Differences between patient and provider perceptions of informed decision making about epidural analgesia use during childbirth.

Academic Article


  • The objective of this study was to determine whether differences exist between patient and provider perceptions regarding the decision-making process around use of epidural analgesia during childbirth. The dyadic patient-provider Decisional Conflict Scale was modified to measure first-time mother (n = 35) and maternity care provider (n = 52) perceptions. Providers perceived a greater degree of informed decision making than patients (84.97 vs. 79.41, p = .04) and were more likely to recall they upheld patients' rights to make informed choices than patients were to perceive their rights had been upheld (85.95 vs. 71.73, p < .01). This incongruity highlights the need to align legal principles with practice to create mutual agreement between stakeholder perceptions of informed decision making.
  • Published In


  • childbirth decision making, epidural analgesia, informed choice, patient and provider perceptions, shared decision making
  • Digital Object Identifier (doi)

    Author List

  • Goldberg HB; Shorten A
  • Start Page

  • 104
  • End Page

  • 112
  • Volume

  • 23
  • Issue

  • 2