Women's childbirth satisfaction and obstetric outcomes comparison between two birth hospitals in Barcelona with different level of assistance and complexity

Abstract

Aim: Barcelona Hospital Campus Vall D'Hebron (Hospital A) and Hospital Mollet (Hospital B) provide women with humanized maternity care, but there are differences in dimension and complexity. This study describes the obstetrical results and women's childbirth satisfaction of these two Spanish hospitals. Design: A correlational descriptive study was conducted with 194 postpartum women. Methods: Satisfaction and birth experience were evaluated using the CEQ-E and the MCSRSS questionnaires. A bivariate and discriminant analysis was conducted to evaluate the relationship between satisfaction and the recorded variables. Results: There were significant differences between both hospitals in prenatal class attendance (p = 0.006), same midwife during all process (p = 0.000), and mode of delivery (p = 0.009). Significant association was found among overall satisfaction and immediate breastfeeding in the delivery room (p = 0.050), skin-to-skin contact (p = 0.004), beginning of labour (p = 0.031), and delivery mode (p = 0.011). The total questionnaires scores mean of CEQ-E and MCSRSS were Hospital A 66.97 and 130.64; Hospital B 67.98 and 129.98, respectively. Women at both hospitals were satisfied with different aspects. Conclusion: Despite obtaining similar results in both hospitals, there are better obstetrical outcomes in hospital B with less complexity. However, women's satisfaction scores are slightly different in certain questionnaires subscales between both hospitals.

Workload, job satisfaction and occupational stress in Polish midwives before and during the COVID-19 pandemic

“…Midwives represent one of the key professional groups in the healthcare sector. The quality of their work is a fundamental predictor of women's satisfaction with childbirth and the health outcomes of newborns [3]. Midwifery is a profession with high exposure to stress, and it is considered as one of the most physically and psychologically demanding professions.…”

Social support at work and job satisfaction among midwives: The mediating role of positive affect and work engagement

“…Although our study was conducted in the Polish population, it addressed a broader problem, that is, providing healthcare at an appropriate level, regardless of nationality or country of residence. Previous results proved the positive role of job satisfaction at the workplace, for example, stronger job satisfaction is linked with higher level of quality of health service (Rodríguez Coll et al, 2021). The theoretical basis of the research is the job demands–resources (JD‐R) model, which describes the motivational process (Schaufeli & Bakker, 2004).…”

Ebeleri̇n Covi̇d-19 Pandemi̇si̇nde Duygusal Emek İle Tükenmi̇şli̇k Düzeyleri̇ Arasindaki̇ İli̇şki̇ni̇n İncelenmesi̇

“…Midwifery offers the most important health services, including prepartum, maternity and postpartum care with the strategies to promote, increase and protect maternal and child health. Midwives play an important role in decreasing maternal and infant death with the care services they provide and they represent one of the important occupational groups in the health care industry (7,8). Women become pregnant, give birth and need for midwifery care along with their families during the pandemic too.…”

“…Women become pregnant, give birth and need for midwifery care along with their families during the pandemic too. Maternal and neonatal care gained an extra importance during the pandemic (8). Thus, midwives are health care professionals who have an active role in this process (9,10).…”

“…Thus, midwives are health care professionals who have an active role in this process (9,10). The studies conducted show an increase in anxiety and stress levels and decreased life satisfaction in midwives during the pandemic due to increased workload and unit change (8,11). Emotional labor is also a stressor that leads to burnout (12).…”