Comparative study analysing women's childbirth satisfaction and obstetric outcomes across two different models of maternity care

Ferrer, Ma Belén Conesa; Jordana, Manuel Canteras; Meseguer, Carmen Ballesteros; García, César Carrillo; Roche, María Emilia Martínez

doi:10.1136/bmjopen-2016-011362

Cited by 67 publications

(51 citation statements)

References 56 publications

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“…The study verified how the selected demographic characteristics (age, education, place of residence) and the number and type of childbirth are linked to women's satisfaction with childbirth. Previous research has shown that the number of births is in some cases related to women's satisfaction with the birthing experience and that multiparas are more satisfied (Ferrer, et al, 2016). In our case satisfaction proved not to be the decisive factor as the results of the analysis did not show any connection between the number of births and the level of satisfaction with the childbirth experience.…”

Section: Discussioncontrasting

confidence: 55%

“…V raziskavi smo preverjali, kako so izbrane demografske značilnosti (starost, izobrazba, kraj bivanja) ter število in vrsta poroda povezani z zadovoljstvom žensk s porodno izkušnjo. Predhodne raziskave ugotavljajo, da je število porodov v nekaterih primerih povezano z zadovoljstvom s porodno izkušnjo, zadovoljnejše so mnogorodnice (Ferrer, et al, 2016). V našem primeru se je izkazalo, da za zadovoljstvo to ni bil odločilen dejavnik, saj rezultati analize niso pokazali povezanosti med številom porodov in stopnjo zadovoljstva s porodno izkušnjo.…”

Section: Diskusijaunclassified

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Women's satisfaction with the childbirth experience: a descriptive research

Menhart

Prosen

2017

Obzor Zdrav Neg

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Uvod: Zadovoljstvo je kompleksen pojem, ki ga velikokrat zasledimo pri ocenjevanju porodne izkušnje. Namen raziskave je bil ugotoviti, kakšne so izkušnje žensk v Sloveniji z vidika zadovoljstva z nudeno obporodno obravnavo. Metode: V neeksperimentalni kvantitativni raziskavi je bila porabljena slovenska verzija anketnega vprašalnika Birth Satisfaction Scale – Revised (Cronbach α = 0,81). Zbiranje podatkov je potekalo s pomočjo spletnega anketnega vprašalnika v februarju 2017. V priložnostnem vzorcu je bila zajeta 301 ženska, ki je v letu 2016 rodila v Sloveniji. Podatki so bili analizirani z deskriptivno statistiko, Mann-Whitneyevim U-testom in Spearmanovim korelacijskim koeficientom. Rezultati: Ugotovitve kažejo, da število porodov (U = 6802, p = 0,150), izobrazba (U = 7493, p = 0,317) in starost (U = 5142, p = 0,061) ter prisotnost obporodnega partnerja (U = 2841, p = 0,730) niso statistično pomembno povezani z ocenjevanjem zadovoljstva. Vpliv števila porodov je bil ugotovljen le v povezavi z izvedenim carskim rezom, pri tem je bila ugotovljena nižja stopnja zadovoljstva pri prvorodnicah v primerjavi z mnogorodnicami (U = 430, p = 0,001). Statistično pomembne razlike na ravni celotnega vzorca smo ugotovili v povezavi zadovoljstva in kraja bivanja, bolj zadovoljne so bile ženske, ki živijo na podeželju (U = 7029, p = 0,039). Medsebojno zmerno statistično povezanost smo ugotovili tudi za profesionalno komunikacijo in manjšo zaskrbljenost porodnice (rs = 0,397, p = 0,000). Diskusija in zaključek: Ugotovitve kažejo, da so zdravstveni delavci, prisotni pri porodu, ključni dejavnik za dosego pozitivne porodne izkušnje. Pridobljeni rezultati odpirajo priložnost za nadaljnje raziskave v smeri komunikacije in odnosa zdravstvenih delavcev s porodnico.

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Section: Discussioncontrasting

confidence: 55%

Section: Diskusijaunclassified

Women's satisfaction with the childbirth experience: a descriptive research

Menhart

Prosen

2017

Obzor Zdrav Neg

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“…For healthcare professionals, three consequences were satisfaction of the job, which included all areas of medicalised and nonmedicalised care provided (Conesa Ferrer, Canteras Jordana, Ballesteros Meseguer, Carrillo Garcia, & Martinez Roche, ), an increase in the esteem of their profession and in their practice (Fujita et al, ) and the empowerment of staff that built confidence in changing practice.…”

Section: Methodsmentioning

confidence: 99%

“…The quantitative measurement of “humanisation in pregnancy and childbirth” has been assessed in a number of ways including the use of the childbirth companion intervention (Brown, Hofmeyr, Nikodem, Smith, & Garner, ) and the Women's views of birth and labour satisfaction questionnaire (Conesa Ferrer et al, ). Questionnaires used in the research were validated for their reliability using pretesting (Baldisserotto, Filha, & Gama, ; Oliveira Morais, do Nascimento Paz, & de Matos Bezerra, ).…”

Section: Methodsmentioning

confidence: 99%

Humanisation in pregnancy and childbirth: A concept analysis

Curtin

Savage

Leahy‐Warren

2020

Journal of Clinical Nursing

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Aims and objectives:To undertake a concept analysis of humanisation in pregnancy and childbirth.Background: Humanisation in pregnancy and childbirth has historically been associated with women who do not require medical intervention. However, the increasing recognition of the importance of emotional and mental health and the physical outcome of pregnancy has meant that there is a need to identify clinical attributes and behaviours that contribute to a positive emotional outcome. Failure to support and protect the emotional health of the woman in pregnancy and childbirth can have effects on the long-term mental health of the mother and the long-term physical and mental health of the child. Design: Concept AnalysisMethods: Eight-step method of concept analysis proposed by Walker and Avant. Results:Defining attributes include being a protagonist, human being interaction and benevolence. Antecedents identified were a recognition of women's rights, birth models, professional competence and the environment. Consequences were identified for women and healthcare professionals: for women, increased feelings of confidence, satisfaction of the experience and safety; and for healthcare professionals, increased satisfaction and confidence in their job and increased esteem in their profession. Conclusions: Humanisation of pregnancy and childbirth now encompasses all women regardless of care pathway. Humanisation does not obstruct the prioritisation of lifesaving procedures or the use of medical intervention where required. Relevance to clinical practice: Women who are able to identify their rights when accessing maternity care will be better equipped to ensure their care planning is individualised. The identification of humanised care practices, attributes and behaviours can support healthcare professionals in the clinical area who wish to identify a pathway of humanised care in pregnancy and birth. K E Y W O R D S birth, concept analysis, humanisation, labour, pregnancy | 1745 CURTIN eT al.

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“…During the discussion of stage two, from full dilatation to the birth of baby, it was identified that negative statements made by two childbirth educators were greater than both information and positive statements combined. Studies have identified that the use of positive and negative suggestions may have implications for birth expectations and experiences of women and their birth partner 20 . Suggestions are a communication technique that can lead to subconscious non-volitional changes in perception, mood, and behaviour 21 .…”

Section: Figure 4 Statements Made By Childbirth Educators When Discumentioning

confidence: 99%

Antenatal education for childbirth: Labour and birth

et al. 2020

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INTRODUCTION This study aimed to identify the way information is described and presented by childbirth educators during antenatal classes for expectant parents, and analyse the language structures used when discussing labour and birth. METHODS This cross-sectional study of antenatal education was conducted at a single tertiary referral centre for Maternity Care in Western Sydney, Australia. All childbirth educators (n=3) were recorded whilst providing information to parents during antenatal classes. Audio data were subsequently transcribed and then analysed by two researchers, independently categorising the various language structures and types of information provided. This is the second study in a series of antenatal education topics. RESULTS During the labour and birth class, information statements were the predominant language structure that was spoken with 241 of 655 statements; negative statements were the next most frequent at 119 while there were 79 positive statements. The second stage of labour had a greater proportion of negative statements for two educators, followed by information and positive statements combined. Misinformation statements were minimal for this topic however, and there was an absence of any statements discussing the rest period between contractions. CONCLUSIONS The findings further emphasise the need to examine the language used by health professionals when educating parents. Negative statements during antenatal education are still common despite research in other contexts suggesting that these are potentially unhelpful. Further research into the language and suggestions used during antenatal education is required to determine whether improved outcomes seen in other contexts are confirmed in the childbirth setting.

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Comparative study analysing women's childbirth satisfaction and obstetric outcomes across two different models of maternity care

Cited by 67 publications

References 56 publications

Women's satisfaction with the childbirth experience: a descriptive research

Women's satisfaction with the childbirth experience: a descriptive research

Humanisation in pregnancy and childbirth: A concept analysis

Antenatal education for childbirth: Labour and birth

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