Satisfaction with obstetric care in a population of low-educated native Dutch and non-western minority women. Focus group research

Peters, Ingrid; Posthumus, Anke G.; Steegers, Eric A.P.; Denktaş, Semiha

doi:10.1371/journal.pone.0210506

Cited by 20 publications

(30 citation statements)

References 51 publications

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“…Care during pregnancy was the time period with highest proportion of dissatisfaction in our study. Contrary to this, a Dutch study showed that non-Western migrants were most satisfied with the antenatal care, 38 while a British study found little difference in satisfaction between the three periods. 34 These differences might be explained by different ways of organising the maternity care between countries, for instance, a more non-intervening approach to perinatal care, continuity of care and more home births in the Netherlands compared with Norway.…”

Section: Open Accessmentioning

confidence: 79%

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: 79%

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

et al. 2021

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“…The availability and communication of information and personal control during pregnancy and childbirth is important for patient satisfaction among all pregnant women [ 20 , 21 ]. This satisfaction is thought to have both short-term and long-term effects on women’s health and the relationship with the infant [ 21 ].…”

Section: Discussionmentioning

confidence: 99%

Care by Midwives, Obstetricians, and Dietitians for Pregnant Women Following a Strict Plant-Based Diet: A Cross-Sectional Study

et al. 2021

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With an growing number of people on a strict plant-based diet, its potential effect on pregnancy and lactation becomes increasingly important. It is, however, unclear how obstetric caregivers currently handle and think about a strict plant-based diet in pregnancy. The aim of the study was therefore to evaluate the self-reported knowledge and advice given by Dutch obstetric caregivers and dietitians when treating pregnant women on a strict plant-based diet. A cross-sectional study was performed by sending an online survey to Dutch midwife practices, obstetricians, and dietitian practices. Descriptive statistics are reported. A total of 121 midwives, 179 obstetricians, and 111 dietitians participated in this study. The majority of midwives (80.2%) and obstetricians (93.9%) considered a strict plant-based diet to be a significant risk factor for nutrient deficiency during pregnancy. Maternal dietary preferences, including a potential strict plant-based diet, were discussed at the first prenatal appointment by 59.5% of midwives and 24.1% of obstetricians. A self-reported lack of knowledge concerning the strict plant-based diet was mentioned by 66.1% of midwives and 75.4% of obstetricians. Obstetric caregivers mostly considered the identification of this dietary habit and subsequent referral to a dietitian or a reliable website as optimal care for pregnant women on the strict plant-based diet. However, only 38.7% of dietitians indicated to have sufficient knowledge to counsel these women. Although obstetric caregivers thought that a strict plant-based diet in pregnancy may lead to increased risks of nutritional deficiencies, the majority report to have insufficient knowledge to provide adequate advice. Only a minority referred these women to dietitians, of whom a minority indicated to have adequate knowledge on this specific diet. These results suggest that current care is suboptimal for an increasing number of pregnant women. Women on a strict plant-based diet could benefit from increased knowledge about this topic among obstetric caregivers and dietitians, as well as from clear guidelines regarding this diet during pregnancy.

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“…Hispanics and other ethnicities may have shown unfavorable attitudes due to larger representation of immigrants within those groups. For example, immigrants in the Netherlands reported issues of communication, autonomy and respect [ 18 ]. An Australian sponsored study looked at five host countries with significant immigrant populations and also found issues with communication and discrimination [ 19 ].…”

Section: Discussionmentioning

confidence: 99%

How do pregnant women’s perceptions of obstetric forceps change according to their demographic background: a cross sectional study

Hitt

Martin

Dietrich

et al. 2021

BMC Pregnancy Childbirth

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Background Women’s attitudes towards obstetric forceps likely contribute to declining use and opportunities for residency training, but formal documentation of women’s attitudes towards obstetric forceps is currently limited. A clearer understanding should help guide our attempts to preserve its use in modern obstetrics and to improve residency training. Our objective is to document women’s attitudes towards obstetric forceps and the influence basic demographic variables have on those attitudes. Methods A cross sectional study was performed. We developed a one-time anonymous structured 5-question survey that was given to all women with low-risk pregnancies presenting to our medical center for prenatal care between October 2018–December 2018. The questionnaire asked for the woman’s self-reported age, race, education level and insurance type. The five questions were as follows: (1) Do you think forceps should be used to deliver babies, (2) Is forceps safe for the baby, (3) Is forceps safe for the mother, (4) Do you think forceps can help to lower the cesarean section rate, (5) Do you think physicians in training should learn to place forceps on a real patient. We calculated means and proportions for the responses according to the overall group and various subgroups. Statistical analysis included Kruskall-Wallis or Mann-Whitney tests as appropriate. Results were also adjusted by regression using a Generalized Linear Model. Power calculation showed sample size of 384 was required. Results A total of 499 women returned the questionnaire. Response rate was 56.8% (499/878). The findings suggest that women’s perceptions towards forceps are generally negative. Women with white ethnicity, college education or higher and private insurance did have more favorable views than their counterparts, but the majority still had unfavorable views. Age was not shown to have a significant effect on maternal attitude. Conclusion Women’s views towards forceps use in the University of Kansas Medical Center are negative and may be contributing to the decline of its use. Improving women’s perceptions of forceps would require multiple different strategies rather than a single focused easily-implemented message. If forceps training continues, such training will rely on a minority of women who will accept forceps use in childbirth.

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Satisfaction with obstetric care in a population of low-educated native Dutch and non-western minority women. Focus group research

Cited by 20 publications

References 51 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

Care by Midwives, Obstetricians, and Dietitians for Pregnant Women Following a Strict Plant-Based Diet: A Cross-Sectional Study

How do pregnant women’s perceptions of obstetric forceps change according to their demographic background: a cross sectional study

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