title: The impact of uncertainty on decision making in prenatal consultations: obstetricians' and midwives' perspectives.
abstract: This article examines decision making in prenatal consultations, how obstetricians (OBs) and midwives differ, and the role of uncertainty in these processes. Using participant-observation, comparative case-study methodology, pregnant women were observed and audio-recorded in their pre- and postnatal appointments, and in-depth, semistructured interviews were conducted with mothers and providers. Although decision-making processes appear similar between the OBs and midwives, closer analysis, employing problematic integration theory, reveals marked differences in providers' probabilistic and evaluative orientations that carry clear implications for both mothers and providers during pregnancy care.
authors.affiliation: Center of Excellence on Implementing Evidence-Based Practice, Roudebush Veterans Affairs Medical Center, Indianapolis, IN 46202, USA. mmatthia@iupui.edu
authors.forename: Marianne Sassi
authors.initials: MS
authors.lastname: Matthias
mesh_terms: D003142:Communication; D003657:Decision Making; D005260:Female; D006801:Humans; D008880:Midwifery; D009774:Obstetrics; D010358:Patient Participation; D011247:Pregnancy; D011295:Prenatal Care / Q000379:methods*; D011369:Professional-Patient Relations; D035501:Uncertainty