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Table 2 Potential conflicts relating to shared decision-making and their expression in Swedish health professionals’ views on CSMR

From: Caesarean section on maternal request: a qualitative study of conflicts related to shared decision-making and person-centred care in Sweden

Potential conflicts

Expression of potential conflicts in the interviews

Patient autonomy

• The right to decide over one’s own body

• Fear of birth is not a question of autonomy

• Healthcare services on demand

• Challenges to professional autonomy

• Preferences shaped by media reports and social media platforms

Treatment quality and patient safety

• The woman’s future health

• Previous birth experiences matter

Avoiding treatments that harm others

• Costs for society/the health system

• The child’s perspective is secondary

Equality and non-discrimination

• Strategies for avoiding arbitrariness

An uncomplicated decision-making process

• A multifaceted decision being individual yet collective

• Birth contracts to increase sense of security

  1. The table draws on Hansson and Fröding’s [12] categorisation of the potential conflicts that may arise in the application of patient-centred/person-centred care