Publications by authors named "S Vedam"
Objective: The clinical application of race-adjusted algorithms may perpetuate health inequities. We assessed the impact of the vaginal birth after cesarean (VBAC) calculator, which was revised in 2021 to address concerns about equity. The original algorithm factored race and ethnicity and gave lower VBAC probabilities to Black and Hispanic patients.
View Article and Find Full Text PDFObjective: Decision-making is important in user-involved maternity care and patient experience instruments Mothers Autonomy in Decision Making scale (MADM) and Mothers on Respect index (MORi) are used internationally to measure the user involvement quality and users' experiences of autonomy and respect. This study aimed to translate and qualitatively adapt the original MADM and MORi instruments to the Danish language and culture.
Methods: A forward and backward translation using a standard guideline.
Article Synopsis
- * A survey was conducted with over 4,800 participants, revealing that higher BMI was linked to experiences of reduced autonomy, lower respect scores, and increased mistreatment in healthcare settings.
- * Findings indicated that socio-demographic factors, such as race, income, and education, were associated with BMI, but the study highlighted a worrying trend of weight-related disrespect in healthcare as BMI increased.
Objective: There are lingering concerns in the United States about home birth. We used 2 large (n = 50,043; n = 62,984), national community birth registries to compare maternal and neonatal outcomes for planned home versus planned birth center births.
Methods: To compare outcomes by intended birth site, we used logistic regressions, controlling for demographic and pregnancy risk variables.
Background: Respectful maternity care includes shared decision-making (SDM). However, research on SDM is lacking from the intrapartum period and instruments to measure it have only recently been developed. TeamBirth is a quality improvement initiative that uses team huddles to improve SDM during labor and birth.
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