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It contrasts differing perspectives on birth-plan value, including provider concern that birth plans may worsen outcomes such as cesarean delivery, versus patient experiences and evidence suggesting benefits through informed, shared decision making. Studies discussed evaluate randomized and quantitative effects, including satisfaction, control, and intervention rates, and culminate in approaches to person-centered, trauma-informed education.",{"@graph":63,"@context":110},[64,80,101],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":11,"@type":70,"position":76},"https://docshare.wps.com/template/presentations/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/beyond-the-birth-plan-enhancing-communication-between-patients-and-providers/359243/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/beyond-the-birth-plan-enhancing-communication-between-patients-and-providers/359243.png","ImageObject",442,249,{"name":88,"@type":89},"Putri","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-21","2026-09-23",true,{"@type":98,"interactionType":99,"userInteractionCount":76},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104],{"name":105,"@type":106,"acceptedAnswer":107},"What evidence is presented about the effects of birth plans?","Question",{"text":108,"@type":109},"The presentation summarizes research showing that birth plan groups may report better childbirth experiences and more realistic expectation fulfillment. It also cites findings from quantitative and cohort studies suggesting changes in specific interventions and increased elements of humanizing care.","Answer","https://schema.org",{"og:url":78,"og:type":112,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":114,"canonical":78},"index,follow",{"doc_id":116,"site_id":56},359243,1792195778,{"code":4,"msg":5,"data":119},{"doc_id":116,"user_id":120,"nickname":88,"user_avatar":121,"doc_module":9,"category_id":8,"category_name":11,"doc_title":59,"doc_description":61,"doc_content":122,"file_id":123,"file_url":124,"file_type":125,"file_size":126,"view_count":76,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":127,"language":128,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":129,"faqs":130,"seo_title":131,"seo_description":61,"update_tm":132,"read_time":47},962085571259,"https://ap-avatar.wpscdn.com/davatar_29158cc5080c5b710cf443261637dec0","Beyond the birth plan Enhancing communication between patients and providers  \nRebecca Amirault, CNM Associate Professor  \nDepartment of Obstetrics, Gynecology, and Reproductive Sciences  \nUCSF  \nJune 13, 2019  \n\n| I have nothing to disclose | |\n| --- | --- |\n| 2 | |\n\n\n| How do you feel about birth plans? |\n| --- |\n| A. I encourage all my patients to write birth plans.\u003Cbr>B. I feel comfortable supporting patients with birth plans.\u003Cbr>C. I don’t feel strongly about birth plans.\u003Cbr>D. I think birth plans have no use.\u003Cbr>E. I think birth plans are dangerous and can lead to worse outcomes.\u003Cbr>\u003Cbr>60%\u003Cbr>7% 3% 5% 1%\u003Cbr>\u003Cbr>|\n| F. What is a birth plan?\u003Cbr>I encourage all my patien.. I feel comfortable suppor... I don’t feel strongly abou...\u003Cbr>I think birth plans have n... I think birth plans are da... What is a birth plan?\u003Cbr>|\n\n\n| I believe that birth plans increase risks of: |\n| --- |\n| A. Cesarean birth\u003Cbr>B. Chorioamnionitis\u003Cbr>C. Postpartum hemorrhage\u003Cbr>D. Perineal lacerations or episiotomy\u003Cbr>E. Low Apgar scores\u003Cbr>F. All of the above\u003Cbr>G. None of the above\u003Cbr>\u003Cbr>\u003Cbr>Cesarean birth\u003Cbr>Chorioamnionitis Postpartum hemorrhage Perineerations or e...\u003Cbr>Low Apgar scores All of the above None of the above |\n\n􀂃 No difference between groups for:  \n- Cesarean birth  \n- IV analgesia use  \n- Chorioamnionitis  \n- Postpartum hemorrhage  \n- Perineal lacerations or episiotomy  \n- Low Apgar scores (1 and 5 minute)  \n| Provider feelings on birth plans\u003Cbr>  of medical personnel believe that having a birth plan is associated with overall worse obstetrical outcomes including increasing the rate of cesarean delivery.\u003Cbr> of patients believe that having a birth plan is associated with overall worse obstetrical outcomes.\u003Cbr>So why are we seeing this document so differently? |  |\n| --- | --- |\n| Grant et al Expertopinion vs. patient perception of obstetrical outcomes in laboring women with birth plans The Journal of reproductive medicine, 01/2010, Volume 55, Issue 1-2 | |\n\n\n| What is a birth plan?\u003Cbr>􀂃 A written document composed prior to delivery by the birthing patient to:\u003Cbr>- clarify desires and expectations for childbirth\u003Cbr>- provide information regarding preferences for their care and support during labor\u003Cbr>􀂃 Birth Plan vs Birth Preferences |  |\n| --- | --- |\n| 7 | |\n\n\n| The history of birth plans\u003Cbr>􀂃 First seen in the 1980s in response to a more “medicalized”birthing environment |  |\n| --- | --- |\n| | |\n| |  |\n\nInside Amy Schumer  \nBirth plan sketch  \nProvider Control  \nExpertise  \nCapabilities  \n Preparedness   \nPreferences  \nPatient Control  \nExpertise  \nPreparedness   \nPreferences  \nApparently The World's Top Ob-Gyns Don't Agree With Meghan Markle's At-Home birth plan  \n\n| Who influences a birth plan?\u003Cbr>\u003Cbr>Childbirth\u003Cbr>educators\u003Cbr>Family Internet\u003Cbr>Friends Popular culture\u003Cbr>Obstetric Providers |  |\n| --- | --- |\n| 15 | |\n\nIf you are not happy with the information provided by the internet, childbirth educators and other sources then you need to take a more active role in educating your patients.  \nHow do we educate our patients?  \n| A talk for another day\u003Cbr>􀂃 Person Centered Communication\u003Cbr>􀂃 Patient Led Communication\u003Cbr>􀂃 Shared Decision Making\u003Cbr>􀂃 Mother’s Autonomy in Decision Making (MADM) Scale\u003Cbr>􀂃 Trauma Informed Care\u003Cbr>􀂃 Presenting evidence based medicine to patients\u003Cbr>􀂃 ACOG committee opinions\u003Cbr>􀂃 Etc. etc. etc. |  |\n| --- | --- |\n| 18 | |\n\n\n| What is the evidence regarding birth plans? |  |\n| --- | --- |\n| 19 | |\n\n\n| Effects of birth plan on Taiwanese women’s childbirth experiences\u003Cbr>First randomized controlled trial, published 2010\u003Cbr>􀂃 N=296\u003Cbr>􀂃 Prior to recruitment the nurses participating in the study received a 12 hour seminar to review the concept of “friendly childbirth”\u003Cbr>􀂃 Patients were divided into a birth plan group and a control group\u003Cbr>􀂃 The birth plan group discussed the items on the generic birth plan with a nurse in an education session.\u003Cbr>􀂃 Each patient had a follow up session with their Obst","cbCainfFhX5HJEsw","https://ap.wps.com/l/cbCainfFhX5HJEsw","pdf",3702306,13,"English","# Birth plans and provider vs. patient perceptions\n## What is a birth plan?\n## Birth plan risks and beliefs\n## Evidence regarding birth plans\n## Influences on birth plans\n## How to educate patients\n## Studies and outcomes","[{\"question\":\"What evidence is presented about the effects of birth plans?\",\"answer\":\"The presentation summarizes research showing that birth plan groups may report better childbirth experiences and more realistic expectation fulfillment. It also cites findings from quantitative and cohort studies suggesting changes in specific interventions and increased elements of humanizing care.\"}]","Beyond the Birth Plan - Enhancing communication between patients and providers | PDF",1790136507]