Ten women's decision-making experiences in threatened preterm labour: Qualitative findings from the EQUIPTT trial.

Carlisle, N; Watson, HA; Kuhrt, K; Carter, J; Seed, PT; Tribe, RM; Sandall, J; Shennan, AH

Ten women's decision-making experiences in threatened preterm labour: Qualitative findings from the EQUIPTT trial.

Carlisle, N Watson, HA Kuhrt, K Carter, J Seed, PT Tribe, RM Sandall, J

Shennan, AH

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Publisher:: ELSEVIER IRELAND LTD
Publication Type:: Journal Article
Citation:: Sex Reprod Healthc, 2021, 29, pp. 100611
Issue Date:: 2021-09

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Field	Value	Language
dc.contributor.author	Carlisle, N
dc.contributor.author	Watson, HA
dc.contributor.author	Kuhrt, K
dc.contributor.author	Carter, J
dc.contributor.author	Seed, PT
dc.contributor.author	Tribe, RM
dc.contributor.author	Sandall, J https://orcid.org/0000-0003-2000-743X
dc.contributor.author	Shennan, AH
dc.date.accessioned	2022-03-11T20:25:52Z
dc.date.available	2021-03-04
dc.date.available	2022-03-11T20:25:52Z
dc.date.issued	2021-09
dc.identifier.citation	Sex Reprod Healthc, 2021, 29, pp. 100611
dc.identifier.issn	1877-5756
dc.identifier.issn	1877-5764
dc.identifier.uri	http://hdl.handle.net/10453/155148
dc.description.abstract	BACKGROUND: Clinical triage of women in threatened preterm labour (TPTL) could be improved through utilising the QUiPP App, as symptoms alone are poor predictors of early delivery. As most women in TPTL ultimately deliver at term, they must weigh this likelihood with their own personal considerations, and responsibilities. The importance of personal considerations was highlighted by the 2015 Montgomery ruling, and the significance of shared decision-making. AIMS: Through qualitative interviews, the primary aim was to explore women's decision-making experiences in TPTL through onset of symptoms, triage, clinical assessment, and discharge. METHODS: Qualitative interviews were undertaken as part of the EQUIPTT study (REC: 17/LO/1802) using a semi-structured interview schedule. Descriptive labels of the coding scheme were applied to the raw transcript data. This coding scheme was then increasingly refined into key themes and allowed parallels to be made within and between cases. RESULTS: Ten ethnically diverse women who presented at six different London hospitals sites in TPTL were interviewed. Three final themes emerged from the data incorporating 10 sub-themes, 'Seeking help', 'Being "assessed" vs making clinical decisions together', and 'End result.' CONCLUSION: Women described their busy lives and the need to juggle their commitments. Participants drew comparisons between their TPTL symptoms and 'period pain,' contrasting to typical medical terminology. Shared decision-making and the clinician-patient relationship could be improved through clinicians utilizing terminology women understand and relate to. Women used language that highlighted the clinician-patient power balance. While not fully involved in shared decision-making, women were overall satisfied with their care.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	ELSEVIER IRELAND LTD
dc.relation.ispartof	Sex Reprod Healthc
dc.relation.isbasedon	10.1016/j.srhc.2021.100611
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	1114 Paediatrics and Reproductive Medicine
dc.subject.mesh	Decision Making
dc.subject.mesh	Decision Making, Shared
dc.subject.mesh	Female
dc.subject.mesh	Humans
dc.subject.mesh	Infant, Newborn
dc.subject.mesh	London
dc.subject.mesh	Obstetric Labor, Premature
dc.subject.mesh	Pregnancy
dc.subject.mesh	Qualitative Research
dc.subject.mesh	Humans
dc.subject.mesh	Decision Making
dc.subject.mesh	Pregnancy
dc.subject.mesh	Qualitative Research
dc.subject.mesh	Infant, Newborn
dc.subject.mesh	London
dc.subject.mesh	Female
dc.subject.mesh	Obstetric Labor, Premature
dc.subject.mesh	Decision Making, Shared
dc.title	Ten women's decision-making experiences in threatened preterm labour: Qualitative findings from the EQUIPTT trial.
dc.type	Journal Article
utslib.citation.volume	29
utslib.location.activity	Netherlands
utslib.for	1114 Paediatrics and Reproductive Medicine
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Midwifery
utslib.copyright.status	open_access	*
dc.date.updated	2022-03-11T20:25:51Z
pubs.publication-status	Published
pubs.volume	29

Abstract:

BACKGROUND: Clinical triage of women in threatened preterm labour (TPTL) could be improved through utilising the QUiPP App, as symptoms alone are poor predictors of early delivery. As most women in TPTL ultimately deliver at term, they must weigh this likelihood with their own personal considerations, and responsibilities. The importance of personal considerations was highlighted by the 2015 Montgomery ruling, and the significance of shared decision-making. AIMS: Through qualitative interviews, the primary aim was to explore women's decision-making experiences in TPTL through onset of symptoms, triage, clinical assessment, and discharge. METHODS: Qualitative interviews were undertaken as part of the EQUIPTT study (REC: 17/LO/1802) using a semi-structured interview schedule. Descriptive labels of the coding scheme were applied to the raw transcript data. This coding scheme was then increasingly refined into key themes and allowed parallels to be made within and between cases. RESULTS: Ten ethnically diverse women who presented at six different London hospitals sites in TPTL were interviewed. Three final themes emerged from the data incorporating 10 sub-themes, 'Seeking help', 'Being "assessed" vs making clinical decisions together', and 'End result.' CONCLUSION: Women described their busy lives and the need to juggle their commitments. Participants drew comparisons between their TPTL symptoms and 'period pain,' contrasting to typical medical terminology. Shared decision-making and the clinician-patient relationship could be improved through clinicians utilizing terminology women understand and relate to. Women used language that highlighted the clinician-patient power balance. While not fully involved in shared decision-making, women were overall satisfied with their care.

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http://hdl.handle.net/10453/155148