Women's satisfaction with antenatal care: Comparing women in Sweden and Australia |
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| Authors: | Ingegerd Hildingsson Helen Haines Maddalena Cross Julie F Pallant Christine Rubertsson |
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| Institution: | 1. Department of Women''s and Children''s Health, Obstetrics and Gynaecology, Uppsala University, 751 85 Uppsala, Sweden;2. Rural Health Academic Centre, University of Melbourne, 49 Graham St, Shepparton, Victoria, Australia;3. Mid Sweden University, Department of Health Science, 851 70 Sundsvall, Sweden;4. Karolinska Institutet, Department of Women''s and Children''s Health, Division of Reproductive and Perinatal Healthcare, 17177 Stockholm, Sweden;5. Northeast Health, Green St., Wangaratta, Victoria 3677, Australia;1. Department of Protozoology, Faculty of Tropical Medicine, Mahidol University, Thailand;2. School of Veterinary and Biomedical Sciences, Murdoch University, South Street, Murdoch, Western Australia 6150, Australia;1. Department of Surgery, Faculty of Medicine, Nursing and Health Sciences, Monash University, Clayton, Victoria, Australia;2. Rural Health Academic Centre, University of Melbourne, Victoria, Australia;3. Head and Neck Institute, The Cleveland Clinic, Cleveland, Ohio;4. Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, University of Wisconsin, School of Medicine and Public Health, Madison, Wisconsin;5. Department of Head and Neck Surgery, Southern Health, Melbourne, Victoria, Australia;1. Obstetrics and Gynaecology Nursing Department, Faculty of Health Sciences, Süleyman Demirel University, Isparta, Turkey;2. Midwifery Department, Faculty of Health Sciences, Süleyman Demirel University, Isparta, Turkey;1. University of Canberra, University Drive, Bruce, ACT 2617, Australia;2. Calvary Health Care Bruce, Haydon Drive, Bruce, ACT 2617, Australia;3. ACT Health, Yamba Drive, Garran, ACT 2605, Australia;1. Faculty of Health, Family Action Centre, University of Newcastle, Callaghan, NSW 2308, Australia;2. Fathers'' Antenatal Education, Hunter New England Area Health, Newcastle, Australia;1. Centre for Midwifery, Child and Family Health, University of Technology Sydney, 235 Jones St, Ultimo NSW 2007, Australia;2. Mother and Infant Research Unit–University of Dundee, City Campus, 11 Airlie Pl, Dundee DD1 4HJ, United Kingdom |
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| Abstract: | 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. |
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