Do women have a choice when it comes to fetal monitoring? Perceptions of information provided and choice of fetal monitoring in Australia: A national survey.

Levett, KM; Fox, D; Bamhare, P; Sutcliffe, KL; Coddington, R; Newnham, L; Scarf, V

Do women have a choice when it comes to fetal monitoring? Perceptions of information provided and choice of fetal monitoring in Australia: A national survey.

Levett, KM Fox, D

Bamhare, P Sutcliffe, KL Coddington, R Newnham, L Scarf, V

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Publisher:: ELSEVIER
Publication Type:: Journal Article
Citation:: Women Birth, 2024, 37, (6), pp. 101837
Issue Date:: 2024-11

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Field	Value	Language
dc.contributor.author	Levett, KM
dc.contributor.author	Fox, D https://orcid.org/0000-0002-8032-8633
dc.contributor.author	Bamhare, P
dc.contributor.author	Sutcliffe, KL
dc.contributor.author	Coddington, R
dc.contributor.author	Newnham, L
dc.contributor.author	Scarf, V https://orcid.org/0000-0003-3503-9610
dc.date.accessioned	2024-12-10T00:34:30Z
dc.date.available	2024-10-14
dc.date.available	2024-12-10T00:34:30Z
dc.date.issued	2024-11
dc.identifier.citation	Women Birth, 2024, 37, (6), pp. 101837
dc.identifier.issn	1871-5192
dc.identifier.issn	1878-1799
dc.identifier.uri	http://hdl.handle.net/10453/182443
dc.description.abstract	INTRO: In Australia, little research has examined how women and people participate in decision-making about types of fetal monitoring, or their perceptions of information provided by caregivers. METHODS: A national cross-sectional survey, the 'Women's experiences Of Monitoring Baby' (WOMB) Study, explored women's experiences of intrapartum fetal monitoring. This study reports on selected results. RESULTS: There were 861 responses. Of respondents, 20 % reported receiving enough information about types of fetal monitoring from care providers and childbirth education, 35 % recalled being asked for consent, and 34 % were unaware they had a choice in monitoring. Most women (86 %) obtained information via 'other' sources or own reading, and where monitoring was discussed, it was most likely a 'brief discussion' with a midwife (43 %). Women who were monitored via wired CTG (35 %) were more likely to report facing barriers to choosing their preferred monitoring type, (p<0.001). Wired CTG was significantly associated with hospital type and primiparity and 70 % indicated they would not choose it again (p<0.001). CONCLUSION: Women did not know they had a choice in the type of intrapartum monitoring received, and felt they had insufficient information to make informed decisions. While monitoring via intermittent doppler and wireless CTG was preferred, women experienced barriers to receiving these, especially in public hospitals in rural/regional areas and private metropolitan hospitals. Antenatal models of care and childbirth education are underutilised avenues for providing information however, it is incumbent on maternity systems to provide adequate information resources, access to equipment and appropriate models of woman-centred and humane care.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	ELSEVIER
dc.relation.ispartof	Women Birth
dc.relation.isbasedon	10.1016/j.wombi.2024.101837
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	11 Medical and Health Sciences
dc.subject.classification	Obstetrics & Reproductive Medicine
dc.subject.classification	3215 Reproductive medicine
dc.subject.classification	4204 Midwifery
dc.subject.mesh	Humans
dc.subject.mesh	Female
dc.subject.mesh	Pregnancy
dc.subject.mesh	Cross-Sectional Studies
dc.subject.mesh	Australia
dc.subject.mesh	Adult
dc.subject.mesh	Fetal Monitoring
dc.subject.mesh	Surveys and Questionnaires
dc.subject.mesh	Choice Behavior
dc.subject.mesh	Decision Making
dc.subject.mesh	Perception
dc.subject.mesh	Health Knowledge, Attitudes, Practice
dc.subject.mesh	Midwifery
dc.subject.mesh	Pregnant Women
dc.subject.mesh	Cardiotocography
dc.subject.mesh	Young Adult
dc.subject.mesh	Patient Preference
dc.subject.mesh	Humans
dc.subject.mesh	Cardiotocography
dc.subject.mesh	Fetal Monitoring
dc.subject.mesh	Cross-Sectional Studies
dc.subject.mesh	Health Knowledge, Attitudes, Practice
dc.subject.mesh	Perception
dc.subject.mesh	Decision Making
dc.subject.mesh	Choice Behavior
dc.subject.mesh	Midwifery
dc.subject.mesh	Pregnancy
dc.subject.mesh	Adult
dc.subject.mesh	Pregnant Women
dc.subject.mesh	Australia
dc.subject.mesh	Female
dc.subject.mesh	Young Adult
dc.subject.mesh	Patient Preference
dc.subject.mesh	Surveys and Questionnaires
dc.title	Do women have a choice when it comes to fetal monitoring? Perceptions of information provided and choice of fetal monitoring in Australia: A national survey.
dc.type	Journal Article
utslib.citation.volume	37
utslib.location.activity	Netherlands
utslib.for	11 Medical and Health Sciences
pubs.organisational-group	University of Technology Sydney
pubs.organisational-group	University of Technology Sydney/Faculty of Health
pubs.organisational-group	University of Technology Sydney/UTS Groups
pubs.organisational-group	University of Technology Sydney/UTS Groups/Women & Children’s Health Research Collaborative (WCHC)
utslib.copyright.status	open_access	*
dc.rights.license	This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0). To view a copy of this license, visit https://creativecommons.org/licenses/by/4.0/
dc.date.updated	2024-12-10T00:34:29Z
pubs.issue	6
pubs.publication-status	Published
pubs.volume	37
utslib.citation.issue	6

Abstract:

INTRO: In Australia, little research has examined how women and people participate in decision-making about types of fetal monitoring, or their perceptions of information provided by caregivers. METHODS: A national cross-sectional survey, the 'Women's experiences Of Monitoring Baby' (WOMB) Study, explored women's experiences of intrapartum fetal monitoring. This study reports on selected results. RESULTS: There were 861 responses. Of respondents, 20 % reported receiving enough information about types of fetal monitoring from care providers and childbirth education, 35 % recalled being asked for consent, and 34 % were unaware they had a choice in monitoring. Most women (86 %) obtained information via 'other' sources or own reading, and where monitoring was discussed, it was most likely a 'brief discussion' with a midwife (43 %). Women who were monitored via wired CTG (35 %) were more likely to report facing barriers to choosing their preferred monitoring type, (p<0.001). Wired CTG was significantly associated with hospital type and primiparity and 70 % indicated they would not choose it again (p<0.001). CONCLUSION: Women did not know they had a choice in the type of intrapartum monitoring received, and felt they had insufficient information to make informed decisions. While monitoring via intermittent doppler and wireless CTG was preferred, women experienced barriers to receiving these, especially in public hospitals in rural/regional areas and private metropolitan hospitals. Antenatal models of care and childbirth education are underutilised avenues for providing information however, it is incumbent on maternity systems to provide adequate information resources, access to equipment and appropriate models of woman-centred and humane care.

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http://hdl.handle.net/10453/182443