Satisfaction with childbirth services provided in public health facilities: results from a cross- sectional survey among postnatal women in Chhattisgarh, India

Background: A woman's satisfaction with childbirth services can have a significant impact on her mental health and ability to bond with her neonate. Knowing postnatal women's opinions and satisfaction with services makes the services more women-friendly. Indian women's satisfaction wi...

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Veröffentlicht in:Global health action 2017, Vol.10 (1), p.1386932-1386932
Hauptverfasser: Jha, Paridhi, Larsson, Margareta, Christensson, Kyllike, Skoog Svanberg, Agneta
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Larsson, Margareta
Christensson, Kyllike
Skoog Svanberg, Agneta
description Background: A woman's satisfaction with childbirth services can have a significant impact on her mental health and ability to bond with her neonate. Knowing postnatal women's opinions and satisfaction with services makes the services more women-friendly. Indian women's satisfaction with childbirth services has been explored qualitatively, or by using non-standard local questionnaires, but scientific data gathered with standardised questionnaires are extremely limited. Objective: To measure postnatal Indian women's satisfaction with childbirth services at selected public health facilities in Chhattisgarh, India. Methods: Cross-sectional survey using consecutive sampling (n = 1004) was conducted from March to May 2015. Hindi-translated and validated versions of the Scale for Measuring Maternal Satisfaction for Vaginal Births (VB) and Caesarean Births (CB) were used for data collection. Results: Although most of the women (VB 68.7%; CB 79.2%) were satisfied with the overall childbirth services received, those who had VB were least satisfied with the processes around meeting their neonates (mean subscale score 1.8, SD 1.3), while women having CB were least satisfied with postpartum care received (mean subscale score 2.7, SD 1.2). Regression analyses revealed that among women having VB, interacting with care providers, being able to maintain privacy, and being free from fear of childbirth had a positive influence on overall satisfaction with the childbirth. Among women having CB, earning their own salary and having a positive perception of self-health had associations with overall birth satisfaction. Conclusions: Improving interpersonal interaction with nurse-midwives, and ensuring privacy during childbirth and hospital stay, are recommended first steps to improve women's childbirth satisfaction, until the supply gap is eliminated.
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Knowing postnatal women's opinions and satisfaction with services makes the services more women-friendly. Indian women's satisfaction with childbirth services has been explored qualitatively, or by using non-standard local questionnaires, but scientific data gathered with standardised questionnaires are extremely limited. Objective: To measure postnatal Indian women's satisfaction with childbirth services at selected public health facilities in Chhattisgarh, India. Methods: Cross-sectional survey using consecutive sampling (n = 1004) was conducted from March to May 2015. Hindi-translated and validated versions of the Scale for Measuring Maternal Satisfaction for Vaginal Births (VB) and Caesarean Births (CB) were used for data collection. Results: Although most of the women (VB 68.7%; CB 79.2%) were satisfied with the overall childbirth services received, those who had VB were least satisfied with the processes around meeting their neonates (mean subscale score 1.8, SD 1.3), while women having CB were least satisfied with postpartum care received (mean subscale score 2.7, SD 1.2). Regression analyses revealed that among women having VB, interacting with care providers, being able to maintain privacy, and being free from fear of childbirth had a positive influence on overall satisfaction with the childbirth. Among women having CB, earning their own salary and having a positive perception of self-health had associations with overall birth satisfaction. 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Published by Informa UK Limited, trading as Taylor &amp; Francis Group. 2017</rights><rights>2017 The Author(s). Published by Informa UK Limited, trading as Taylor &amp; Francis Group. This work is licensed under the Creative Commons Attribution License http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2017 The Author(s). 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Knowing postnatal women's opinions and satisfaction with services makes the services more women-friendly. Indian women's satisfaction with childbirth services has been explored qualitatively, or by using non-standard local questionnaires, but scientific data gathered with standardised questionnaires are extremely limited. Objective: To measure postnatal Indian women's satisfaction with childbirth services at selected public health facilities in Chhattisgarh, India. Methods: Cross-sectional survey using consecutive sampling (n = 1004) was conducted from March to May 2015. Hindi-translated and validated versions of the Scale for Measuring Maternal Satisfaction for Vaginal Births (VB) and Caesarean Births (CB) were used for data collection. 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Conclusions: Improving interpersonal interaction with nurse-midwives, and ensuring privacy during childbirth and hospital stay, are recommended first steps to improve women's childbirth satisfaction, until the supply gap is eliminated.</description><subject>Adult</subject><subject>Births</subject><subject>Caesarean section</subject><subject>Cesarean section</subject><subject>Childbirth &amp; labor</subject><subject>Cross-Sectional Studies</subject><subject>Data collection</subject><subject>Delivery, Obstetric - psychology</subject><subject>Delivery, Obstetric - statistics &amp; numerical data</subject><subject>Female</subject><subject>Health Care Research</subject><subject>Health facilities</subject><subject>Hindi-translated Scale for Measuring Maternal Satisfaction</subject><subject>Humans</subject><subject>Hälso- och sjukvårdsforskning</subject><subject>India</subject><subject>Infant, Newborn</subject><subject>institutional births</subject><subject>intrapartum care</subject><subject>Maternal-Child Health Services - organization &amp; 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Knowing postnatal women's opinions and satisfaction with services makes the services more women-friendly. Indian women's satisfaction with childbirth services has been explored qualitatively, or by using non-standard local questionnaires, but scientific data gathered with standardised questionnaires are extremely limited. Objective: To measure postnatal Indian women's satisfaction with childbirth services at selected public health facilities in Chhattisgarh, India. Methods: Cross-sectional survey using consecutive sampling (n = 1004) was conducted from March to May 2015. Hindi-translated and validated versions of the Scale for Measuring Maternal Satisfaction for Vaginal Births (VB) and Caesarean Births (CB) were used for data collection. Results: Although most of the women (VB 68.7%; CB 79.2%) were satisfied with the overall childbirth services received, those who had VB were least satisfied with the processes around meeting their neonates (mean subscale score 1.8, SD 1.3), while women having CB were least satisfied with postpartum care received (mean subscale score 2.7, SD 1.2). Regression analyses revealed that among women having VB, interacting with care providers, being able to maintain privacy, and being free from fear of childbirth had a positive influence on overall satisfaction with the childbirth. Among women having CB, earning their own salary and having a positive perception of self-health had associations with overall birth satisfaction. Conclusions: Improving interpersonal interaction with nurse-midwives, and ensuring privacy during childbirth and hospital stay, are recommended first steps to improve women's childbirth satisfaction, until the supply gap is eliminated.</abstract><cop>United States</cop><pub>Taylor &amp; Francis</pub><pmid>29087240</pmid><doi>10.1080/16549716.2017.1386932</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0001-8050-621X</orcidid><orcidid>https://orcid.org/0000-0002-1285-7138</orcidid><oa>free_for_read</oa></addata></record>
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subjects Adult
Births
Caesarean section
Cesarean section
Childbirth & labor
Cross-Sectional Studies
Data collection
Delivery, Obstetric - psychology
Delivery, Obstetric - statistics & numerical data
Female
Health Care Research
Health facilities
Hindi-translated Scale for Measuring Maternal Satisfaction
Humans
Hälso- och sjukvårdsforskning
India
Infant, Newborn
institutional births
intrapartum care
Maternal-Child Health Services - organization & administration
Medical personnel
Mental health
Midwives
Neonates
Newborn babies
Original
Parturition - psychology
Patient Satisfaction - statistics & numerical data
Personal Satisfaction
Polls & surveys
Postpartum period
Postpartum women
Pregnancy
Privacy
Public health
Public health clinics
Quality of care
Quality of Health Care - statistics & numerical data
Questionnaires
Sampling
Social interaction
Surveys and Questionnaires
Womens health
title Satisfaction with childbirth services provided in public health facilities: results from a cross- sectional survey among postnatal women in Chhattisgarh, India
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