Vaginal birth core information set: study protocol for a Delphi study to achieve a consensus on a ‘core information set’ for vaginal birth

Introduction Studies have shown that women are often underinformed about potential benefits and risks of vaginal birth. This is in contrast to other modes of birth, such as caesarean birth, for which the risks/benefits are often conveyed prior to undergoing the procedure. A core information set (CIS...

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Main Authors: Danya Bakhbakhi, Christy Burden, Sarah Dawson, Gemma Clayton, Anna Davies, Andrew Sharp, David Lissauer, Sharea Ijaz, Sheelagh McGuinness, Abi Merriel, Andrew Demetri, Gemma Beasor, Abigail Johnson, Chloë de Souza, Aine Dempsey, Gabriella Snook, Emma McGoldrick
Format: Article
Language:English
Published: BMJ Publishing Group 2023-08-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/13/8/e070215.full
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author Danya Bakhbakhi
Christy Burden
Sarah Dawson
Gemma Clayton
Anna Davies
Andrew Sharp
David Lissauer
Sharea Ijaz
Sheelagh McGuinness
Abi Merriel
Andrew Demetri
Gemma Beasor
Abigail Johnson
Chloë de Souza
Aine Dempsey
Gabriella Snook
Emma McGoldrick
author_facet Danya Bakhbakhi
Christy Burden
Sarah Dawson
Gemma Clayton
Anna Davies
Andrew Sharp
David Lissauer
Sharea Ijaz
Sheelagh McGuinness
Abi Merriel
Andrew Demetri
Gemma Beasor
Abigail Johnson
Chloë de Souza
Aine Dempsey
Gabriella Snook
Emma McGoldrick
author_sort Danya Bakhbakhi
collection DOAJ
description Introduction Studies have shown that women are often underinformed about potential benefits and risks of vaginal birth. This is in contrast to other modes of birth, such as caesarean birth, for which the risks/benefits are often conveyed prior to undergoing the procedure. A core information set (CIS) is an agreed set of information points that should be discussed with all patients prior to undergoing a procedure or intervention. This CIS could improve the quality of information given regarding mode of birth options, as women will be given information prioritised by patients and stakeholders regarding vaginal birth, empowering them to make informed decisions about their birth. We aim to describe the protocol for the development of this vaginal birth CIS.Methods and analysis We will develop the CIS by: (1) Compiling a ‘long-list’ of information points about vaginal birth by: undertaking a scoping review of studies and patient information leaflets; interviews with antenatal/postnatal women, an online survey of stakeholders. (2) Collating the ‘long-list’ of information points and developing the Delphi survey. Think-aloud interviews will refine the survey. (3) Conducting a two-round Delphi survey. 200 stakeholder participants will be recruited. Items rated critically important by ≥80% of participants in one stakeholder group, or with no consensus, will be carried through to a stakeholder consensus meeting to decide the final CIS. Planned start date is 1 June 2022. Planned end date is 31 August 2023.Ethics and dissemination This project has been given a favourable ethics opinion by the University of Bristol Research Ethics Committee (Ref: 10530). Approval from the ethics committee will be sought for any protocol amendments, and the principal investigator will be responsible for these changes. Findings will be presented at relevant conferences and published in a high-impact journal. We will disseminate the CIS, via Policy Bristol, to clinical policy and guideline developers.
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spelling doaj.art-d063327feb8c4318b296244f2ed5fe762023-08-17T06:35:08ZengBMJ Publishing GroupBMJ Open2044-60552023-08-0113810.1136/bmjopen-2022-070215Vaginal birth core information set: study protocol for a Delphi study to achieve a consensus on a ‘core information set’ for vaginal birthDanya Bakhbakhi0Christy Burden1Sarah Dawson2Gemma Clayton3Anna Davies4Andrew Sharp5David Lissauer6Sharea Ijaz7Sheelagh McGuinness8Abi Merriel9Andrew Demetri10Gemma Beasor11Abigail Johnson12Chloë de Souza13Aine Dempsey14Gabriella Snook15Emma McGoldrick16foundation year 1 trainee, Bristol, UKTranslational Health Sciences, University of Bristol Medical School, Bristol, UKUniversity of Bristol, Bristol, UK2 Clinical Trials and Evaluation Unit, Bristol Trials Centre, University of Bristol, Bristol, UKCentre for Surgical Research, Population Health Sciences, Bristol Biomedical Research Centre, Bristol Medical School, University of Bristol, Bristol, UKLiverpool Women`s NHS Foundation Trust, Liverpool, UKMalawi-Liverpool-Wellcome Trust Clinical Research Programme, Blantyre, Blantyre, MalawiUniversity of Bristol, Bristol, UKUniversity of Bristol, Bristol, UKCentre for Women`s Health Research, Department of Women`s and Children`s Health, Institute of Life Course and Medical Sciences, University of Liverpool, Liverpool, UKUniversity of Bristol, Bristol, UKPatient Representative, Bristol, UKNorth Bristol NHS Trust, Bristol, UKNorth Bristol NHS Trust, Bristol, UKUniversity Hospitals Bristol and Weston NHS Foundation Trust, Bristol, UKNorth Bristol NHS Trust, Bristol, UKLiverpool Women`s NHS Foundation Trust, Liverpool, UKIntroduction Studies have shown that women are often underinformed about potential benefits and risks of vaginal birth. This is in contrast to other modes of birth, such as caesarean birth, for which the risks/benefits are often conveyed prior to undergoing the procedure. A core information set (CIS) is an agreed set of information points that should be discussed with all patients prior to undergoing a procedure or intervention. This CIS could improve the quality of information given regarding mode of birth options, as women will be given information prioritised by patients and stakeholders regarding vaginal birth, empowering them to make informed decisions about their birth. We aim to describe the protocol for the development of this vaginal birth CIS.Methods and analysis We will develop the CIS by: (1) Compiling a ‘long-list’ of information points about vaginal birth by: undertaking a scoping review of studies and patient information leaflets; interviews with antenatal/postnatal women, an online survey of stakeholders. (2) Collating the ‘long-list’ of information points and developing the Delphi survey. Think-aloud interviews will refine the survey. (3) Conducting a two-round Delphi survey. 200 stakeholder participants will be recruited. Items rated critically important by ≥80% of participants in one stakeholder group, or with no consensus, will be carried through to a stakeholder consensus meeting to decide the final CIS. Planned start date is 1 June 2022. Planned end date is 31 August 2023.Ethics and dissemination This project has been given a favourable ethics opinion by the University of Bristol Research Ethics Committee (Ref: 10530). Approval from the ethics committee will be sought for any protocol amendments, and the principal investigator will be responsible for these changes. Findings will be presented at relevant conferences and published in a high-impact journal. We will disseminate the CIS, via Policy Bristol, to clinical policy and guideline developers.https://bmjopen.bmj.com/content/13/8/e070215.full
spellingShingle Danya Bakhbakhi
Christy Burden
Sarah Dawson
Gemma Clayton
Anna Davies
Andrew Sharp
David Lissauer
Sharea Ijaz
Sheelagh McGuinness
Abi Merriel
Andrew Demetri
Gemma Beasor
Abigail Johnson
Chloë de Souza
Aine Dempsey
Gabriella Snook
Emma McGoldrick
Vaginal birth core information set: study protocol for a Delphi study to achieve a consensus on a ‘core information set’ for vaginal birth
BMJ Open
title Vaginal birth core information set: study protocol for a Delphi study to achieve a consensus on a ‘core information set’ for vaginal birth
title_full Vaginal birth core information set: study protocol for a Delphi study to achieve a consensus on a ‘core information set’ for vaginal birth
title_fullStr Vaginal birth core information set: study protocol for a Delphi study to achieve a consensus on a ‘core information set’ for vaginal birth
title_full_unstemmed Vaginal birth core information set: study protocol for a Delphi study to achieve a consensus on a ‘core information set’ for vaginal birth
title_short Vaginal birth core information set: study protocol for a Delphi study to achieve a consensus on a ‘core information set’ for vaginal birth
title_sort vaginal birth core information set study protocol for a delphi study to achieve a consensus on a core information set for vaginal birth
url https://bmjopen.bmj.com/content/13/8/e070215.full
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