@article{fdi:010093785,
  title = {{C}aesarean section or vaginal delivery for low-risk pregnancy ? : helping women make an informed choice in low- and middle-income countries},
  author = {{D}umont, {A}lexandre and {L}oenzien de, {M}yriam and {N}hu, {H}.{M}.{Q}. and {D}ugas, {M}. and {K}abore, {C}. and {L}umbiganon, {P}. and {T}orloni, {M}.{R}. and {G}ialdini, {C}. and {C}arroli, {G}. and {H}anson, {C}. and {B}etrán, {A}.{P}.},
  editor = {},
  language = {{ENG}},
  abstract = {{W}omen's fear and uncertainty about vaginal delivery and lack of empowerment in decision-making generate decision conflict and is one of the main determinants of high caesarean section rates in low- and middle-income countries ({LMIC}s). {T}his study aims to develop a decision analysis tool ({DAT}) to help pregnant women make an informed choice about the planned mode of delivery and to evaluate its acceptability in {V}ietnam, {T}hailand, {A}rgentina, and {B}urkina {F}aso. {T}he {DAT} targets low-risk pregnant women with a healthy, singleton foetus, without any medical or obstetric disorder, no previous caesarean scarring, and eligibility for labour trials. {W}e conducted a systematic review to determine the short- and long-term maternal and offspring risks and benefits of planned caesarean section compared to planned vaginal delivery. {W}e carried out individual interviews and focus group discussions with key informants to capture informational needs for decision-making, and to assess the acceptability of the {DAT} in participating hospitals. {T}he {DAT} meets 20 of the 22 {P}atient {D}ecision {A}id {S}tandards for decision support. {I}t includes low- to moderate-certainty evidence-based information on the risks and benefits of both modes of birth, and helps pregnant women clarify their personal values. {I}t has been well accepted by women and health care providers. {A}daptations have been made in each country to fit the context and to facilitate its implementation in current practice, including the development of an {A}pp. {DAT} is a simple method to improve communication and facilitate shared decision-making for planned modes of birth. {I}t is expected to build trust and foster more effective, satisfactory dialogue between pregnant women and providers. {I}t can be easily adapted and updated as new evidence emerges. {W}e encourage further studies in {LMIC}s to assess the impact of {DAT} on quality decision-making for the appropriate use of caesarean section in these settings.},
  keywords = {{VIET} {NAM} ; {THAILANDE} ; {ARGENTINE} ; {BURKINA} {FASO}},
  booktitle = {},
  journal = {{P}lo{S} {G}lobal {P}ublic {H}ealth},
  volume = {2},
  numero = {11},
  pages = {e0001264 [15 ]},
  ISSN = {2767-3375},
  year = {2022},
  DOI = {10.1371/journal.pgph.0001264},
  URL = {https://www.documentation.ird.fr/hor/fdi:010093785},
}