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What should be discussed when considering a vaginal birth? : A Delphi Study to develop a Core Information Set for vaginal birth. | Authorea try { document.documentElement.classList.add('js'); } catch (e) { } var _gaq = _gaq || []; _gaq.push(['_setAccount', 'G-8VDV14Y67G']); _gaq.push(['_trackPageview']); (function() { var ga = document.createElement('script'); ga.type = 'text/javascript'; ga.async = true; ga.src = ('https:' == document.location.protocol ? 'https://ssl' : 'http://www') + '.google-analytics.com/ga.js'; var s = document.getElementsByTagName('script')[0]; s.parentNode.insertBefore(ga, s); })(); Skip to main content Preprints Collections Wiley Open Research IET Open Research Ecological Society of Japan All Collections About About Authorea FAQs Contact Us Quick Search anywhere Search for preprint articles, keywords, etc. Search Search ADVANCED SEARCH SCROLL BJOG: An International Journal of Obstetrics and Gynaecology This is a preprint and has not been peer reviewed. Data may be preliminary. 7 February 2025 V1 Latest version Share on What should be discussed when considering a vaginal birth? : A Delphi Study to develop a Core Information Set for vaginal birth. Authors : Andrew Demetri 0000-0002-2820-5919 , Anna Davies 0000-0003-0743-6547 , Danya Bakhbakhi 0000-0003-1906-5069 , Alexandra Hunt , Sharea Ijaz , Sheelagh McGuinness , Gemma Beasor , … Show All … , Gemma Clayton , Vicky Bradley 0009-0002-2551-4713 , Eve Bunni 0009-0009-4991-3728 , Carol Kingdon 0000-0002-5958-9257 , A. Sharp 0000-0003-3396-7464 , Christy Burden , Asma Khalil , Louise Kenny , and Abi Merriel 0000-0003-0352-2106 [email protected] Show Fewer Authors Info & Affiliations https://doi.org/10.22541/au.173890187.79379045/v1 451 views 285 downloads Contents Abstract Supplementary Material Information & Authors Metrics & Citations View Options References Figures Tables Media Share Abstract Objective Spontaneous vaginal births are often the presumed choice and represent 45% of UK births. However, information is inconsistently given about benefits and risks. This impacts decision-making and experience. A Core Information Set (CIS) is an agreed set of information points discussed prior to a decision. We aimed to develop a CIS for vaginal birth. Design Information points were identified from a literature search, patient information leaflets, interviews, and a survey. These informed a two-round Delphi survey, where stakeholders voted on the importance of items for inclusion. Items supported by >80% of participants were discussed by 28 parents and professionals at consensus meetings. The final CIS was populated with an engagement group ensuring accessibility. Setting The study took place in the UK, with participants recruited online. Population Pregnant and postnatal women, birth partners, healthcare professionals, medico-legal professionals and people working for interested/relevant organisations. Main outcome A CIS for vaginal birth. Results 77 information items were identified. In round 1 (631 participants) of the Delphi Survey, 84.5% were from the patient group and 15.5% from the professional group; in round 2 (228 participants), 74.3% were from the patient group and 25.7% from the professional group. 28 items met the criteria for consensus discussion. The final CIS includes 19 information points addressing: labour process, pain relief, labour complications, procedures or interventions during labour, experiences after birth, outcomes for the baby and environment during labour. Conclusions This CIS can be used to facilitate discussions and support informed decision-making about vaginal birth. Supplementary Material File (figure 1- core information set.docx) Download 25.07 KB File (figure 2- supplementary list of information items.docx) Download 17.49 KB File (main manuscript vbcis paper 040225.docx) Download 221.87 KB File (table 1- demographics of patient group for round 1 and 2.docx) Download 20.11 KB File (table 2- demographics of professionals for round 1 and 2.docx) Download 15.42 KB Information & Authors Information Version history V1 Version 1 07 February 2025 Copyright This work is licensed under a Non Exclusive No Reuse License. Collection BJOG: An International Journal of Obstetrics and Gynaecology Keywords antenatal care general obstetrics labour: management maternity services qualitative research Authors Affiliations Andrew Demetri 0000-0002-2820-5919 Royal College of Obstetricians and Gynaecologists View all articles by this author Anna Davies 0000-0003-0743-6547 University of Bristol View all articles by this author Danya Bakhbakhi 0000-0003-1906-5069 University of Bristol View all articles by this author Alexandra Hunt University of Liverpool Department of Health Data Science View all articles by this author Sharea Ijaz University of Bristol View all articles by this author Sheelagh McGuinness University of Bristol View all articles by this author Gemma Beasor no affiliation View all articles by this author Gemma Clayton University of Bristol View all articles by this author Vicky Bradley 0009-0002-2551-4713 University of Liverpool View all articles by this author Eve Bunni 0009-0009-4991-3728 University of Liverpool View all articles by this author Carol Kingdon 0000-0002-5958-9257 University of Liverpool View all articles by this author A. Sharp 0000-0003-3396-7464 University of Liverpool View all articles by this author Christy Burden University of Bristol View all articles by this author Asma Khalil Royal College of Obstetricians and Gynaecologists View all articles by this author Louise Kenny University of Liverpool Faculty of Health and Life Sciences View all articles by this author Abi Merriel 0000-0003-0352-2106 [email protected] University of Liverpool Department of Women's and Children's Health View all articles by this author Metrics & Citations Metrics Article Usage 451 views 285 downloads .FvxKWukQNSOunydq8rnd { width: 100px; } Citations Download citation Andrew Demetri, Anna Davies, Danya Bakhbakhi, et al. What should be discussed when considering a vaginal birth? : A Delphi Study to develop a Core Information Set for vaginal birth.. Authorea . 07 February 2025. DOI: https://doi.org/10.22541/au.173890187.79379045/v1 If you have the appropriate software installed, you can download article citation data to the citation manager of your choice. Simply select your manager software from the list below and click Download. For more information or tips please see 'Downloading to a citation manager' in the Help menu . Format Please select one from the list RIS (ProCite, Reference Manager) EndNote BibTex Medlars RefWorks Direct import Tips for downloading citations document.getElementById('citMgrHelpLink').addEventListener('click', function() { popupHelp(this.href); return false; }); $(".js__slcInclude").on("change", function(e){ if ($(this).val() == 'refworks') $('#direct').prop("checked", false); $('#direct').prop("disabled", ($(this).val() == 'refworks')); }); Cited by Carol Kingdon, Ben Greenfield, Mahmoud Aljubeh, Eve Bunni, Alexandra Hunt, Vicky Bradley, Caroline Cunningham, Siobhan Holt, Andrew Demetri, Christy Burden, Joanna Ficquet, Elena Otero‐Romero, William Parry Smith, Mairead Black, Fiona Bradley, Amy Elsmore, Jenna Frizelle, Tabitha Jones, Abi Merriel, Informing Decision‐Making About Caesarean Birth: A Delphi Study to Develop a Core Information Set, BJOG: An International Journal of Obstetrics & Gynaecology, 132 , 13, (2024-2039), (2025). https://doi.org/10.1111/1471-0528.18269 Crossref Erin White, Anna Davies, Andrew Demetri, Sheelagh McGuinness, Gemma Clayton, Abigail Fraser, Sonia Barnfield, Danya Bakhbakhi, Emma Claire Anderson, Katherine Birchenall, Rachel Miller, Christy Burden, Abi Merriel, Carol Kingdon, Women’s perspectives of decision-making for labour and birth: a qualitative antenatal-postnatal paired interview study, BMJ Open, 15 , 6, (e096171), (2025). https://doi.org/10.1136/bmjopen-2024-096171 Crossref Loading... 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