title: Participating in research for pregnancy complicated by breech.
abstract: Participant-centered clinical research is essential for client-centered evidence-based health care in pregnancy. Breech malpresentation can obstruct labor, contributing to maternal mortality. This qualitative study of women's and providers' experience of breech led to five categories of themes related to participant-centered research: participation in this study, factors impeding women's participation, factors impeding clinical research, development of a participant-centered intervention, and improvement of a pregnancy research infrastructure. The findings contribute to understanding research participation during pregnancy. Gauging research protocols to fit questions of concern, women's and providers' experiences, and practice settings supports participant-centered pregnancy risk reduction research that could decrease maternal mortality.
authors.affiliation: University of Pittsburgh, School of Nursing. Pittsburgh, Pennsylvania 15261, USA. foundss@pitt.edu
authors.forename: Sandra A
authors.initials: SA
authors.lastname: Founds
mesh_terms: D000328:Adult; D001946:Breech Presentation / Q000517:prevention & control* / Q000523:psychology; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008425:Maternal Behavior / Q000523:psychology*; D008427:Maternal Health Services / Q000458:organization & administration; D008429:Maternal Welfare; D009035:Mothers / Q000523:psychology; D010358:Patient Participation / Q000523:psychology*; D018579:Patient Selection; D011247:Pregnancy; D011295:Prenatal Care / Q000458:organization & administration; D040242:Risk Reduction Behavior; D016387:Women's Health