Women's satisfaction with antenatal care: Comparing women in Sweden and Australia

BackgroundSatisfaction with antenatal care could differ depending on the organisation and the context of care.AimTo compare antenatal care in Australia and Sweden, to identify deficiencies in the content of antenatal care and what aspects contributed most in dissatisfaction with antenatal care.MethodsA longitudinal survey of 123 Australian and 386 Swedish women recruited during one year in regional hospitals in Sweden and Australia. Data collected by three questionnaires.ResultsWomen in Australia had more antenatal visits, less continuity of midwife caregiver but were more satisfied with antenatal education and the emotional aspects of antenatal care. Although the overall satisfaction was high, deficiencies were found in more than half of the studied variables in the content of care. Women in Sweden were more dissatisfied with information about labour and birth (OR 3.1; 1.8–5.3) and information about the time following birth (OR 3.8; 2.2–6.3), but more satisfied with the involvement of the father (OR 0.3; 0.2–0.6). Factors that contributed most to dissatisfaction with antenatal care overall were deficiency in information about pregnancy related issues (OR 3.4; 1.3–8.7) and not being taken seriously by the midwife (OR 4.1; 1.6–10.1).ConclusionSatisfaction with antenatal care was high in both groups of women. Australian women were more satisfied than the Swedish women with the emotional aspects of care. Deficiencies were found in more than half of the variables measured relating to the specific aspects of care. Lack of information and not being treated seriously were important factors for not being satisfied.     

Developing a National Index of Subjective Wellbeing: The Australian Unity Wellbeing Index

The Australian Unity Wellbeing Index has beendesigned as a new barometer of Australians'satisfaction with their lives, and life inAustralia. It is based on, and develops, thetheoretical model of subjective wellbeinghomeostasis. The Index comprises two sub-scalesof Personal and National Wellbeing. Data werecollected through a nationally representativesample of 2,000 people in April/May 2001.Factor analysis confirmed the integrity of thetwo sub-scales and, confirming empiricalexpectation, the average level of lifesatisfaction was 75.5 percent of the scalemaximum score. Group comparisons revealed thatall age groups maintained their Personal Indexscore within the normal range. In addition,people in country areas were more satisfiedwith their personal lives than city-dwellers,but less satisfied about the nationalsituation, and people who had recentlyexperienced a strong positive event evidenced arise in wellbeing, whereas those who hadexperienced a strong negative event evidencedwellbeing in the low-normal range. It is arguedthat these data generally support homeostatictheory. However, an unusual result was thatfemales were more satisfied with their ownlives than males. A tentative argument isadvanced that this may represent aconstitutional difference. It is concluded thatthe Australian Unity Wellbeing Index haspotential as a valid, reliable and sensitiveinstrument to monitor national wellbeing.