Table 5 Summary of findings (Review 2)
Effectiveness of intervention | Barriers to implementation |
|---|---|
• Kirkham et al. (2001) [21] No evidence that leaflets effective in increasing women’s informed choice. Non-significant reduction in planned hospital birth. • Rogers et al. (2015) [13] Women who attended workshops and received decision aid tool more likely to be offered a choice of place of birth and receive sufficient information. Admissions to alongside midwifery led units increased, admissions to free-standing midwifery led units decreased and home births remained constant. • Walton et al. (2014) [11] More women decided a preferred place of birth setting following introduction of app. Absence of comparator group. Midwives found app useful communication tool. • Barber et al. (2007): No results reported on intervention effectiveness. Midwives increasingly engaged and tried to disseminate more leaflets to women. Most midwives found leaflet and multi-professional guideline useful, and a few subsequently changed their practice. Increase in women choosing out-of-hospital births reported in one Trust, a decrease reported in the other. | • Midwives’ personal experiences, views and philosophies influenced type of information and support given. • Limited information provided, depending on assessment of women’s risk • Difficulties providing sustainable home birth service. • Little value placed on leaflets as vehicles for change • Maintaining the status quo • Inappropriate use of leaflets |