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Birth Plans—Impact on Mode of Delivery, Obstetrical Interventions, and Birth Experience Satisfaction

A Prospective Cohort Study

Afshar, Y.; Mei, J.Y.; Gregory, K.D.; Kilpatrick, S.J.; Esakoff, T.F.

doi: 10.1097/01.aoa.0000547317.02096.73
Mother, Fetus, Neonate

(Birth. 2018;45:43–49)

Birth plans are intended to serve as a communication tool between women and their providers. Patient involvement in decision-making during childbirth has been positively associated with patient satisfaction with birth. However, one study found more than half of medical personnel believed the presence of a birth plan predicted worse outcomes, while only 2% of pregnant women believed birth plans were associated with worse outcomes. There is a lack of research on birth outcomes in the presence of birth plans. The authors of this study hypothesized women with birth plans would have fewer obstetrical interventions, fewer cesarean deliveries, and greater satisfaction with their birth experience.

Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, University of California, Los Angeles, CA

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