Variables related to maternal satisfaction with intrapartum care in Northern Italy

Fumagalli, Simona; Colciago, Elisabetta; Antolini, Laura; Riva, A. M. de la; Nespoli, Antonella; Locatelli, Anna

doi:10.1016/j.wombi.2020.01.012

Cited by 25 publications

(49 citation statements)

References 37 publications

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“…Concerning intrapartum variables that could affect satisfaction, similarly to the perception before COVID 6 and to other research [8][9][10] we showed that lower birth satisfaction was experienced with interventions, such as epidural analgesia, active phases longer than 12 hours, oxytocin administration and operative delivery. However, the impact of induction of labour changed according to the period of interest.…”

Section: Main Findings and Interpretationsupporting

confidence: 82%

“…Among 158 women who gave birth during the study period, 27 (17%) did not receive the questionnaire, one woman did not consent to participate, 15 (9.4%) were not recruited for language barrier and 15 (9.4%) underwent pre-labour CS. Thus, the study group (COVID) comprised 100 women ( Fig.1) who were compared to a cohort of 277 women (pre-COVID) recruited in a previous study performed in 2018 in the same setting 6 , for a total of 377 women. Socio-demographic characteristics, obstetric history and intrapartum care variables are reported in Table 1.…”

Section: Resultsmentioning

confidence: 99%

“…In 2018, two years before the spreading of the infection, we performed a cross-sectional study involving 277 women who delivered in a low risk maternity unit in Northern Italy 6 . Satisfaction with birth was measured using the Italian version of the Birth Satisfaction Scale-Revised (I-BSS-R).…”

Section: Introductionmentioning

confidence: 99%

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Childbirth experience and practice changing during COVID-19 pandemic: a prospective cohort study.

Inversetti

Fumagalli

Nespoli

et al. 2020

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Objective: To compare mothers' satisfaction at birth and intrapartum care during COVID-19 pandemic compared to a pre-COVID cohort. Design: Prospective cohort study Setting: Low risk maternity unit in Northern Italy Population: Women who delivered during COVID-19 pandemic compared to a pre-COVID cohort recruited in the same setting in February-May, 2018. Methods: Italian version of the Birth Satisfaction Scale-Revised (I-BSS-R) was used. Main Outcome Measures: Satisfaction at birth in relation to socio-demographic characteristics, obstetric history and intrapartum care variables. Results: 377 women were included (277 pre-COVID and 100 during COVID pandemic). A higher rate of induction [40%, COVID versus 25% pre-COVID, p 0.004], fewer active phases >12 h [6% COVID versus 15% pre-COVID, p 0.018] and more acceleration with oxytocin [35% COVID versus 24.9% pre-COVID, p 0.05] were found. No differences in terms of satisfaction at birth were reported (I-BSS-R mean 27.0, SD 5.3 versus mean 27.6, SD 6.1, p 0.34). Intrapartum variables that significantly reduced maternal satisfaction were the same in the two groups: epidural analgesia (p< 0.0001 in both groups), prolonged active phases (p < 0.0001 in both), oxytocin administration (p<0.0001 in both) and operative delivery (p 0.0009 versus p 0.0019). The lowest scores in COVID era were found in those who underwent induction of labor, active phases >12 h and CS in labor. Conclusions: No differences were reported concerning global satisfaction at birth, despite an increased rate of active intrapartum intervention.

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Section: Main Findings and Interpretationsupporting

confidence: 82%

Section: Resultsmentioning

confidence: 99%

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Childbirth experience and practice changing during COVID-19 pandemic: a prospective cohort study.

Inversetti

Fumagalli

Nespoli

et al. 2020

Preprint

Self Cite

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“…What is clear, is that women with high levels of 'birth satisfaction' report having felt empowered with choice and control over aspects surrounding their labour and birth (Cook and Loomis, 2012). (Fumagalli et al 2020). In relation to midwives efforts to improve 'birth satisfaction', reducing stress and its 'fight/flight' response is important.…”

Section: What Is Birth Satisfaction ?mentioning

confidence: 99%

Measuring women's experiences of childbirth using the Birth Satisfaction Scale-Revised (BSS-R)

Martin

Martinez

Martin

2020

British Journal of Midwifery

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Birth satisfaction relates to women's perceptions of their childbirth experience, with importance placed on the midwife to improve standards of the intranatal care provided. With evaluating intranatal care in mind, this paper aims to educate midwives about one particular method of measuring women's experiences of labour, which involves using the valid and reliable Birth Satisfaction Scale-Revised (BSS-R). The BSS-R is a 10-item self-report valid and reliable measure, which is recommended by the International Consortium for Health Outcomes Measurement (ICHOM) as the ‘method of choice’ for evaluating women's ‘birth experience’. Since the ICHOM began recommending the BSS-R as part of its pregnancy and childbirth standard set, the scale (at time of print) has been used in 39 countries and 134 sites around the world.

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“…The association of maternal age with care in pregnancy and childbirth has been little studied [10][11][12][13]. In a study carried out in Italy with 277 women, no association was found between maternal satisfaction with care received during delivery and socio-demographic variables, including the age of the mother [12]. In a study in Kenya, women were found to be satisfied with the care received in prenatal care; however, a difference associated with the age of the mother was not evaluated [13].…”

Section: Introductionmentioning

confidence: 99%

The Age at Which a Woman Becomes a Mother and Her Satisfaction with the Process of Pregnancy, Childbirth and the Puerperium

et al. 2020

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This study assessed the effect of maternal age on satisfaction at each stage of pregnancy, childbirth and puerperium, and globally. An observational study was carried out in five hospitals of the Andalusian public health system with older primiparous women, from May 2016 to May 2018. Using a pre-piloted questionnaire, information was collected on pregnancy, childbirth, puerperium, newborn variables and degree of satisfaction with the care received. Crude and adjusted mean differences and the standard error of the mean were calculated. A total of 373 women participated. In total, 43.0% of the sample were very satisfied with the care received during pregnancy, and 74.2% with the care received during childbirth. During the puerperium, the highest percentage (60.4%) was found among the women who reported being quite satisfied, although the results were not significant in any of these stages (p > 0.05). No significant differences were established between women’s different age strata and maternal satisfaction. However, the average given by women regarding their satisfaction with the process, on a scale from 0 to 4, was: 3.5 ± 0.5 in general, 3.2 ± 0.8 regarding pregnancy, 3.7 ± 0.5 in childbirth and 3.1 ± 0.6 in the postpartum period. The woman’s satisfaction with the follow up and health care received during pregnancy, childbirth and puerperium is independent of the mother’s age.

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Variables related to maternal satisfaction with intrapartum care in Northern Italy

Cited by 25 publications

References 37 publications

Childbirth experience and practice changing during COVID-19 pandemic: a prospective cohort study.

Childbirth experience and practice changing during COVID-19 pandemic: a prospective cohort study.

Measuring women's experiences of childbirth using the Birth Satisfaction Scale-Revised (BSS-R)

The Age at Which a Woman Becomes a Mother and Her Satisfaction with the Process of Pregnancy, Childbirth and the Puerperium

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