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OHSU guide aims to help expectant parents weigh labor interventions
A new guide from Oregon Health & Science University explains common medications and procedures used during labor, with the goal of helping patients make informed choices. Clinicians say it responds to pregnancy information circulating on social media and AI tools that may be inaccurate.
PORTLAND, Ore. — Oregon Health & Science University clinicians have developed a guide to help expectant parents understand medical interventions that may arise during labor and delivery, as patients increasingly turn to social media and artificial intelligence for pregnancy information.
The guide was created by OHSU midwives, nurses and doctors and is intended for patients before they deliver. It presents research-based information about medications and procedures used during labor in a format providers hope will be easier to understand when patients face potentially stressful decisions.
“We are trying to support our ability to provide evidence-based information,” said Dr. Sam Melville, OHSU’s chief obstetrics and gynecology resident. He said patients sometimes arrive after seeing information on TikTok and other online sources that does not accurately reflect the care OHSU offers.
Melville said interventions can be anxiety-provoking when patients are unfamiliar with them. The goal, he said, is to give people information to support what he called “educated autonomy” — enabling patients to make choices that are right for them.
The interventions described include medications and procedures clinicians may use to help optimize delivery. Melville said appropriate care can help avoid complications, excessive bleeding and emergency cesarean sections. The guide is intended as an additional resource, not a replacement for conversations with a patient’s care team.
In a survey described by Melville, mothers who received the guide reported more agency and confidence in their labor choices than mothers who received standard labor counseling alone. The report did not provide details about the survey’s size or results beyond that comparison.
The guide was published in the journal *Pregnancy* and is available through its online publication.