What is the impact of the Internet on decision-making in pregnancy? A global study

Birth. 2011 Dec;38(4):336-45. doi: 10.1111/j.1523-536X.2011.00488.x. Epub 2011 Sep 6.

Abstract

Background: Women need access to evidence-based information to make informed choices in pregnancy. A search for health information is one of the major reasons that people worldwide access the Internet. Recent years have witnessed an increase in Internet usage by women seeking pregnancy-related information. The aim of this study was to build on previous quantitative studies to explore women's experiences and perceptions of using the Internet for retrieving pregnancy-related information, and its influence on their decision-making processes.

Methods: This global study drew on the interpretive qualitative traditions together with a theoretical model on information seeking, adapted to understand Internet use in pregnancy and its role in relation to decision-making. Thirteen asynchronous online focus groups across five countries were conducted with 92 women who had accessed the Internet for pregnancy-related information over a 3-month period. Data were readily transferred and analyzed deductively.

Results: The overall analysis indicates that the Internet is having a visible impact on women's decision making in regards to all aspects of their pregnancy. The key emergent theme was the great need for information. Four broad themes also emerged: "validate information,""empowerment,""share experiences," and "assisted decision-making." Women also reported how the Internet provided support, its negative and positive aspects, and as a source of accurate, timely information.

Conclusion: Health professionals have a responsibility to acknowledge that women access the Internet for support and pregnancy-related information to assist in their decision-making. Health professionals must learn to work in partnership with women to guide them toward evidence-based websites and be prepared to discuss the ensuing information.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Access to Information*
  • Adult
  • Consumer Health Information*
  • Decision Making*
  • Female
  • Focus Groups
  • Global Health
  • Humans
  • Information Seeking Behavior*
  • Internet*
  • Models, Psychological
  • Pregnancy*
  • Social Support