transform.childbirthconnection.org | www.childbirthconnection.org Health Care Consumer Information Sources: Lessons for Advocates from a Two-Stage National Survey Carol Sakala, PhD, MSPH Childbirth Connection Consumers United for Evidence-based Healthcare 2013 Annual Membership Meeting July 26, 2013 Washington, DC
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Core methodology• online (and in LTM I and LTM II telephone) participation of eligible women• programmed computer interface with quality control checks• data weighting
• propensity score for propensity to be online• using demographic targets derived from national birth certificate files
Surveys collectively provide opportunity to monitor trends over time with core continuing questions and explore timely new subjects
SurveyYear(s) of
birthsNumber of
Participants*Participation
MethodIncluded Settings
Follow-up Survey
LTM I 2001-2002 1583 Online and
phoneAll
settings** No
LTM II 2005 1573 Online and phone
Hospital only Yes
LTM III 2011-2012 2400 Online Hospital
only Yes
* All: 18-45, could participate in English, singleton birth living at time of survey** Included 1% who gave birth in a birth center and 1% who gave birth at home
Electronic Devices Used by Mothers During Typical Week, and Ratings as Source of Pregnancy and
Childbirth Information
Device
% using during typical week Base: all mothers
n=2400
Of those using, % rating as
“excellent” source Base: varies
Laptop or desktop computer with Internet access 82% 64%
Smartphone with Internet access 64% 43%Tablet computer with Internet access 35% 46%Regular mobile phone with text messaging capability and Internet access 33% 22%
iPod Touch with Internet access 21% 42%Used none of the above in a typical week 1% n.a.
Base: had had 1-2 c-sections and provider mentioned having repeat c-sectionTalked with maternity care provider about the reasons to schedule another cesarean “some” or “ a lot” 77%
Talked with maternity care provider about the reasons not to schedule another cesarean “some” or “ a lot” 38%
Maternity care provider explained that there were choices in how to give birth after a previous cesarean 73%
Talked with maternity care provider about the option of planning a vaginal birth after cesarean (VBAC) “some” or “a lot” 38%
Maternity care provider expressed an opinion about whether or not to schedule another cesarean 72%
Maternity care provider thought mother should schedule another cesarean (among those who expressed opinion) 88%
Maternity care provider asked whether or not mother wanted to schedule another cesarean 76%
Made the final decision whether or not to schedule another cesarean (% mother’s decision/% provider’s/% shared decision) 40/21/39
Knowing then what you know now, would definitely make the same decision about whether or not to schedule another cesarean 63%
Percent of mothers in series who gave birth by repeat cesarean 93%
If a baby appears to be large at the end of pregnancy, it makes sense to
induce laborn=1200
Disagree strongly 12%
Disagree somewhat 17%
Agree somewhat 32%
Agree strongly 24%
Not sure 15%
How much do you agree or disagree with the following statement concerning medical induction of labor, that is, using drugs or other methods to try to cause labor to begin?