for shared decision making training programs: insights from an international, interdisciplinary working group. J Contin Educ Health Prof. 2013;33(4):267\u201373 Available from: https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3911960\/?report=abstract. Cited 2020 Sep 1.","journal-title":"J Contin Educ Health Prof"},{"key":"4070_CR56","doi-asserted-by":"publisher","unstructured":"Sandall J, Soltani H, Gates S, Shennan A, Devane D. Midwife\u2010led continuity models versus other models of care for childbearing women. Cochrane Database Syst Rev. 2016;(4):CD004667. https:\/\/doi.org\/10.1002\/14651858.CD004667.pub5.","DOI":"10.1002\/14651858.CD004667.pub5"},{"key":"4070_CR57","unstructured":"World Health Organization. WHO recommendations: Intrapartum care for a positive childbirth experience. Geneva; 2018. Available from: http:\/\/apps.who.int\/bookorders. Cited 2019 Jun 16"},{"key":"4070_CR58","volume-title":"WHO recommendations on antenatal care for a positive pregnancy experience","author":"World Health Organization","year":"2016","unstructured":"World Health Organization. WHO recommendations on antenatal care for a positive pregnancy experience. 2016."},{"issue":"9","key":"4070_CR59","doi-asserted-by":"publisher","first-page":"e107828","DOI":"10.1371\/journal.pone.0107828","volume":"9","author":"I Scholl","year":"2014","unstructured":"Scholl I, Zill JM, H\u00e4rter M, Dirmaier J. An integrative model of patient-centeredness \u2013 a systematic review and concept analysis. Wu W-CH, editor. PLoS One. 2014;9(9):e107828 Available from: https:\/\/dx.plos.org\/10.1371\/journal.pone.0107828. Cited 2020 Sep 2.","journal-title":"PLoS One"},{"key":"4070_CR60","doi-asserted-by":"publisher","first-page":"102752","DOI":"10.1016\/j.midw.2020.102752","volume":"88","author":"MA Anna","year":"2020","unstructured":"Anna MA, Olga CV, Roc\u00edo CS, Isabel SP, Xavier ET, Pablo RC, et al. Midwives\u2019 experiences of the factors that facilitate normal birth among low risk women in public hospitals in Catalonia (Spain). Midwifery. 2020;88:102752. https:\/\/doi.org\/10.1016\/j.midw.2020.102752.","journal-title":"Midwifery"},{"key":"4070_CR61","doi-asserted-by":"crossref","unstructured":"Simpson KR, Newman G, Chirino OR. Patient education to reduce elective labor inductions. In: MCN The American Journal of Maternal\/Child Nursing: Lippincott Williams and Wilkins; 2010. p. 188\u201394. Available from: https:\/\/journals.lww.com\/mcnjournal\/Fulltext\/2010\/07000\/Patient_Education_to_Reduce_Elective_Labor.3.aspx. Cited 2021 Jun 23.","DOI":"10.1097\/NMC.0b013e3181d9c6d6"},{"issue":"3","key":"4070_CR62","doi-asserted-by":"publisher","first-page":"21","DOI":"10.1624\/105812410X514396","volume":"19","author":"KR Simpson","year":"2010","unstructured":"Simpson KR, Newman G, Chirino OR. Patients\u2019 perspectives on the role of prepared childbirth education in decision making regarding elective labor induction. J Perinat Educ. 2010;19(3):21\u201332 Available from: https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC2920661\/. Cited 2021 Jun 23.","journal-title":"J Perinat Educ"},{"key":"4070_CR63","unstructured":"Ottawa Personal Decision Guide. 2015. Available from: https:\/\/decisionaid.ohri.ca\/docs\/das\/OPDG.pdf. Cited 2021 Jan 3."},{"issue":"11","key":"4070_CR64","doi-asserted-by":"publisher","first-page":"e0225074","DOI":"10.1371\/journal.pone.0225074","volume":"14","author":"A Casteleiro","year":"2019","unstructured":"Casteleiro A, Paz-Zulueta M, Par\u00e1s-Bravo P, Ruiz-Azcona L, Santiba\u00f1ez M. Association between advanced maternal age and maternal and neonatal morbidity: a cross-sectional study on a Spanish population. PLoS One. 2019;14(11):e0225074. https:\/\/doi.org\/10.1371\/journal.pone.0225074 Cited 2021 Jun 30.","journal-title":"PLoS One"}],"container-title":["BMC Pregnancy and Childbirth"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12884-021-04070-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12884-021-04070-3\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12884-021-04070-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,8]],"date-time":"2023-11-08T23:28:19Z","timestamp":1699486099000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcpregnancychildbirth.biomedcentral.com\/articles\/10.1186\/s12884-021-04070-3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,9,17]]},"references-count":67,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["4070"],"URL":"https:\/\/doi.org\/10.1186\/s12884-021-04070-3","relation":{},"ISSN":["1471-2393"],"issn-type":[{"value":"1471-2393","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,9,17]]},"assertion":[{"value":"25 January 2021","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"13 August 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"17 September 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Ethical approval was granted from the Clinical Research Ethics Committee of the Hospital Clinic of Barcelona (Reference number: HCB\/2017\/1069). This study complied with the basic ethical principles contained in the Helsinki Declaration in its most recent version, from 2013. All participants signed a written informed consent form prior to their participation in this study.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"631"}}