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.
AIMS Journal, 2018, Vol 30, No1 By Jo Dagustun, Editor I’m going to start with an assumption: that everyone reading this Journal is already convinced that we can do far b…Read more
AIMS Journal, 2018, Vol 30, No1 A birth story by Emma Ashworth It was my booking-in appointment for my second baby, and I didn’t want to be there. I didn’t want to birth…Read more
AIMS Journal, 2018, Vol 30, No1 By the AIMS Campaign Team Change at the NMC: why is this important to AIMS? AIMS recognises that a large number of taxpayer funded nationa…Read more
Details on Eventbrite Organised by Dr Rebecca Moore who has recently founded to the Make Birth Better NetworkRead more
To register your interest please email firstname.lastname@example.org or keep an eye on our website https://www.npeu.ox.ac.uk/mbrrace-uk/bookings . Earlybird bookings will open…Read more
28 th June 2018 "This act of clemency is about more than me. It is an acknowledgement of liberty in giving birth. It is a recognition by the state that the rights of wome…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 fighting for her freedom following her house arrest and thret of imprisonment due to her support for…Read more