Gaining insight into how women conceptualize satisfaction: Western Australian women’s perception of their maternity care experiences

Background: Women's satisfaction with maternity care is strongly influenced by their sociodemographic characteristics, values, and attitudes. The arrival of a preterm baby is often a traumatic time, with unique factors involved. The Spanish Preterm Birth Experience and Satisfaction Scale (P-BESS) is a robust instrument capable of assessing women's satisfaction during preterm birth. The purpose of this study was to assess women's satisfaction with maternity care during labor and birth with preterm babies in a Spanish-speaking population. Methods: This is a cross-sectional study. Participants were 182 women who gave birth within 37 weeks' gestation. Factors associated with satisfaction were studied through univariate and bivariate analyses and through multiple linear regression using the backward elimination method. Results: Women reported high satisfaction with maternity care overall (average score of 84 out of 95). Women with a university education were generally less satisfied. Women were more satisfied if they were pregnant for the first time. Women who reported a previous premature birth or neonatal death were more satisfied, and women who had prior miscarriages were less satisfied compared with women without these experiences. Conclusions: The analysis confirmed that the majority of women surveyed were very satisfied with their childbirth experience. The Spanish P-BESS can be a useful way of prioritizing intervention measures, focusing on those aspects lowest scored by women, such as "information and explanations" and "confidence in staff," to improve maternity services for families experiencing preterm birth. K E Y W O R D Slabor, patient satisfaction, preterm births, surveys and questionnaires, validation studies Note: Four regression models were performed, one with the total score as the dependent variable and one for each of the subscales. The demographic variables that were significant with each of the scores, shown in Table 3, were included as independent variables, performing a method of selecting stepwise variables, which allows us to have models with only the significant variables. No significant factors were identified for the subscales Staff Professionalism and Empathy and Information and Explanations. T A B L E 4 Results of multivariateanalysis displaying association between the scale and factors associated with satisfaction, Spain, 2017

Section: Discussionmentioning

confidence: 79%

Women's satisfaction with maternity care during preterm birth

Blázquez

Ferrándiz

Caballero

et al. 2019

“…[55][56][57] The studies in this review primarily explored the adverse experiences and potential conflicts in women's IOL experiences; therefore, future research should address what constitutes a positive IOL experience and how that may be further supported by health care professionals. This is a common challenge in modern health care, which often fails to be patient-centered; however, all areas of attention identified in this review point to the importance of a communicative and patient-centered approach.…”

Section: Discussionmentioning

confidence: 99%

“…Several studies of women's satisfaction with intraand postpartum care have shown how communication and continuity of care are essential for a positive birth experience and that good communication can make up for very unfavorable situations and potentially negative experiences. [55][56][57] The studies in this review primarily explored the adverse experiences and potential conflicts in women's IOL experiences; therefore, future research should address what constitutes a positive IOL experience and how that may be further supported by health care professionals. Moreover, only one included study 36 mentioned the role of the partner.…”

Section: Discussionmentioning

confidence: 99%

Women‘s experiences of postterm induction of labor: A systematic review of qualitative studies

Lou

Hvidman

Uldbjerg

et al. 2018

Background: Over the last decade, induction of labor (IOL) in postterm pregnancies has increased. Studies have shown the medical advantages of postterm IOL, but less is known about the perspectives of the pregnant women. This review aimed to summarize the current qualitative evidence on women's experience of postterm IOL. Methods: A systematic literature search was performed in three databases. A total of 3193 publications were identified, but only eight studies met the inclusion criteria.Thematic analysis guided the data extraction and synthesis. The Confidence in the Evidence for Reviews of Qualitative research (CERQual) approach was used to assess confidence in the findings. Results: Three major findings were identified. First, for some women, IOL required a shift in expectations because the hope of spontaneous labor had to be given up.Second, the IOL decision was considered a recommendation from health care professionals and was experienced as a nondecision. Finally, the induction process was experienced as a sequential set of steps where the women were expected to fit into the existing hospital organization. The CERQual assessment suggested moderate confidence in all findings. Discussion: The negative experiences identified in this review can be greatly reduced by a communicative and patient-centered approach. To support informed choice and shared decision making, women need high-quality, unbiased information about IOL, alternative options, and potential outcomes, in addition to time for reflection on their personal values and preferences. Women may need a professionally initiated and supported opportunity to re-evaluate their hopes and expectations before IOL. K E Y W O R D Sexperience, induction of labor, postterm pregnancy, qualitative research, systematic review

“…To our knowledge, this was the first study that assessed the Labour Agentry scores among women who experienced the care from their midwife during childbirth as “less than good.” Our finding that women with a lower sense of control during the dilation and during the pushing phase of childbirth were more likely to indicate that they experienced “less than good” midwifery care parallels the international literature about control during birth. A woman's sense of control during childbirth is internationally consistently described as a major contributing factor to a woman's childbirth experience and her subsequent well‐being .…”

Section: Discussionmentioning

confidence: 99%

Client‐Related Factors Associated with a “Less than Good” Experience of Midwifery Care during Childbirth in the Netherlands

Baas

Wiegers

Cock

et al. 2016

Birth-related factors were more likely than maternal characteristics to be associated with the experience of midwifery care during childbirth. We conclude that there is room for midwives to improve their care for women during childbirth particularly in improving the patient centeredness of the care provider, using strategies to enhance sense of control, and focusing on the particular needs of those who experience instrumental vaginal or unplanned cesarean births.