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The study aimed to develop a Core Information Set (CIS) of agreed discussion points for vaginal birth. A Delphi process synthesized information from literature, patient materials, interviews, and a survey, then used stakeholder rating criteria to advance items into consensus meetings. The final CIS contains 19 information points spanning the labour process, pain relief, complications, intrapartum interventions, post-birth experiences, infant outcomes, and the labour environment.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/what-should-be-discussed-when-considering-a-vaginal-birth-delphi-consensus-study/445999/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/what-should-be-discussed-when-considering-a-vaginal-birth-delphi-consensus-study/445999.png","ImageObject",300,407,{"name":92,"@type":93},"Damian","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-30","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":39},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What is the Core Information Set (CIS) in this study?","Question",{"text":112,"@type":113},"It is an agreed set of information points intended to be discussed prior to a vaginal birth decision. 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A Delphi Consensus Study  \nAndrew Demetri1 | Anna Davies1  | Danya Bakhbakhi1  | Alexandra Hunt2 | Sharea Ijaz1 | Sheelagh McGuinness1 | Gemma Beasor3 | Gemma Clayton1 | Vicky Bradley4 | Eve Bunni4,5  | Carol Kingdon4,5 | Andrew Sharp4,5  | Christy Burden1 | Asma Khalil4,5,6 | Louise Kenny7 | Abi Merriel4,5  | on behalf of the Options Collaborative Group  \n1University of Bristol, Bristol, UK | 2Health Data Science, University of Liverpool, Liverpool, UK | 3Patient Representative, Bristol, UK | 4Department of Women's and Children's Health, University of Liverpool, Liverpool, UK | 5Liverpool Women's NHS Foundation Trust, Liverpool, UK | 6City St George's  \nUniversity of London, London, UK | 7Faculty of Health and Life Sciences, University of Liverpool, Liverpool, UK Correspondence: Abi Merriel ([abi.merriel@liverpool.ac.uk](abi.merriel@liverpool.ac.uk))  \nReceived: 6 February 2025 | Revised: 15 October 2025 | Accepted: 20 October 2025  \nFunding: This Delphi study was funded by the Research England Policy Support Fund (PSF). The sponsors have played no role in designing the study, data collection, analysis, interpretation of data, writing of the report and decisions for publication. AD, NIHR Academic Clinical Fellow, was funded by the NIHR for this research project. AM, NIHR Academic Clinical lecturer and now NIHR Advanced Fellow,(NIHR302530) is funded by the NIHR for this research project. The views expressed in this publication are those of the author(s) and not necessarily those of the NIHR, NHS or the UK Department of Health and Social Care. SI's time is supported by the National Institute for Health and Care Research Applied Research Collaboration West (NIHR ARC West) . For the purpose of Open Access, the author has applied a CC BY public copyright license to any Author Accepted Manuscript version arising from this submission.  \nKeywords: consensus | core information set | Delphi technique | informed consent | stakeholders | vaginal birth | women | women's health  \nABSTRACT  \nObjective: Spontaneous vaginal births are often the presumed choice, representing 45% of UK births. However, information about benefits and risks is inconsistently given, impacting 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.  \nDesign: A Delphi study was used to create the CIS. Information points were identified from a literature search, patient leaflets, interviews, and a survey. These informed a two-round Delphi survey, where stakeholders rated item importance. Items rated critically important by ≥80% of parents or professionals, and of limited importance by \u003C 15%, progressed to consensus meetings, where 20 parents and professionals discussed retained items. The final CIS was populated with an engagement group ensuring accessibility.  \nSetting: The study took place in the UK, with participants recruited online.  \nPopulation: Pregnant and postnatal women, birth partners, healthcare professionals, medicolegal professionals, and representatives from relevant organizations.  \nMain Outcome: A CIS for vaginal birth.  \nResults: 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. 29 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 labour environment.  \nConclusions: This CIS can facilitate discussions and support informed decision-making about vaginal birth.  \nThis is an o","cbCaimuxNwNIO0QN","https://ap.wps.com/l/cbCaimuxNwNIO0QN","pdf",661867,12,"English","# Abstract\n## Objective\n## Design\n## Setting\n## Population\n## Main outcome\n## Results\n## Conclusions\n# Introduction\n## Background and rationale\n## Evidence gaps and information needs","[{\"question\":\"What is the Core Information Set (CIS) in this study?\",\"answer\":\"It is an agreed set of information points intended to be discussed prior to a vaginal birth decision. The study builds the CIS so stakeholders share a common information basis.\"},{\"question\":\"How was the CIS developed using the Delphi method?\",\"answer\":\"The study generated information items from literature, patient leaflets, interviews, and a survey, then ran a two-round Delphi survey where stakeholders rated item importance. Items meeting defined importance thresholds progressed to consensus discussions.\"},{\"question\":\"What did the final CIS include?\",\"answer\":\"The final CIS contains 19 information points covering the labour process, pain relief, labour complications, intrapartum procedures or interventions, experiences after birth, outcomes for the baby, and the labour environment.\"}]","What Should Be Discussed When Considering a Vaginal Birth? - Delphi Consensus Study | PDF",1790713620]