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Journal of Mixed Methods Research
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Advance Consent in Japanese During Prenatal Care for Epidural Anesthesia During Childbirth

Michael D. Fetters

University of Michigan Health System, Ann Arbor

Tetsuya Yoshioka

Nagoya University Graduate School of Medicine, Japan

Grant M. Greenberg

University of Michigan Health System, Ann Arbor

Daniel W. Gorenflo

University of Michigan Health System, Ann Arbor

SeonAe Yeo

The University of North Carolina at Chapel Hill

The authors developed advance consent in Japanese for epidural anesthesia for pregnant Japanese-speaking women. Their explanatory, sequential mixed methods design involved a survey (QUAN) and telephone interviews with Japanese women (QUAL). An e-mail survey of health professionals (quan/ qual) was conducted concurrently to the QUAL arm. Japanese women and health professionals found advance consent as helpful, though minor problems were identified. Advance consent helped lower communication barriers, and the women wanted more information about pain control. This mixed methods study of Japanese women suggests that bilingual advance consent offers an innovative tool to help overcome the language barrier for non-English-proficient women who predictably needed interventions (e.g., epidurals) under unpredictable circumstances.

Key Words: informed consent • epidural anesthesia • childbirth • transcultural • multiculturalism • women's health

Journal of Mixed Methods Research, Vol. 1, No. 4, 333-365 (2007)
DOI: 10.1177/1558689807305274
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