Laura B. Attanasio|Katy B. Kozhimannil|Kristen H. Kjerulff
Factors influencing women’s perceptions of shared decision making during labor and delivery: Results from a large-scale cohort study of first childbirth
Minnesota Department of Health|University of Minnesota|Minnesota Department of Health|University of Minnesota|Pennsylvania State University
examine correlates shared decision making labor delivery data cohort women gave birth first baby pennsylvania 20092011 n 3006 used logistic regression models examine association labor induction mode delivery relation womens perceptions shared decision making investigate raceethnicity ses potential moderators women black college degree private insurance less likely report high shared decision making well women underwent labor induction instrumental vaginal cesarean delivery models interaction terms showed reduction odds shared decision making associated cesarean delivery greater black women white women women marginalized social groups less likely report shared decision making birth black women delivered cesarean particularly low odds shared decision making strategies designed improve quality patientprovider communication information sharing shared decision making must attentive needs vulnerable groups ensure interventions reduce rather widen disparities