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Maternity Care and Shared
    Decision Making:
  Working Together to
Improve Care for Mothers
        and Babies

  Informed Medical Decisions
      Foundation Webinar
        March 13, 2013

        Maureen Corry, MPH
         Executive Director
        Childbirth Connection



               www.childbirthconnection.org
Childbirth Connection
• National non-profit organization founded in 1918
  as Maternity Center Association

• Mission is to improve the quality and value of
  maternity care through consumer engagement
  and health system transformation




                                  www.childbirthconnection.org
First National Maternity Care
   Shared Decision Making
           Initiative

 Partnership between Informed
Medical Decisions Foundation and
     Childbirth Connection


                      www.childbirthconnection.org
Solution: Shared Decision Making
“Shared decision making (SDM) is a collaborative process that
    allows patients and their providers to make health care
  treatment decisions together, taking into account the best
  scientific evidence available, as well as the patient’s values
                        and preferences.”




                 www.informedmedicaldecisions.org


                                             www.childbirthconnection.org
Challenges for U.S. Maternity Care
 Maternity care is technology-intensive and
  costly:
 • overuse of practices that waste resources and may
   cause harm
 • underuse of many beneficial and generally safe
   practices
 • broad practice variation across hospitals, clinicians,
   and geographic areas that cannot be explained by
   needs and preferences of women

                                    www.childbirthconnection.org
Evidence of Inadequate
        Informed Consent
• Mothers felt pressure from a health professional to
  have induction (17% with induction) and cesarean
  (25% with cesarean)
• 82% of women having episiotomies did not give
  consent (95% among African American women)
• 57% of women interested in a VBAC were denied the
  option
• Most common reasons for denial: caregiver
  unwillingness (45%) or hospital unwillingness (23%)


                                    www.childbirthconnection.org
In her own words
I feel like really researching and having a good
understanding for the process (true informed consent)
and making my knowledge and wishes know to my
caregivers made the difference in my pregnancy, labor,
and delivery. You have to be your own advocate and not
accept substandard care from anyone. A doctor
provides a service, and if they don't treat you
well/respect you/ have similar philosophies, then it is
your right to find someone who will provide you the best
care.

                                     www.childbirthconnection.org
Thank You!

       Maureen Corry
     Executive Director
    Childbirth Connection

corry@childbirthconnection.org



          Request eNews:

transform.childbirthconnection.org

www.facebook.com/ChildbirthConnection

      twitter.com/childbirth



      www.childbirthconnection.org

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Maternity Care and Shared Decision Making: Improving Care for Mothers and Babies (Maureen Corry)

  • 1. Maternity Care and Shared Decision Making: Working Together to Improve Care for Mothers and Babies Informed Medical Decisions Foundation Webinar March 13, 2013 Maureen Corry, MPH Executive Director Childbirth Connection www.childbirthconnection.org
  • 2. Childbirth Connection • National non-profit organization founded in 1918 as Maternity Center Association • Mission is to improve the quality and value of maternity care through consumer engagement and health system transformation www.childbirthconnection.org
  • 3. First National Maternity Care Shared Decision Making Initiative Partnership between Informed Medical Decisions Foundation and Childbirth Connection www.childbirthconnection.org
  • 4. Solution: Shared Decision Making “Shared decision making (SDM) is a collaborative process that allows patients and their providers to make health care treatment decisions together, taking into account the best scientific evidence available, as well as the patient’s values and preferences.” www.informedmedicaldecisions.org www.childbirthconnection.org
  • 5. Challenges for U.S. Maternity Care Maternity care is technology-intensive and costly: • overuse of practices that waste resources and may cause harm • underuse of many beneficial and generally safe practices • broad practice variation across hospitals, clinicians, and geographic areas that cannot be explained by needs and preferences of women www.childbirthconnection.org
  • 6. Evidence of Inadequate Informed Consent • Mothers felt pressure from a health professional to have induction (17% with induction) and cesarean (25% with cesarean) • 82% of women having episiotomies did not give consent (95% among African American women) • 57% of women interested in a VBAC were denied the option • Most common reasons for denial: caregiver unwillingness (45%) or hospital unwillingness (23%) www.childbirthconnection.org
  • 7. In her own words I feel like really researching and having a good understanding for the process (true informed consent) and making my knowledge and wishes know to my caregivers made the difference in my pregnancy, labor, and delivery. You have to be your own advocate and not accept substandard care from anyone. A doctor provides a service, and if they don't treat you well/respect you/ have similar philosophies, then it is your right to find someone who will provide you the best care. www.childbirthconnection.org
  • 8. Thank You! Maureen Corry Executive Director Childbirth Connection corry@childbirthconnection.org Request eNews: transform.childbirthconnection.org www.facebook.com/ChildbirthConnection twitter.com/childbirth www.childbirthconnection.org