Connell School of Nursing, Boston College, Chestnut Hill, Massachusetts.
Birth Sanctuary, Gainesville, Alabama.
J Midwifery Womens Health. 2022 Jul;67(4):510-514. doi: 10.1111/jmwh.13377. Epub 2022 May 26.
Perinatal outcomes vary widely depending on individual birth settings (birth center, home, and hospital). The purpose of this case study is to explore a patient-centered, shared decision-making approach to achieve an informed, values-based choice about birth settings. Engaging in a shared decision-making approach regarding birth setting options would support people to have the information and ability to judge for themselves how benefits and risks across birth center, home, and hospital settings would best fit with their values and personal health. A patient decision aid about birth setting options could facilitate increased equity regarding access to birth settings that offer improved perinatal health outcomes, helping to reduce perinatal health disparities in the United States.
围产期结局因个体分娩环境（分娩中心、家庭和医院）而异。本病例研究旨在探索一种以患者为中心、共同决策的方法，以实现知情、基于价值观的分娩环境选择。针对分娩环境选择进行共同决策方法的参与，将为人们提供信息和能力，使其能够自行判断分娩中心、家庭和医院环境中的益处和风险如何最符合他们的价值观和个人健康状况。有关分娩环境选择的患者决策辅助工具可以促进获得能够改善围产期健康结局的分娩环境的机会更加公平，有助于减少美国的围产期健康差异。
