Women's experiences of participation and informed choice in shared decision-making during childbirth:a meta-synthesis of qualitative research
10.3760/cma.j.cn211501-20250123-00213
- VernacularTitle:女性产时共享决策参与和知情选择体验质性研究的Meta整合
- Author:
Jiayi TAN
1
;
Lin ZHOU
;
Lijia SHI
;
Qian SUN
;
Kaiyi WU
;
Yang SHEN
;
Jing ZHANG
Author Information
1. 杭州师范大学公共卫生与护理学院，杭州 311121
- Publication Type:Journal Article
- Keywords:
Parturient;
Shared decision-making;
Decision participation;
Informed choice;
Childbirth experience;
Qualitative research;
Meta-synthesis
- From:
Chinese Journal of Practical Nursing
2025;41(26):2001-2010
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To systematically integrate the lived experiences of women regarding decision-making participation and informed choice during intrapartum care, providing evidence-based guidance for improving obstetric healthcare management and service quality, and enhancing women′s childbirth experiences.Methods:Computerized searches were conducted in PubMed, Web of Science, Cochrane Library, CINAHL, PsycINFO, Scopus, ProQuest, China National Knowledge Infrastructure, Wanfang, Chinese Scientific Journals Database, and China Biology Medicine disc for qualitative studies on women′s experiences of shared decision-making participation and informed choice during childbirth. The search period spanned from January 1, 1997 to August 15, 2024. Literature quality was assessed using the Joanna Briggs Institute Critical Appraisal Checklist for Qualitative Research. Meta-aggregation was employed to synthesize findings by grouping similar results into new categories and integrating outcomes based on logical relationships between categories.Results:Eleven studies were included, yielding 47 key findings synthesized into 10 categories and further integrated into four overarching themes: complex emotional experiences in intrapartum decision-making participation; Diverse coping strategies for intrapartum decision-making participation; multiple stressors faced during intrapartum decision-making participation; multifaceted support needs in intrapartum decision-making participation.Conclusions:Midwives and healthcare providers should deliver education on shared decision-making and informed choice during the third trimester. Continuous attention to maternal emotional shifts regarding decision-making participation and informed choice during labor is essential. Comprehensive decision support, effective intrapartum communication, and initiatives to promote maternal autonomy through empowerment and capacity building should be prioritized.
