Shared decision-making aid to increase equity in the management of PPROM

Abstract

Shared decision-making (SDM) and decision aids are recommended by the American College of Obstetricians and Gynecologists to facilitate patient-centered, individualized informed consent and to meet the ethical standards of reproductive health decision making. We compared offering and acceptance of expectant management (EM) for prelabor premature rupture of membranes (PPROM) beyond 34w0d before and after implementation of a SDM aid in those who ruptured before 34w0d to assess for equity in options counseling.