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Table 3 Detailed descriptions of included qualitative studies, organized by primary PCC objective

From: A systematic review of person-centered care interventions to improve quality of facility-based delivery

Study author and title

Type of intervention

Intervention details

Outcomes (Person-centered care (PCC), labor and delivery, perinatal, mental health)

Person-centered Objective: Autonomy

1.

Brown, 2015

Autonomy

Systematic review and meta-analysis of RCTs of women-held case records, thematic analysis of qualitative data

Sample size: 21

PCC Outcomes: Improved communication with providers, especially shared communication.

2.

De Koninck

Autonomy

Intervention: Continuity midwifery model implemented into birth centers that employed 3–6 midwives to provide care to one woman through prenatal, birth, and postpartum.

Where: Canada

Population: Pregnant women

Study design: Intervention and matched controls

Sample size: 10

PCC Outcomes: Improved communication with continuity midwifery model. Women reported holding back questions during rushed doctor visits. Continuity midwifery clients reported feeling respected and more humanized.

3.

Horey, 2015

Autonomy

Systematic review and meta-analysis of RCTs involving decision support for women with a prior caesarean, narrative synthesis of qualitative data.

Sample size: 84

PCC Outcomes: Perceived benefits to having choices and information, but only information in appropriate context of risk and benefits.

4.

Walsh, 1999

Autonomy

Intervention: Continuity midwifery

Where: England

Population: Multiparous women

Study Design: Ethnographic interviews

Sample size: 10

PCC Outcomes: Women valued having continuity because it was easier to feel comfortable and ask questions. Felt empowered in labor.

Person-centered Objective: Supportive Care

5.

Kildea, 2012

Supportive Care

Intervention: Specialist antenatal clinic for Australian Aboriginal and Torres Strait Islander women.

Where: Australia

Population: Australian Aboriginal and Torres Strait Islander women

Study Design: A triangulation mixed-methods approach (including individual and focus group interviews; surveys)

Sample size: 19

PCC Outcomes: Appreciated flexible drop-in schedule of the clinic.

6.

Stapleton, 2013

Supportive Care

Intervention: Specialty antenatal clinic for women from refugee backgrounds.

Where: Australia

Population: Women from refugee backgrounds

Study Design: mixed-methods, data from hospital databases, a chart audit, surveys and interviews with service users, providers and stakeholders

Sample size: 10

PCC Outcomes: Women appreciated the continuity model because it saved them time with translation; they didn’t have to repeat conversations.

Person-centered Objective: Social support

7.

Hazard, 2009

Social Support

Intervention: Hispanic Labor Friends assisted women with communication with healthcare providers and emotional/physical

Where: United States

Population: Hispanic immigrant women

Study Design: Descriptive qualitative inquiry

Sample size: 21

PCC Outcomes: Women appreciated having the linguistic and cultural connection with Hispanic doulas. Women reported better informed consent.

8.

Herrman, 2012

Social Support

Intervention: Group ANC

Where: United States

Population: Pregnant women

Study Design: A thematic and iterative analysis

Sample size: 33

PCC Outcomes: Felt respected. Felt more informed by drawing from other women’s experiences.

9.

Risisky, 2013

Social Support

Intervention: Group ANC

Where: United States

Population: Pregnant women

Study Design: Thematic analysis

Sample size: 10

PCC Outcomes: Women reported richer information sharing in the group environment