Development and pilot-testing of a decision aid for women with a breech-presenting baby.
OBJECTIVE
To develop a decision aid for pregnant women with a breech presentation at term, and to assess its acceptability.


METHODS
The external cephalic version (ECV) decision aid was developed using the Ottawa Decision Support Framework and a systematic review of the evidence to provide probabilistic information about the benefits and risks of options. It incorporates a workbook supplemented by a CD and worksheet, and these were evaluated in a pilot study using self-administered questionnaires.


METHODS
19 women with a breech presentation attending antenatal clinics at a local obstetric hospital and 11 recently pregnant women.


RESULTS
Of 30 women surveyed, nearly all found the decision aid clear and easy to understand, and thought that enough information was provided for them to make a decision. Women experienced increased knowledge, reduced decisional conflict, increased satisfaction and participation in decision making without increased anxiety. Participants also found the tool helpful and would recommend it to others.


CONCLUSIONS
The ECV decision aid was well accepted and helpful for pregnant women with a breech presenting baby. We are currently evaluating the decision aid in a randomised trial to assess cognitive, affective and health outcomes.
Nassar
Natasha
N
Centre for Perinatal Health Services Research, QEII Building DO2, University of Sydney, NSW 2006, Australia. nnassar@perinatal.usyd.edu.au
Roberts
Christine L
CL
Raynes-Greenow
Camille H
CH
Barratt
Alexandra
A
D000328:Adult; D001946:Breech Presentation / Q000451:nursing / Q000523:psychology*; D002585:Cesarean Section / Q000523:psychology; D003376:Counseling / Q000379:methods; D003657:Decision Making; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007231:Infant, Newborn; D008880:Midwifery / Q000379:methods*; D009035:Mothers / Q000193:education* / Q000523:psychology; D009517:New South Wales; D009723:Nurse-Patient Relations; D010342:Patient Acceptance of Health Care / Q000523:psychology; D010358:Patient Participation; D010865:Pilot Projects; D011247:Pregnancy; D011263:Pregnancy Trimester, Third; D011795:Surveys and Questionnaires; D014710:Version, Fetal / Q000193:education* / Q000523:psychology