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


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Maureen Corry, executive director of Childbirth Connection, provides an overview of the state of shared decision making and maternity care.

This presentation was part of a Shared Decision Making Month webinar -- Maternity Care and Shared Decision Making: Improving Care for Mothers and Babies.

Published in: Health & Medicine
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Maternity Care and Shared Decision Making: Improving Care for Mothers and Babies (Maureen Corry)

  1. 1. Maternity Care and Shared Decision Making: Working Together toImprove Care for Mothers and Babies Informed Medical Decisions Foundation Webinar March 13, 2013 Maureen Corry, MPH Executive Director Childbirth Connection
  2. 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
  3. 3. First National Maternity Care Shared Decision Making Initiative Partnership between InformedMedical Decisions Foundation and Childbirth Connection
  4. 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.”
  5. 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
  6. 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%)
  7. 7. In her own wordsI feel like really researching and having a goodunderstanding for the process (true informed consent)and making my knowledge and wishes know to mycaregivers made the difference in my pregnancy, labor,and delivery. You have to be your own advocate and notaccept substandard care from anyone. A doctorprovides a service, and if they dont treat youwell/respect you/ have similar philosophies, then it isyour right to find someone who will provide you the bestcare.
  8. 8. Thank You! Maureen Corry Executive Director Childbirth Request