Satisfaction with pregnancy and birth services: The quality of maternity care services as experienced by women
Abstract
Objectives To investigate the opinions of women regarding satisfaction with the quality of maternity care received, and to establish whether health-care technology increases satisfaction or interferes with the construction of personal satisfaction in the process of care.Design and setting Information was gathered using focus groups. The area of study comprised the postnatal groups run as part of the Sexual and Reproductive Health Programme of the Catalan Health Authority, Spain.Participants Five focus groups were held between May 2006 and July 2007.Findings Quality of care is a complex concept in which a number of independent core features can be identified. These core features were grouped into three basic categories: safety (the hospital and its technological facilities, and the technical expertise of health professionals), the relationship between the carers and the service user, and the structural aspects that determine the context in which health care is provided.Key conclusions and implications for practice The mothers in this study were satisfied with health-care technology and viewed it as a source of security. Technology was indispensable to reduce the anxiety provoked by their perceived lack of confidence in their ability as mothers. During pregnancy and, especially, when giving birth, women believe that their feelings and values should be understood by professionals, from whom they seek empathy and personal commitment, not just information.
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A summary of the literature by McCourt et al. pointed to qualitative studies which all found continuity of carer to be important to women, particularly in labour.
“In contrast to these findings, a summary of the literature by McCourt et al. [9] pointed to qualitative studies which all found continuity of carer to be important to women, particularly in labour.”
These findings are in keeping with many of the RCTs, other studies, and the Cochrane review of midwife-led care.
“These findings are in keeping with many of the RCTs [4–6, 14], other studies [4, 6, 8–14], and the Cochrane review of midwife-led care [7].”
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- Authors
- Goberna-Tricas, J., Banús-Giménez, M. R., Palacio-Tauste, A., & Linares-Sancho, S.
- Affiliations
- Institut Català de la Salut (ES)
- Venue
- Midwifery
- Publisher
- Elsevier BV
- Published
- 2011-12
- Volume
- 27
- Issue
- 6
- Pages
- e231-e237
- ISSN
- 0266-6138 (ISSN-L)
- OpenAlex
- W1972781818
- Cited by
- 88
- References
- 70
- Citations by year
- 2026: 2 · 2024: 6 · 2023: 3 · 2022: 8 · 2021: 11 · 2020: 9 · 2019: 2 · 2018: 5 · 2017: 7 · 2016: 14 · 2015: 8 · 2014: 3 · 2013: 7 · 2012: 3
- FWCI
- 4.36
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Midwifery (publishedVersion)
- PubMed (publishedVersion)
- Dipòsit Digital de la Universitat de Barcelona (Universitat de Barcelona) (acceptedVersion)
- RECERCAT (Consorci de Serveis Universitaris de Catalunya) (acceptedVersion)
- Funders
- Universitat de Barcelona
- Topics
- Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
- Health Sciences › Health Professions › General Health Professions › Patient Satisfaction in Healthcare
- Health Sciences › Health Professions › Health Information Management › Healthcare Quality and Management
- Keywords
- patient satisfaction, obstetric care, quality of care, childbirth, pregnancy, health technology, caregiver-patient relationship, postpartum care, maternal anxiety, professional empathy, women's experiences
- MeSH terms
- Adult, Female, Humans, Mothers, Obstetrics and Gynecology Department, Hospital, Patient Acceptance of Health Care, Patient Education as Topic, Pregnancy, Pregnancy Outcome, Prenatal Care, Professional-Patient Relations, Quality of Health Care, Spain, Nursing Evaluation Research, Patient Satisfaction, Focus Groups, Young Adult
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