Table 2.
Decision-making stages and health literacy skills in maternity care.
Stage 1: Understanding Pregnancy Stages and the Procedures of Labor |
Stage 2: Understanding the Consequences: Risks, Limitations, Benefits and Uncertainties |
Stage 3: Identifying Preferences and Combining Utilities with Probabilities |
Stage 4: Participate in Decision-Making with Maternity Care Professional |
Stage 5: Make a Decision |
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(a) Find sources of information about pregnancy and labor | (a) Understand different harms and benefits of options |
(a) Anticipate health states during labor or after birth | (a) Understand that involvement and choice is possible | (a) Self-efficacy |
(b) Select and appraise (online) information -Decide when to stop looking for information |
(b) Understand the likelihood of these occurring to mother and/or baby—carry out basic calculations | (b) Identify preferences for different outcomes | (b) Articulate and discuss preference to maternity care professional | (b) Taking responsibility for mother’s and child’s health |
(c) Interpret written or spoken pregnancy-related terminology | (c) Interpret probabilities of harms occurring to mother and/or child | (c) Combine preferences with probabilistic information | (c) Ask questions to maternity care professional | (c) Cope with practical barriers of options and costs |
(d) Compare options against each other | (d) Share and communicate values to: -Significant others (e.g., friends, mother) -Peers -Partner |
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(e) Use own knowledge and previous pregnancy and birth experiences |