Natasha Nassar|CL Roberts|CH Raynes?Greenow|Alexandra Barratt|Brian Peat
Evaluation of a decision aid for women with breech presentation at term: a randomised controlled trial [ISRCTN14570598]
University of Sydney|University of Sydney|University of Sydney|University of Sydney|Women's and Children's Hospital
objectives evaluate effectiveness decision aid women breech presentation compared usual care design randomised controlled trial setting tertiary obstetric hospitals offering external cephalic version ecv population women singleton pregnancy diagnosed antenatally breech presentation term clinically eligible ecv methods women randomised either receive decision aid management options breech presentation addition usual care receive usual care standard counselling usual pregnancy care provider decision aid comprised 24page booklet supplemented 30minute audiocd worksheet designed women take home review partner main outcome measures decisional conflict uncertainty knowledge anxiety satisfaction decision making assessed using selfadministered questionnaires results compared usual care women reviewing decision aid experienced significantly lower decisional conflict mean difference 892 95 ci 1318 466 increased knowledge mean difference 840 95 ci 310 1371 likely feel enough information make decision rr 130 95 ci 114 147 increase anxiety reported greater satisfaction decision making overall experience pregnancy childbirth contrast 19 women usual care group reported would made different decision care conclusions decision aid effective acceptable tool pregnant women provides important adjunct standard counselling management breech presentation