Women's satisfaction with intrapartum care ? a pattern approach (original) (raw)
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Journal of Clinical Nursing, 2011
Aim. The aim was to explore the relationships between the feelings of women who give birth and several birth-related care conditions, the womens' socio-demographic background, personality and perceptions of the quality of intrapartum care. Background. Childbirth is a highly significant emotional event for women and it is an explicit goal that each woman should have a positive childbirth experience. Design. The nationwide study is cross-sectional and was conducted at Swedish maternity units over two months in 2007. Methods. The study group consisted of 739 women (63% response rate). A dimensionality analysis of six emotion items was performed using structural equation modelling (SEM). Non-parametric tests and generalised linear mixed effects model analyses were used to study relationships and to make subgroup comparisons. Results. In the SEM analysis, a positive and a negative feeling factor were identified. Strong associations between the feeling factors and the womens' perceptions of the quality of care were found, particularly in regard to the so-called identity-oriented approach of the midwives and other health professionals. In addition, a higher intensity of negative feelings was associated with a personality pattern characterised by extraversion, emotional instability and lower degree of conscientiousness, a lower level of education and having had delivery through Caesarean section. Conclusions. The positive and negative feelings of women who give birth strongly covary with the women's perception of the quality of their intrapartum care. This pertains in particular to information issues, the midwives showing commitment, empathy and respect, being present during labour and allowing the women to actively participate as much as they want to. Relevance to clinical practice. Subgroup differences indicate that midwives should pay increased attention to childbearing women who have primary school education only, a lower emotional stability and/or deliver through Caesarean section.
Womens’ opinions on intrapartal care: development of a theory-based questionnaire
Journal of Clinical Nursing, 2009
Aim. To develop a patient questionnaire specific to intrapartal care, based on the theoretical foundation of the general instrument Quality from the Patient's Perspective (QPP). Background. Existing general patient questionnaires do not take intrapartal care aspects fully into account, and available intrapartal-specific patient questionnaires tend to have a weak theoretical foundation. Design. A cross-sectional, nationwide study carried out during a two-week period in 2007 at Swedish maternity units.
‘What is could indeed be better’—Swedish women’s perceptions of early postnatal care
Midwifery, 2011
Background: studies have shown that women are more likely to be satisfied with intrapartum rather than postpartum care. The structure and organisation of care seems to be a barrier to good-quality postpartum treatment Objective: to explore the perceived reality and the subjective importance of early postnatal care provided in hospital, and to study women's satisfaction with different models of early postnatal care and the factors that are most strongly associated with being 'very satisfied' with the postnatal care received. Method: a regional survey was conducted with 1240 women recruited in mid-pregnancy and followed-up two months after childbirth. Results: a statistically significant difference existed between the subjective importance and the perceived reality for all studied variables, with a greater subjective importance than perceived reality for all statements. The length of postnatal stay and the content of care were related to satisfaction, while the model of postnatal care was not. The most important variables for being 'very satisfied' with postnatal care were that the infant received the best possible check-ups/medical care, and that the woman received sufficient support from staff. Conclusion: further studies are needed to assess the best model of postnatal care that gives the best opportunities to provide satisfactory care for women and their families.
European Journal of Midwifery, 2021
INTRODUCTION Continuity models are rare in Sweden. The aim was to compare the intrapartum care experiences between women who had or not a known midwife attending their birth. METHODS A cohort study was conducted in a rural area with long distance to a labor ward in Sweden. From August 2017 to June 2019, a continuity model with a known midwife was offered between 7 a.m. and 11 p.m. daily. Questions about intrapartum care were assessed in two aspects; the perceived reality and the subjective importance. RESULTS A total of 226 women recruited in early pregnancy were followed up two months after giving birth. Women who had a known midwife providing labor care reported higher overall satisfaction and were more likely to value the subjective importance and the perceived reality significantly higher than women who received intrapartum care without a known midwife assisting. When analyzing the medical aspects of intrapartum care, the most important factors for not being satisfied were defic...
Open Medicine, 2015
Objective: To identify the social psychological factors affecting women's evaluation of care provided in Czech maternity hospitals using following criteria: satisfaction with intrapartum and postpartum care, willingness to return to a given hospital and to recommend the hospital to others. Methods: 762 women completed a 71-item original Czech questionnaire KLI-P designed to measure the psychosocial climate in both delivery and after-birth unit on six scales. The sample was representative of the Czech parturients population. Multivariate logistic regression was used to investigate the predictive value of the questionnaire scales for maternal satisfaction, willingness to return to and to recommend a given hospital. Results: For delivery unit, the satisfaction predictors were: helpfulness and empathy of midwives (Χ 2 =48.9), communication of information and availability of caregivers (Χ 2 =16.6), helpfulness and empathy of physicians (Χ 2 =10.9), symmetrical and respectful attitude of staff members (Χ 2 =9.7) and physical comfort and services (Χ 2 =7.6). The predictors of satisfaction with after-birth unit included helpfulness and empathy of the staff (Χ 2 ≥42.1), communication of information and availability of caregivers (Χ 2 =52.5), physical comfort and services (Χ 2 =30.6), control and involvement in decision-making (Χ 2 =6.6) and parity (Χ 2 =8.6). The factors influencing women's willingness to
Swedish women's satisfaction with medical and emotional aspects of antenatal care
Journal of Advanced Nursing, 2005
Journal of Advanced Nursing 52(3), 239-249 Swedish women's satisfaction with medical and emotional aspects of antenatal care Aim. This paper reports a study to investigate how satisfied Swedish women are with their antenatal care. Background. Medical care is of high priority, but other aspects, such as psychosocial support are also important for women during pregnancy. Identifying women who are dissatisfied with their antenatal care could help us to improve this. Methods. A national cohort of 2746 Swedish-speaking women completed a questionnaire in early pregnancy and at 2 months postpartum. The data were collected in 1999-2000. Results. The majority of participants were satisfied with their antenatal care, but 23% were dissatisfied with the emotional aspects and 18% with the medical aspects. The strongest predictors of dissatisfaction were women's opinions that midwives had not been supportive and had not paid attention to their partners' needs. If the women believed that there were not enough antenatal visits or had met three or more midwives during their antenatal visits, they were more likely to be dissatisfied with the care received. Those with low levels of education were more likely to be dissatisfied with both medical and emotional aspects of antenatal care. Conclusions. Midwives working in antenatal care should support pregnant women and their partners in a professional and friendly way in order to increase satisfaction with care. Organizing teamwork with no more than two midwives taking care of a woman during a normal pregnancy could make women feel more supported by their midwives.
The Components of Women's Satisfaction with Maternity Care
Birth, 1989
For a better understanding of how women's satisfaction with maternity care is affected, a representative sample of 1790 women from the Montreal area who had delivered four to seven months earlier were mailed a postal questionnaire; 938 (52.4%) completed and returned it. With factor analysis, we determined five dimensions to women's satisfaction: (a) the delivery itself, (b) medical care, (c) nursing care, (d) information received and participation in the decision-making process, and (e) physical aspects of the labor and delivery rooms. Multiple regression analysis was used to determine explicative factors for each of these dimensions of satisfaction. Items relative to the delivery process such as pain intensity, complications, and length of labor were the most important for the delivery experience itself. Participation in the decision-making process was the first component of satisfaction with medical care. information received appeared to be the major component of their satisfaction with nursing care. The physical environment did not affect women's satisfaction with obstetriccare.