Quality of Childbirth Care in Women Undergoing Labour: Satisfaction with Care Received and How It Changes over Time

Abstract

(1) Background: To evaluate women’s satisfaction with the care received during childbirth undergoing labour and how this changes over time. (2) Methods: An observational, multicentre and longitudinal study in two public hospitals of Spain with a convenience sample of 248 women during the post-partum period. Satisfaction was evaluated using the Intrapartal-Specific Quality from the Patient’s Perspective questionnaire. Socio-demographic and clinical variables were considered. A bivariate analysis evaluated the relationship between satisfaction and the recorded variables to compare the hypotheses, and also to know if there were any significant differences between the scores obtained at the various evaluated time points (three days, 15 days, one year postpartum). The multivariate analysis by binary logistic regression helped complete the study about the variables related to the level of satisfaction; (3) Results: The mean scores for satisfaction at each time point were high, and they lowered with time. The bivariate analysis showed an association between satisfaction and the following variables: ‘mother’s place of birth’, ‘level of education’, ‘type of labour onset’, ‘type of birth’ and ‘type of perineal trauma’. For the multivariate analysis, women who gave birth vaginally, began labour spontaneously and had an epidural were more satisfied than those who did not; (4) Conclusions: Women seemed to obtain good levels of satisfaction with the care they received. Even so, based on continuously improved quality, we proposed some improvement measures, particularly regarding the physical environment and the information offered to patients. It is important to know at what time experience while giving birth should be evaluated as scores can lower with time as part of its normal evolution.

Women’s agenda for the improvement of childbirth care: Evaluation of the Babies Born Better survey data set in Spain

“…Relatedly, women described as negative or undesirable practices which prevented supportive companions (family, friends, doulas etc) from being present during cesarean births. Several studies have shown that women positively value support from relatives during perinatal care, 43,44 and existing studies document safety and higher levels of satisfaction provided by “gentle” or “family‐centered” cesarean births 45,46 …”

Influencing Factors of Outpatients’ Satisfaction in China a Cross-Sectional Study of 16 Public Tertiary Hospitals

“…9,10 Miriam's research showed that the subjectivity of patients will affect the results of satisfaction evaluation. 11 The abovementioned studies were used to evaluate the satisfaction of specific types of subjects in the hospital environment of different developed and developing countries. Even if the research was conducted under such micro-specific conditions, these documents still showed satisfaction and influence in the conclusion The causal relationship between factors was still controversial.…”

Mixed‐method study of women’s assessment and experience of childbirth care

“…It is well known that patients' satisfaction with the care they receive has beneficial effects on their health (Haley et al, 2017). With regard to childbirth care, there is evidence showing how the care provided by health professionals influences women's experiences (Donate-Manzanares et al, 2019). These experiences have a significant impact on health during the postpartum period.…”