Variables related to maternal satisfaction with intrapartum care in Northern Italy |
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| Institution: | 1. School of Medicine and Surgery, University of Milano-Bicocca, Monza, Italy;2. School of Medicine and Surgery, Center of Biostatistics for Clinical Epidemiology, University of Milano-Bicocca, Monza, Italy;3. Fondazione MBBM, Italy;4. Unit for Mother and Child, Carate Brianza Hospital, ASST Vimercate, Italy;1. Department of Management Studies, School of Business and Law, University for Development Studies, Wa Campus, Ghana;2. Nottingham University Business School, Jubilee Campus, Nottingham, NG8 1BB, UK;3. Department of Planning, Faculty of Planning and Land Management, University for Development Studies, Wa Campus, Ghana;1. School of Nursing and Midwifery, Griffith University, University Drive, Meadowbrook, Queensland 4131, Australia;2. Trans-Tasman Midwifery Education Consortium, New Zealand, Australia;3. School of Nursing and Midwifery, University of South Australia, North Terrace, Adelaide South 5000, Australia;4. School of Clinical Sciences, Auckland University of Technology, 640 Great South Road, Manukau 2025, New Zealand;5. University of Canberra and ACT Government Health Directorate, Canberra 2617, Australia;1. Department of Nursing Science, Faculty of Health Sciences, University of Eastern Finland, Yliopistonranta 1C, P.O. Box 1627, FI-70211 Kuopio, Finland;2. Kuopio University Hospital (KUH), P.O. Box 100, FI 70029 Kuopio, Finland;3. Institute of Public Health and Clinical Nutrition, Faculty of Health Sciences, University of Eastern Finland, Yliopistonranta 1C, P.O. Box 1627, FI-70211 Kuopio, Finland;1. Research Centre for Midwifery Science, Zuyd University, Maastricht, The Netherlands;2. Department of Society Studies, Faculty of Arts and Social Sciences, Maastricht University, Maastricht, The Netherlands;3. CAPHRI School for Public Health and Primary Care, Maastricht University, Maastricht, The Netherlands |
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| Abstract: | BackgroundThe experience of labour and birth is complex, multidimensional and subjective and has the potential to affect the women and their families physically and emotionally. However, there is a lack of research around maternal satisfaction in Italy.AimTo evaluate mothers’ satisfaction with their childbirth experience in relation to socio-demographic characteristics, obstetric history and intrapartum care variables.MethodsA cross-sectional study involving 277 women who had given birth in a low risk maternity unit in Northern Italy was undertaken. Satisfaction with birth was measured using the Italian version of the Birth Satisfaction Scale-Revised (I-BSS-R). The scale comprises three Sub-Scales: quality of care provided, personal attributes of women and stress experienced during childbirth.FindingsNo socio-demographic variables were related to maternal satisfaction. Multiparous women had a higher satisfaction score (p = 0.020; CI:0.23;2.75). Antenatal class attendance was negatively associated with maternal satisfaction (p = 0.038; CI:?2.58; ?0.07). Intrapartum variables that significantly reduced maternal satisfaction were: epidural usage (p = 0.000; CI:?4.66; ?2.07), active phase >12 h (p = 0.000; CI:?6.01; ?2.63), oxytocin administration (p = 0.000; CI:?5.08; ?2.29) and vacuum assisted birth (p = 0.001; CI:?6.50; ?1.58). Women with an intact perineum were more likely to be satisfied (p = 0.008; CI:?4.60; ?0.69).DiscussionIn accordance with other research, we showed that intrapartum interventions are negatively associated with maternal outcomes and therefore also with maternal satisfaction with birth. The sub-scale that measured Quality of Care provided scored higher than the other two Sub-Scales.ConclusionFurther studies on maternal satisfaction in Italy should be conducted, using the I-BSS-R with the aim to compare outcomes and understand what matters to women during childbirth. |
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| Keywords: | Maternal satisfaction BSS-R Birth experience Midwifery care Italy |
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