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Table 2 Reasons people declined tests or procedures, with illustrative quotes

From: I felt so much conflict instead of joy: an analysis of open-ended comments from people in British Columbia who declined care recommendations during pregnancy and childbirth

Why did people refuse tests and procedures? Illustrative quotes
Unnecessary (n = 572) “I did not see the need to”
“I did not have risk factors”
“I later accepted the intervention when it became necessary”
Did not align with the patient’s values (n = 303) “I did not want one”
“I would not terminate pregnancy anyways”
“I wanted to labour naturally”
Preference for an alternative (n = 135) “We opted for oral vitamin K”
“I decided on forceps instead”
“I kept a healthy diet instead of taking insulin”
Considered bad for baby (n = 104) “I did not want goop in my baby’s eyes”
“The risks of amnio are too high”
They had access to information or had reviewed research that did not support the medication/intervention (n = 86) “The research says the intervention does not improve outcomes”
“I heard that the test is inaccurate”
“The false positive rate is too high”
They felt uncomfortable (n = 38) “I have a strong fear of needles”
“Putting in an epidural is too painful”
Health reasons (n = 31) “I have a suspected allergy to analgesics”
“Laughing gas made me feel sick”
They felt that healthcare providers were being rude or incompetent (n = 28) “The doctor was very pushy”
“The nurse was incompetent”
“I refused to see that OB again”
They felt it was too inconvenient (n = 14) “I have a toddler at home”
“I was busy with work”
Other, Unspecified (n = 55) “I didn’t like it the last time”
“I was abused in the past”