title: Decision Making About Method of Delivery on the U.S.-Mexico Border.
abstract: We explored how low-risk, nulliparous pregnant women and their doctors in two contiguous U.S.-Mexico border communities communicate about methods of delivery and how they perceive that the delivery method decision is made. We recruited 18 women through obstetricians in El Paso, Texas (n = 10), and prenatal care providers in Ciudad Juárez, Mexico (n = 8). We observed prenatal care visits, interviewed women prenatally and postpartum, and interviewed the El Paso obstetricians. Qualitative analysis demonstrated that birthing decisions are complex and involve multiple influences, including women's level of knowledge about birth, doctor-patient communication, and women's participation in decision making.
authors.affiliation: a Hubert Department of Global Health, Rollins School of Public Health , Emory University , Atlanta , Georgia , USA.
authors.forename: Carla L
authors.initials: CL
authors.lastname: DeSisto
authors.affiliation: b College of Health and Social Services, New Mexico State University, Las Cruces, New Mexico; and Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion , Atlanta , Georgia , USA.
authors.forename: Jill A
authors.initials: JA
authors.lastname: McDonald
authors.affiliation: a Hubert Department of Global Health, Rollins School of Public Health , Emory University , Atlanta , Georgia , USA.
authors.forename: Roger
authors.initials: R
authors.lastname: Rochat
authors.affiliation: c Health Science Department, Biomedical Sciences Institute , Autonomous University of Ciudad Juárez , Ciudad Juárez , Mexico.
authors.forename: Beatriz A
authors.initials: BA
authors.lastname: Diaz-Apodaca
authors.affiliation: d Community Health Sciences , Boston University School of Public Health , Boston , Massachusetts , USA.
authors.forename: Eugene
authors.initials: E
authors.lastname: Declercq
mesh_terms: D000293:Adolescent; D000328:Adult; D003657:Decision Making; D036861:Delivery, Obstetric / Q000379:methods*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007407:Interviews as Topic; D008800:Mexico; D010298:Parity; D010358:Patient Participation; D010817:Physician-Patient Relations; D011247:Pregnancy; D037841:Pregnant People / Q000208:ethnology / Q000523:psychology*; D036301:Qualitative Research; D013637:Tape Recording; D013781:Texas