Print Get Citation Citation Disclaimer: These citations have been automatically generated based on the information we have and it may not be 100% accurate. Please consult the latest official manual style if you have any questions regarding the format accuracy. AMA Citation Lau D, Chan A. Lau D, & Chan A Lau, Davy, and Alex Chan. Decision aid tools helpful in resolving decision conflict for patients contemplating epidural anesthesia during labour. 2 Minute Medicine, 20 November 2020. McGraw-Hill, 2020. AccessPediatrics. https://accesspediatrics.mhmedical.com/updatesContent.aspx?gbosid=554929§ionid=252302477APA Citation Lau D, Chan A. Lau D, & Chan A Lau, Davy, and Alex Chan. (2020). Decision aid tools helpful in resolving decision conflict for patients contemplating epidural anesthesia during labour. (2020). 2 minute medicine. McGraw-Hill. https://accesspediatrics.mhmedical.com/updatesContent.aspx?gbosid=554929§ionid=252302477.MLA Citation Lau D, Chan A. Lau D, & Chan A Lau, Davy, and Alex Chan. "Decision aid tools helpful in resolving decision conflict for patients contemplating epidural anesthesia during labour." 2 Minute Medicine McGraw-Hill, 2020, https://accesspediatrics.mhmedical.com/updatesContent.aspx?gbosid=554929§ionid=252302477. Download citation file: RIS (Zotero) EndNote BibTex Medlars ProCite RefWorks Reference Manager Mendeley © Copyright Clip Full Chapter Figures Only Tables Only Videos Only Supplementary Content Decision aid tools helpful in resolving decision conflict for patients contemplating epidural anesthesia during labour by Davy Lau, Alex Chan Listen +Originally published by 2 Minute Medicine® (view original article). Reused on AccessMedicine with permission. +1. A decision aid tool significantly helped resolve decision conflict in patients contemplating the use of epidural anesthesia during labour. +Evidence Rating Level: 1 (Excellent) +In Japan, analgesic use in delivery of babies is low compared to other countries, with only 6.2% of women receiving epidural anesthesia in 2016. This could stem from a variety of reasons, such as few hospitals where epidurals can be provided (15.0%), cultural beliefs on labour pain, and lack of information provided to pregnant women. To address the latter cause, decision aids (DAs) have been proposed as a potential tool to educate patients on different treatment options available to them. The current study was a non-randomized controlled trial analyzing the effectiveness of DAs on influencing a pregnant woman’s choice to use epidural anesthesia or not. The control group of 150 women was recruited first, where patients were given a standard 10-page pamphlet at their 34-week gestation visit, outlining the benefits and potential consequences. The DA group was recruited next, comprising of 149 women: The 22-page DA pamphlet included more information on the options, presented a comparison in tables, and provided tools to aid in values clarification and the decision making process. All participants had low-risk, singleton pregnancies. The primary outcome measured was a change in the mean Decision Conflict Scale score, a self-report questionnaire that measures a participant’s uncertainty surrounding a decision, with scores ranging from 0 to 100. This questionnaire was provided before and after the pamphlets were read through. The results showed that the DA group had significantly lower DCS scores than the control group (DCS -8.41, SD 8.79 in the DA group; DCS -1.69, SD 5.91 in the control; p < 0.001). Furthermore, the percentage of undecided women decreased significantly in the DA group, from 30.2% to 6.1% (p < 0.001), whereas the percentage was not different in the control group (40.7% to 38.9%). Study findings demonstrated that a DA for epidural anesthesia can help alleviate indecisiveness in patients, contributing to better informed and shared decision making. +Click to read the study in PLOSONE +©2020 2 Minute Medicine, Inc. All rights reserved. No works may be reproduced without expressed written consent from 2 Minute Medicine, Inc. Inquire about licensing here. No article should be construed as medical advice and is not intended as such by the authors or by 2 Minute Medicine, Inc.