Association between maternal satisfaction and other indicators of quality of care at childbirth: a cross-sectional study based on the WHO standards

Lazzerini, Marzia; Mariani, Ilaria; Semenzato, Chiara; Valente, Emanuelle Pessa

doi:10.1136/bmjopen-2020-037063

Cited by 26 publications

(41 citation statements)

References 34 publications

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“…In agreement with our finding, a recent study indicated 'effective communication' to be one of the strongest associated factors with overall satisfaction. 46 Hence, increased satisfaction among women with less fluency in Norwegian language as shown in our study can be due to lower expectations. Gürbüz et al who also used the questionnaire tool MFMCQ surprisingly found no association between language proficiency and satisfaction.…”

Section: Open Accessmentioning

confidence: 53%

Satisfaction with maternity care among recent migrants: an interview questionnaire-based study

et al. 2021

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ObjectiveTo examine factors associated with recently migrated women’s satisfaction with maternity care in urban Oslo, Norway.DesignAn interview-based cross-sectional study, using a modified version of Migrant Friendly Maternity Care Questionnaire.SettingFace-to-face interview after birth in two maternity wards in urban Oslo, Norway, from January 2019 to February 2020.ParticipantsInternational migrant women, ≤5 years length of residency in Norway, giving birth in urban Oslo, excluding women born in high-income countries.Primary outcomeDissatisfaction of care during pregnancy and birth, measured using a Likert scale, grouped into satisfied and dissatisfied, in relation to socio-demographic/clinical characteristics and healthcare experiences.Secondary outcomeNegative healthcare experiences and their association with reason for migration.ResultsA total of 401 women answered the questionnaire (87.6% response rate). Overall satisfaction with maternal healthcare was high. However, having a Norwegian partner, higher education and high Norwegian language comprehension were associated with greater odds of being dissatisfied with care. One-third of all women did not understand the information provided by the healthcare personnel during maternity care. More women with refugee background felt treated differently because of factors such as religion, language and skin colour, than women who migrated due to family reunification.ConclusionsAlthough the overall satisfaction was high, for certain healthcare experiences such as understanding information, we found more negative responses. The negative healthcare experiences and factors associated with satisfaction identified in this study have implications for health system planning, education of healthcare personnel and strategies for quality improvement.

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Section: Open Accessmentioning

confidence: 53%

Satisfaction with maternity care among recent migrants: an interview questionnaire-based study

et al. 2021

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“…The process of questionnaire development, validation, and previous use has been reported elsewhere. 20 , 22 , 23 During the first months of the COVID-19 pandemic, the questionnaire was further optimized throughout a Delphi including 26 experts from 11 countries of the WHO European Region and adapted for an online survey. Details on the questionnaire development, validation and adaptation for the online survey are reported in Supplementary Figure 1.…”

Section: Methodsmentioning

confidence: 99%

Quality of facility-based maternal and newborn care around the time of childbirth during the COVID-19 pandemic: online survey investigating maternal perspectives in 12 countries of the WHO European Region

Lazzerini

Covi

Mariani

et al. 2022

The Lancet Regional Health - Europe

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156

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Background Multi-country studies assessing the quality of maternal and newborn care (QMNC) during the COVID-19 pandemic, as defined by WHO Standards, are lacking. Methods Women who gave birth in 12 countries of the WHO European Region from March 1, 2020 - March 15, 2021 answered an online questionnaire, including 40 WHO Standard-based Quality Measures. Findings 21,027 mothers were included in the analysis. Among those who experienced labour (N=18,063), 41·8% (26·1%- 63·5%) experienced difficulties in accessing antenatal care, 62% (12·6%-99·0%) were not allowed a companion of choice, 31·1% (16·5%-56·9%) received inadequate breastfeeding support, 34·4% (5·2%-64·8%) reported that health workers were not always using protective personal equipment, and 31·8% (17·8%-53·1%) rated the health workers’ number as “insufficient”. Episiotomy was performed in 20·1% (6·1%-66·0%) of spontaneous vaginal births and fundal pressure applied in 41·2% (11·5% -100%) of instrumental vaginal births. In addition, 23·9% women felt they were not treated with dignity (12·8%-59·8%), 12·5% (7·0%-23·4%) suffered abuse, and 2·4% (0·1%-26·2%) made informal payments. Most findings were significantly worse among women with prelabour caesarean birth (N=2,964). Multivariate analyses confirmed significant differences among countries, with Croatia, Romania, Serbia showing significant lower QMNC Indexes and Luxemburg showing a significantly higher QMNC Index than the total sample. Younger women and those with operative births also reported significantly lower QMNC Indexes. Interpretation Mothers reports revealed large inequities in QMNC across countries of the WHO European Region. Quality improvement initiatives to reduce these inequities and promote evidence-based, patient-centred respectful care for all mothers and newborns during the COVID-19 pandemic and beyond are urgently needed. Funding The study was financially supported by the Institute for Maternal and Child Health IRCCS Burlo Garofolo, Trieste, Italy. Study registration ClinicalTrials.gov Identifier: NCT04847336

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“…Some studies also confirmed an association between a positive psychiatric history or various mental health problems during pregnancy and birth satisfaction [ 49 , 52 ]. Our study sample also confirmed that women with a positive psychiatric history have a lower level of childbirth satisfaction ( p ≤ 0.003) than respondents with a negative psychiatric history.…”

Section: Discussionmentioning

confidence: 92%

“…In a cohort study including 16,000 postpartum women with a focus on obstetric interventions by Falk, Nelson and Blomberg, lower birth satisfaction in primiparous women was assessed/proven [ 40 ]. On the contrary, higher birth satisfaction in multiparous women is presented in a study based on WHO standards by Lazzerini, Mariani, Semenzato et al [ 49 ].…”

Section: Discussionmentioning

confidence: 99%

The Association between Birth Satisfaction and the Risk of Postpartum Depression

Urbanová

Škodová

Bašková

2021

IJERPH

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Negative experiences with childbirth might have a negative impact on a woman’s overall health, including a higher risk of postpartum depression. The aim of the study was to examine the association between birth satisfaction and the risk of postpartum depression (PPD). A 30-item version of the Birth Satisfaction Scale (BSS) and the Edinburgh Postnatal Depression Scale (EPDS) were used, as well as the Perceived Stress Scale (PSS). The study included 584 women (mean age 30.6 ± 4.9), 2 to 4 days postpartum. In the regression model, the negative effect of birth satisfaction on the risk of postpartum depression was shown: a lower level of satisfaction with childbirth was a significant predictor of a higher risk of PPD (β = −0.18, 95% CI = −0.08; −0.03). The regression model was controlled for the effect of the sociodemographic factors (such as education or marital status) and clinical variables (such as parity, type of delivery, psychiatric history, levels of prenatal stress). Levels of prenatal stress (β = 0.43, 95% CI = 0.27; 0.39), psychiatric history (β = 0.08, 95% CI = 0.01; 3.09), parity (β = −0.12, 95% CI = −1.82; −0.32) and type of delivery (β = 0.11, 95% CI = 0.20; 1.94) were also significantly associated with the levels of postnatal depression. The current study confirmed the association between the level of birth satisfaction and the risk of developing PPD, i.e., a lower satisfaction with childbirth may increase the risk of developing PPD.

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Association between maternal satisfaction and other indicators of quality of care at childbirth: a cross-sectional study based on the WHO standards

Cited by 26 publications

References 34 publications

Satisfaction with maternity care among recent migrants: an interview questionnaire-based study

Satisfaction with maternity care among recent migrants: an interview questionnaire-based study

Quality of facility-based maternal and newborn care around the time of childbirth during the COVID-19 pandemic: online survey investigating maternal perspectives in 12 countries of the WHO European Region

The Association between Birth Satisfaction and the Risk of Postpartum Depression

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