Predictors of Satisfaction with Obstetric Care in High-risk Pregnancy: The Importance of Patient–Provider Relationship

Lerman, Sheera F.; Shahar, Golan; Czarkowski, Kathryn A.; Kurshan, N.; Magriples, Urania; Mayes, Linda C.; Epperson, C. Neill

doi:10.1007/s10880-007-9080-9

Cited by 14 publications

(12 citation statements)

References 16 publications

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“…These results are in accordance with previous research [22–26]. However, in our hands, personal control and participation in decision making, which have been repeatedly shown to be among the strongest predictors of childbirth satisfaction [8,10,22–25,27], were not important for satisfaction with intrapartal care. Interestingly, these factors only played the role in postpartal care where they mainly applied to mothers’ involvement in decision making related to care provided to their newborn children.…”

Section: Discussionsupporting

confidence: 93%

Social psychological predictors of satisfaction with intrapartum and postpartum care – what matters to women in Czech maternity hospitals?

et al. 2015

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ObjectiveTo identify the social psychological factors affecting women’s evaluation of care provided in Czech maternity hospitals using following criteria: satisfaction with intrapartum and postpartum care, willingness to return to a given hospital and to recommend the hospital to others.Methods762 women completed a 71-item original Czech questionnaire KLI-P designed to measure the psychosocial climate in both delivery and after-birth unit on six scales. The sample was representative of the Czech parturients population. Multivariate logistic regression was used to investigate the predictive value of the questionnaire scales for maternal satisfaction, willingness to return to and to recommend a given hospital.ResultsFor delivery unit, the satisfaction predictors were: helpfulness and empathy of midwives (Χ2=48.9), communication of information and availability of caregivers (Χ2=16.6), helpfulness and empathy of physicians (Χ2=10.9), symmetrical and respectful attitude of staff members (Χ2=9.7) and physical comfort and services (Χ2=7.6). The predictors of satisfaction with after-birth unit included helpfulness and empathy of the staff (Χ2≥42.1), communication of information and availability of caregivers (Χ2=52.5), physical comfort and services (Χ2=30.6), control and involvement in decision-making (Χ2=6.6) and parity (Χ2=8.6). The factors influencing women’s willingness to return to and to recommend a hospital differed from the predictors of general satisfaction.ConclusionsThe satisfaction factors revealed in this research correspond predominantly to the results of studies conducted in other countries (warm, non-formal and supportive approach, sufficient and well-timed provision of information and explanation, availability of caregivers, physical environment). However, participation in decision making, which has been repeatedly shown to be among the strongest predictors of childbirth satisfaction, was not important for the Czech parturients’ satisfaction with intrapartal care. This finding can be explained by different attitudes and expectations of both parturients and caregivers in a post-totalitarian country.

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Section: Discussionsupporting

confidence: 93%

Social psychological predictors of satisfaction with intrapartum and postpartum care – what matters to women in Czech maternity hospitals?

et al. 2015

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“…Clinicians are encouraged to provide complete information to parents and to engage them in shared decision-making by discussing their values and expectations [ 6 ]. Some issues support the emphasis on communication: firstly, the paternalistic model of patient-physician relationship has been progressively abandoned during the last decades [ 7 ]; secondly, mothers of premature infants are not always aware of the potential long-term problems [ 8 ]; finally, constructive communication and positive relationship with the medical staff are of the main determinants of satisfaction expressed by women with high-risk pregnancies [ 9 , 10 ].…”

Section: Introductionmentioning

confidence: 99%

Counselling about the Risk of Preterm Delivery: A Systematic Review

Pedrini

Prefumo

Frusca

et al. 2017

BioMed Research International

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We aimed to describe the outcomes of counselling for preterm delivery. PubMed, Embase, and PsycInfo were systematically searched (from 2000 to 2016) using the following terms: counselling, pregnancy complications, high-risk pregnancy, fetal diseases, and prenatal care. A total of nine quantitative studies were identified, five randomized and four nonrandomized. All studies were conducted in the USA, and half of them were based on a simulated counselling session. Two main clinical implications can be drawn from the available studies: firstly, providing written information before or during the consultation seems to have a positive effect, while no effect was detected when written material was provided after the consultation. Secondly, parents' choices about treatment seemed to be influenced by spiritual-related aspects and/or preexisting preferences, rather than by the level of detail or by the order with which information was provided. Therefore, the exploration of parents' beliefs is crucial to reduce the risks of misconception and to guarantee choice in line with personal values. More research is necessary to validate these findings in cross-cultural contexts and in real world settings of care. Moreover, the centeredness of conversations and the characteristics of the clinician involved in counselling should be addressed in future studies.

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“…These findings emphasize the importance of maintaining a sense of mastery in order to maintain a good quality of life and decrease anxiety in patients with physical illness [72,73]. However, the method in which the information is delivered is also important, with empathy and clarity being critical to reducing distress [72,79].…”

Section: Discussionmentioning

confidence: 95%

Predictors of anxiety symptoms in the gynecological outpatient setting: The Thai experience

Roomruangwong

Tangwongchai

Pittman³

et al. 2009

International Journal of Psychiatry in Clinical Practice

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Objective. To examine the prevalence and predictors of anxiety in women attending a gynecological outpatient service. Method. A total of 271 women who came to a gynecological outpatient clinic at a large university hospital in Bangkok, Thailand, were asked to complete the state sub-scale of the Spielberger State-Trait Anxiety Index (STAI) and a questionnaire to obtain demographic, medical and gynecological information as well as a questionnaire to assess social support. A cutoff score of ≥ 46 on the STAI was considered to indicate the presence of moderate-severe anxiety. Result. One hundred (36.9%) subjects met criteria for anxiety. Anxious women were more likely to be young and to have had an abortion at an earlier age. They were more likely to reside in rural Thailand, report perception of low social support, present with abnormal vaginal discharge and to have a greater number of gynecological symptoms than non-anxious women. Additionally, anxious women were less likely to have knowledge about their diagnosis compared to non-anxious women. Conclusion. Clinically meaningful levels of anxiety are common among women attending an outpatient gynecological clinic. Awareness of risk factors for anxiety in these women will aid medical personnel in identifying those in need of additional support and/or mental health services.

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Predictors of Satisfaction with Obstetric Care in High-risk Pregnancy: The Importance of Patient–Provider Relationship

Cited by 14 publications

References 16 publications

Social psychological predictors of satisfaction with intrapartum and postpartum care – what matters to women in Czech maternity hospitals?

Social psychological predictors of satisfaction with intrapartum and postpartum care – what matters to women in Czech maternity hospitals?

Counselling about the Risk of Preterm Delivery: A Systematic Review

Predictors of anxiety symptoms in the gynecological outpatient setting: The Thai experience

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