Decision aids

Increasing patient participation in treatment decision is important in view of the wide choices available. Decision aids come in a variety of formats including leaflets, audiotapes, decision boards, computer programs, videos, websites, and structured interviews. These were examined in a randomized controlled trial with 2 years of follow-up of 894 women [19,38]. Women were randomized to the control group, information alone group (booklet and video), or information plus interview group (interview). Hysterectomy rates were lower for women in the interview group (38%) (adjusted odds ratio [OR], than in the control group (48%) and women who received the information alone (48%). The interview group had lower mean costs ($1566) than the control group ($2751) (mean difference, $1184; 95% CI, $684-$2110) and the information group $2026 (mean difference, $461; 95% CI, $236-$696). Thus, providing women with information alone did not affect treatment choices; however, the addition of an interview to clarify values and elicit preferences had a significant effect on women's management and resulted in reduced costs.

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Getting Back Into Shape After The Pregnancy

Getting Back Into Shape After The Pregnancy

Once your pregnancy is over and done with, your baby is happily in your arms, and youre headed back home from the hospital, youll begin to realize that things have only just begun. Over the next few days, weeks, and months, youre going to increasingly notice that your entire life has changed in more ways than you could ever imagine.

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