Evaluation of satisfaction with care in a midwifery unit and an obstetric unit: a randomized controlled trial of low-risk women
Stine Bernitz, Pål Øian, Leiv Sandvik and Ellen Blix
BMC Pregnancy and Childbirth
Published: 18 June 2016
Satisfaction with birth care is part of quality assessment of care. The aim of this study was to investigate possible differences in satisfaction with intrapartum care among low-risk women, randomized to a midwifery unit or to an obstetric unit within the same hospital.
Randomized controlled trial conducted at the Department of Obstetrics and Gynecology, Østfold Hospital Trust, Norway. A total of 485 women with no expressed preference for level of birth care, assessed to be at low-risk at onset of spontaneous labor were included. To assess the overall satisfaction with intrapartum care, the Labour and Delivery Satisfaction Index (LADSI) questionnaire, was sent to the participants six months after birth. To assess women’s experience with intrapartum transfer, four additional items were added. In addition, we tested the effects of the following aspects on satisfaction; obstetrician involved, intrapartum transfer from the midwifery unit to the obstetric unit during labor, mode of delivery and epidural analgesia.
Women randomized to the midwifery unit were significantly more satisfied with intrapartum care than those randomized to the obstetric unit (183 versus 176 of maximum 204 scoring points, mean difference 7.2, p = 0.002). No difference was found between the units for women who had an obstetrician involved during labor or delivery and who answered four additional questions on this aspect (mean item
score 4.0 at the midwifery unit vs 4.3 at the obstetric unit, p = 0.3). Intrapartum transfer from the midwifery unit to an obstetric unit, operative delivery and epidurals influenced the level of overall satisfaction in a negative direction regardless of allocated unit (p < 0.001).
Low-risk women with no expressed preference for level of birth care were more satisfied if allocated to the midwifery unit compared to the obstetric unit.
Complete list of book reviews on the AIMS website Trust your Body, Trust your Baby: How learning to listen changes everything Why Mothers' Medication Matters Trust your B…Read more
AIMS Journal, Vol 29, No 4 By Jo Dagustun Wow – what another great conference put on by the team at Doula UK! I was keen to get to this annual conference again, having be…Read more
AIMS Journal, 2017, Vol 29 No 4 Nicola Lawson shares her knowledge on carrying one - two - three babies! The idea of transporting two babies at once can be daunting, and…Read more
To register your interest please email email@example.com or keep an eye on our website https://www.npeu.ox.ac.uk/mbrrace-uk/bookings . Earlybird bookings will open…Read more
17–21 October 2018 Further DetailsRead more
AIMS AGM 2018 All members welcome! Please email firstname.lastname@example.org if you plan to attend to help us to judge numbers, or if you wish to send apologies 10 for 10.30 sta…Read more
AIMS is delighted that the Government has recognised the importance to the safety of women and babies of the continuity of carer model of midwifery. Having a midwife that…Read more
Dr. Ágnes Geréb is a Hungarian obstetrician and midwife who has been under house arrest following her support for women outside of the obstetric system. March 2018: ENCA…Read more
AIMS submitted our response to this consultation on the 23 January 2018. A number of regulators, including the Care Quality Commission (CQC), the Professional Standards A…Read more