Birth-Issues in Perinatal Care最新文献

Mental Health Profile Relating to Suicide Crises Among Women in and Around Pregnancy and Surgical Termination of Pregnancy: A Data Linkage Study.

IF 2.8 3区医学

Birth-Issues in Perinatal Care Pub Date : 2025-03-28 DOI: 10.1111/birt.12917

Carla Meurk, Susan Roberts, Michael Lam, Lisa Wittenhagen, Leonie Callaway, Katherine Moss, Jayne Lucke, Ruth Barker, Elissa Waterson, Natasha Malmstrom, Edward Weaver, Elisabeth Hoehn, Ed Heffernan

{"title":"Mental Health Profile Relating to Suicide Crises Among Women in and Around Pregnancy and Surgical Termination of Pregnancy: A Data Linkage Study.","authors":"Carla Meurk, Susan Roberts, Michael Lam, Lisa Wittenhagen, Leonie Callaway, Katherine Moss, Jayne Lucke, Ruth Barker, Elissa Waterson, Natasha Malmstrom, Edward Weaver, Elisabeth Hoehn, Ed Heffernan","doi":"10.1111/birt.12917","DOIUrl":"https://doi.org/10.1111/birt.12917","url":null,"abstract":"Introduction: This article presents an assessment of the mental health profile of women who were the subject of a suicide-related call to police or paramedics around the time of (i) pregnancy or (ii) surgical termination of pregnancy compared to (iii) other women of a similar age.Methods: Findings are drawn from a population-wide linked dataset of approximately 70,000 individuals who were the subject of a suicide-related call to police or paramedics in Queensland, Australia. Mental health diagnoses were assessed based on the Diagnostic and Statistical Manual (fifth edition). Behavior, impairment, symptoms, and social functioning were assessed using Health of the Nation Outcome Scores (HoNOS).Results: 32.7% of individuals had a record of one or more confirmed mental health diagnoses. The presence of a mental health diagnosis differed significantly across subgroups. Rates of clinically significant problems, as measured by HoNOS, differed significantly across groups for most items.Conclusion: Findings present a complex picture of the relationship between mental health diagnosis, pregnancy or termination of pregnancy, and other stressors experienced around the time of a suicide-related contact with police or paramedics.","PeriodicalId":55350,"journal":{"name":"Birth-Issues in Perinatal Care","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143733378","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Intrapartum Care Experiences Associated With Postpartum Visit Attendance.

IF 2.8 3区医学

Birth-Issues in Perinatal Care Pub Date : 2025-03-11 DOI: 10.1111/birt.12910

Fiona Weeks, Rebecca Myerson, Ronald Gangnon, Jennifer Dykema, Candi Cornelius, Tiffany Green

{"title":"Intrapartum Care Experiences Associated With Postpartum Visit Attendance.","authors":"Fiona Weeks, Rebecca Myerson, Ronald Gangnon, Jennifer Dykema, Candi Cornelius, Tiffany Green","doi":"10.1111/birt.12910","DOIUrl":"https://doi.org/10.1111/birt.12910","url":null,"abstract":"Introduction: The postpartum visit is an important opportunity to prevent pregnancy-related morbidity and mortality; however, about 1 in 10 birthing people do not attend this visit. Intrapartum care experiences are an understudied factor that may contribute to postpartum healthcare engagement.Materials and methods: We analyze data from a novel survey supplement on intrapartum care experiences administered to a probability-based population sample of people who have recently given birth through the Wisconsin Pregnancy Risk Assessment Monitoring System.Results: In regression models adjusting for a robust set of individual characteristics and birth hospital clustering, we find that lower provider responsiveness during intrapartum care is associated with increased odds of forgoing the postpartum visit (aOR 1.4, 95% CI 1.0-2.0).Discussion: The quality of care received during the birth hospitalization may shape how birthing people feel about health care providers and their willingness to attend future visits. Experiences of care during the intrapartum period may contribute to future health care utilization. Improving these experiences is an opportunity to promote long-term health.","PeriodicalId":55350,"journal":{"name":"Birth-Issues in Perinatal Care","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143607291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Feasibility of a Community-Developed Survey Measuring Experiences of Pregnancy Care for LGBTQ2S+ Families.

IF 2.8 3区医学

Birth-Issues in Perinatal Care Pub Date : 2025-03-11 DOI: 10.1111/birt.12911

Molly R Altman, Teresa van Winkle, Brittany Ferrell, A J Lowik, Kodiak R S Soled, Lesley A Tarasoff, Jeanette McCulloch, Kathrin Stoll, Juno Obedin-Maliver, Saraswathi Vedam

{"title":"Feasibility of a Community-Developed Survey Measuring Experiences of Pregnancy Care for LGBTQ2S+ Families.","authors":"Molly R Altman, Teresa van Winkle, Brittany Ferrell, A J Lowik, Kodiak R S Soled, Lesley A Tarasoff, Jeanette McCulloch, Kathrin Stoll, Juno Obedin-Maliver, Saraswathi Vedam","doi":"10.1111/birt.12911","DOIUrl":"10.1111/birt.12911","url":null,"abstract":"Introduction: Despite increased recognition of and support for family building among lesbian, gay, bisexual, transgender, queer, Two-Spirit, and other sexual and gender minoritized (LGBTQ2S+) populations, there is still little evidence describing the experiences of pregnancy care within these populations in quantifiable ways. This paper describes our pilot study process and the feasibility of implementing a community-developed survey measuring respectful pregnancy care within LGBTQ2S+ communities.Methods: Using a participatory action research approach, a Community Steering Council developed and piloted the Birth Includes Us survey. To assess the feasibility of the survey, recruitment was assessed through how participants heard about the study, and enrollment and survey completion were tracked in the REDCap survey platform. We used descriptive statistics to report the demographics of the pilot sample.Results: Recruitment through social media, predominantly Facebook, was an effective route to reach the target population, accounting for over 60% of the sample. Of the 404 eligible participants who opened the survey, 91% completed the survey. The pilot study sample represented 41/50 states in the USA and 5/13 provinces and territories across Canada. While only 17% of the sample were members of racially minoritized communities, there was wide representation across genders and sexualities.Conclusion: The findings of this feasibility pilot study will inform the implementation of the Birth Includes Us survey to ensure the recruitment, enrollment, and retention of diverse participants. Lessons learned from this process will also support researchers in developing mitigating strategies to minimize the harm incurred during the process of LGBTQ2S+ family building.","PeriodicalId":55350,"journal":{"name":"Birth-Issues in Perinatal Care","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143607288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

From Midwife to Lead Perinatal Practitioner: A Utopian Vision.

IF 2.8 3区医学

Birth-Issues in Perinatal Care Pub Date : 2025-03-10 DOI: 10.1111/birt.12913

John Pendleton, Sally Pezaro

{"title":"From Midwife to Lead Perinatal Practitioner: A Utopian Vision.","authors":"John Pendleton, Sally Pezaro","doi":"10.1111/birt.12913","DOIUrl":"https://doi.org/10.1111/birt.12913","url":null,"abstract":"The professional title \"midwife\" is predicated on the understanding that people who access their services have a normative relationship between their gender and assigned sex. As trans and non-binary people increasingly require access to midwifery services, this paper proposes an alternative professional title that is inclusive and liberates midwives from continuously reinscribing the sex/gender binary in their nomenclature. We work with Levitas's Utopia as Method framework to propose the title of Lead Perinatal Practitioner. Working through the archaeological, ontological and architectural modes, we explain the rationale for each component part of the title. \"Lead\" foregrounds the profession's relationship with autonomy, which is considered foundational but threatened by encroaching medicalization. \"Perinatal\" encompasses not just the birthing person but also the neonate and the physiological process and timeframe encapsulating pregnancy and birth currently absent. \"Practitioner\" captures the reflexivity, skill, and active engagement already inscribed in allied healthcare professions that use this title. We argue that when combined, they signal a trailblazing contribution towards the eradication of gender inequalities in the reproductive arena by uncoupling the profession from patriarchal oppression inscribed in the sex/gender binary, which has hitherto been positioned as the sine qua non of midwifery.","PeriodicalId":55350,"journal":{"name":"Birth-Issues in Perinatal Care","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143588220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Impolite Birth: Provider Perspectives on Vocalization During Childbirth.

IF 2.8 3区医学

Birth-Issues in Perinatal Care Pub Date : 2025-03-10 DOI: 10.1111/birt.12907

Lee Roosevelt, Kris Danford, Ruth Zielinski

{"title":"Impolite Birth: Provider Perspectives on Vocalization During Childbirth.","authors":"Lee Roosevelt, Kris Danford, Ruth Zielinski","doi":"10.1111/birt.12907","DOIUrl":"https://doi.org/10.1111/birt.12907","url":null,"abstract":"Background: Childbirth is a pivotal event marked by diverse vocalizations, yet scant research examines healthcare providers' perspectives on vocalization during birth. This study seeks to address this gap by exploring the attitudes and practices of various healthcare professionals regarding vocalization during labor and birth.Methods: This study used a qualitative comparison approach, grounded in Organizational Cultural Phenomenon of Humanized Childbirth. Five discipline specific focus groups were conducted with doulas, nurses, community midwives, hospital midwives, and obstetricians to explore provider perceptions and experiences with vocalization during childbirth.Results: Analysis of the focus groups indicated five overarching themes: (1) Shame and apologies, (2) Providers inhibiting or facilitating vocalization of gendered norms, (3) Affirmations or \"Mantras,\" (4) Right and wrong sounds, and (5) Developing comfort with vocalization.Discussion: The findings underscore the need for education on supporting vocalization during childbirth. The tension between provider expectations and birthing individuals' autonomy highlights broader issues of paternalism in Western childbirth practices. Addressing these dynamics can foster a more respectful and empowering birth environment, promoting positive birth experiences.","PeriodicalId":55350,"journal":{"name":"Birth-Issues in Perinatal Care","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143588225","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Efficacy of Psycho-Educational Interventions to Optimize Women's Sleep in Pregnancy: An Integrative Review.

IF 2.8 3区医学

Birth-Issues in Perinatal Care Pub Date : 2025-03-10 DOI: 10.1111/birt.12902

Vishnuvarthini Visvanathan, Wendy Pollock, Yasmin Zisin, Suzanne Willey

{"title":"The Efficacy of Psycho-Educational Interventions to Optimize Women's Sleep in Pregnancy: An Integrative Review.","authors":"Vishnuvarthini Visvanathan, Wendy Pollock, Yasmin Zisin, Suzanne Willey","doi":"10.1111/birt.12902","DOIUrl":"https://doi.org/10.1111/birt.12902","url":null,"abstract":"Background: Poor sleep in pregnancy is associated with several adverse maternal and infant outcomes. Psychoeducational interventions may offer a safe and acceptable first-line intervention to help with sleep disturbances.Aim: To identify and review studies that examined the effect of psycho-educational interventions on sleep in pregnancy and to identify moderators in the treatment effects of the interventions.Methods: An integrative review methodology was used. A comprehensive search in five electronic databases retrieved 1250 articles. Eligible studies (n = 12) were assessed for methodological quality according to the \"QualSyst\" rapid appraisal tool. Data were extracted and recorded using a modified Covidence form. Quantitative data were summarized in a meta-analysis or narrative synthesis. Qualitative data were narratively reported.Findings: Twelve studies with three different sleep interventions: Cognitive Behavioral Therapy for Insomnia (CBT-I), Sleep Healthy Education (SHE) and relaxation training were included. Given the variation in study methodologies and interventions, only quantitative results from RCT trials using CBT-I were summarized in the meta-analysis. CBT-I was found to be statistically significant in improving sleep quality in pregnancy (Standard Mean Difference = -0.78; 95% CI = -1.01, -0.54, p < 0.001). Few studies reported the efficacy of SHE and relaxation training. Potential moderators had no effect on the measured sleep quality outcome. Overall, psychoeducational interventions were acceptable to participants during pregnancy.Conclusion: There is insufficient evidence on which to base the recommendations about the effectiveness of all psychoeducational interventions to improve sleep. Based on the available literature, CBT-I is an evidence-based intervention to improve sleep quality in pregnancy.","PeriodicalId":55350,"journal":{"name":"Birth-Issues in Perinatal Care","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143588228","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Women's Experiences of Induction of Labor and Birth After Prolonged Medical Induction: A Qualitative Study From Denmark.

IF 2.8 3区医学

Birth-Issues in Perinatal Care Pub Date : 2025-03-07 DOI: 10.1111/birt.12912

Caroline Trillingsgaard Mejdahl, Lone Hvidman, Rikke Bek Helmig, Sidsel Boie, Anna Højkjær Larsen, Maria Lundbo, Jeanette Ziska, Stina Lou

{"title":"Women's Experiences of Induction of Labor and Birth After Prolonged Medical Induction: A Qualitative Study From Denmark.","authors":"Caroline Trillingsgaard Mejdahl, Lone Hvidman, Rikke Bek Helmig, Sidsel Boie, Anna Højkjær Larsen, Maria Lundbo, Jeanette Ziska, Stina Lou","doi":"10.1111/birt.12912","DOIUrl":"https://doi.org/10.1111/birt.12912","url":null,"abstract":"Background: The increasing frequency of induction of labor (IOL) prompts explorations into women's experiences. To inform individualized obstetric care, this study aimed to investigate the experiences of Danish pregnant women who underwent out-patient medical IOL and were not in active labor 48 h after IOL initiation.Methods: A qualitative interview study with 28 women who had experienced prolonged IOL (all indications). The women were recruited at two obstetric departments approximately 48 h after IOL initiation and telephone interviewed 2-6 weeks after birth (average of 37 min duration). Interviews were recorded, transcribed, and analyzed using thematic analysis.Results: The first theme describes the underlying rationale in the women's description of IOL and birth: 'Motivated by the birth of a healthy baby.' The results show how the women accepted medical indications for IOL, found comfort in the out-patient regimen, and felt secure about the health of their baby, even if the prolonged IOL was frustrating. The results show how 'progress' became a primary motivator for suggesting and accepting interventions. The second theme describes four 'Situations of discouragement' that are clusters of events during IOL and birth that could challenge the women's expectations and boundaries, for example, experiencing excessive pain or not feeling heard. Despite challenges, most women viewed their experiences positively, remaining open to future IOL.Discussion: The findings underscore the complexity of women's experiences during IOL and birth, emphasizing the need for healthcare professionals to navigate diverse, individual preferences while prioritizing maternal and fetal well-being.","PeriodicalId":55350,"journal":{"name":"Birth-Issues in Perinatal Care","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574696","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Changes in Fear of Childbirth and Its Predictors Over Three COVID-19 Pandemic Waves in Poland.

IF 2.8 3区医学

Birth-Issues in Perinatal Care Pub Date : 2025-03-07 DOI: 10.1111/birt.12904

Michalina Ilska, Anna Kołodziej-Zaleska, Anna Brandt-Salmeri, Heidi Preis, Marci Lobel

{"title":"Changes in Fear of Childbirth and Its Predictors Over Three COVID-19 Pandemic Waves in Poland.","authors":"Michalina Ilska, Anna Kołodziej-Zaleska, Anna Brandt-Salmeri, Heidi Preis, Marci Lobel","doi":"10.1111/birt.12904","DOIUrl":"https://doi.org/10.1111/birt.12904","url":null,"abstract":"Background: The COVID-19 pandemic posed new and unpredictable challenges worldwide, having a particular effect on vulnerable groups, including pregnant women. The occurrence of these stressful circumstances likely increased women's fear of childbirth, a critical issue in pregnancy with consequences for various outcomes.Methods: This cross-sectional study investigated fear of childbirth in pregnant women during three waves of the COVID-19 pandemic in Poland and identified factors predicting severe fear. Participants were recruited through social media platforms. In total, 2462 pregnant women completed the study questionnaire during the first (n = 1079), second (n = 1119), or third (n = 264) waves of the pandemic. Fear of childbirth was measured with the Fear of Birth visual analog scale (FOBS) using a cut-off score of ≥ 54 to indicate clinically relevant fear of childbirth. COVID-19-related stress was assessed using the Pandemic-Related Pregnancy Stress Scale (PREPS).Results: Fear of childbirth was present in 51.5%, 61.9%, and 56.8% of participants at the three waves, respectively. Women who were pregnant during the first and third waves had lower fear of childbirth scores than those who were pregnant during the second wave. This could be explained by changes in infection rates and the severity of the disease, restrictions in maternity care, and the availability of vaccinations. In successive pandemic waves, predictors of severe fear of childbirth (FoC), especially related to COVID-19, differed. Across waves, the most powerful predictor was stress originating from feeling unprepared for birth.Discussion: Fear of childbirth differed across pandemic time points. Pandemic waves should be considered in future review studies and meta-analyses.","PeriodicalId":55350,"journal":{"name":"Birth-Issues in Perinatal Care","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574695","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Birthing With Others: Exploring the Efficacy of One-On-One Professional Support on Physiological Birth and Flow State. 与他人一起分娩：探索一对一专业支持对生理分娩和流动状态的影响。

IF 2.8 3区医学

Birth-Issues in Perinatal Care Pub Date : 2025-03-05 DOI: 10.1111/birt.12908

Orli Dahan, Alon Goldberg

{"title":"Birthing With Others: Exploring the Efficacy of One-On-One Professional Support on Physiological Birth and Flow State.","authors":"Orli Dahan, Alon Goldberg","doi":"10.1111/birt.12908","DOIUrl":"https://doi.org/10.1111/birt.12908","url":null,"abstract":"Background: One-on-one professional support during labor is recognized for its role in promoting physiological birth, reducing interventions, and enhancing women's birthing experiences. Throughout physiological birth, many women encounter an altered state of consciousness. This state not only facilitates the normal birth process but also empowers women during and after childbirth. Recently, the flow-a mental state of complete absorption and energized focus in an activity, with a sense of control and high motivation-has been identified as a measure of this experience during physiological birth. This study aimed to discover whether one-on-one continuous professional support would improve the childbirth experience by increasing the likelihood of physiological birth and a heightened state of flow during childbirth.Methods: Women with childbirth experience were recruited through social media. Participants (n = 788) completed an online survey: the Flow State Scale (FSS) and a demographic questionnaire, including details about the professional support received during childbirth.Results: One-on-one professional support was significantly associated with natural childbirth (midwife: 80.9%, doula: 65.7%) and lower medical interventions (midwife: 19.1%, doula: 34.3%) compared to conventional professional assistance (natural birth: 44.4%, interventions: 55.6%). A MANCOVA analysis revealed significant differences in flow state levels, with women receiving one-on-one support experiencing the highest flow state.Conclusions: This research validates the significant correlation between one-on-one support-provided by midwives or doulas-and physiological birth. It also establishes for the first time a correlation between women in childbirth receiving continuous one-on-one professional support and heightened flow state levels, signifying a positive and empowering birthing experience.","PeriodicalId":55350,"journal":{"name":"Birth-Issues in Perinatal Care","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558888","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effect of Maternity Units' Organizational Levels on Maternal Birth Satisfaction: A Multicentric Cohort Study.

IF 2.8 3区医学

Birth-Issues in Perinatal Care Pub Date : 2025-03-03 DOI: 10.1111/birt.12909

Simona Fumagalli, Antonella Nespoli, Maria Panzeri, Laura Antolini, Elisabetta Colciago, Anna Adami, Matilde Maria Canepa, Elsa Del Bo, Raffaella Ferrara, Paola Agnese Mauri, Angelo Cagnacci, Marcello Ceccaroni, Carmen Dattolo, Giovanna Esposito, Massimo Piergiuseppe Franchi, Franco Gorlero, Gianpaolo Grisolia, Francesca Grosso, Agnese Lecis, Marta Mazzeo Melchionda, Virginia Michelerio, Luana Mogavino, Chiara Ogliari, Michela Ramunno, Arsenio Spinillo, Sabrina Valletta, Patrizia Vergani, Anna Locatelli

{"title":"Effect of Maternity Units' Organizational Levels on Maternal Birth Satisfaction: A Multicentric Cohort Study.","authors":"Simona Fumagalli, Antonella Nespoli, Maria Panzeri, Laura Antolini, Elisabetta Colciago, Anna Adami, Matilde Maria Canepa, Elsa Del Bo, Raffaella Ferrara, Paola Agnese Mauri, Angelo Cagnacci, Marcello Ceccaroni, Carmen Dattolo, Giovanna Esposito, Massimo Piergiuseppe Franchi, Franco Gorlero, Gianpaolo Grisolia, Francesca Grosso, Agnese Lecis, Marta Mazzeo Melchionda, Virginia Michelerio, Luana Mogavino, Chiara Ogliari, Michela Ramunno, Arsenio Spinillo, Sabrina Valletta, Patrizia Vergani, Anna Locatelli","doi":"10.1111/birt.12909","DOIUrl":"https://doi.org/10.1111/birt.12909","url":null,"abstract":"Introduction: Maternal birth satisfaction is correlated to long-term outcomes and is influenced by the place of birth. In Italy, most births occur in hospitals. Our study aimed to assess whether the organizational level (I vs. II) of the Maternity Unit (MU) had any impact on birth satisfaction.Methods: A multicentric cohort study was conducted in 11 Italian MUs, classified as Level I (for low-risk pregnancies or with minor complications) or Level II (for low and high-risk women) according to organizational, structural, and technical standards. Birth satisfaction was measured using the Italian version of the BSS-R, composed of three sub-scales. Data analysis was performed using Stata/MP18.0.Results: Among 1642 participants, maternal satisfaction was similar in I and II level MUs (27.7 vs. 27.2; p-value 0.096). Women who gave birth in an I level MU were found to have a greater Quality of care sub-scale score compared to participants who gave birth in a II level MU (14.28 vs. 13.87; p-value < 0.001). The three sub-scales contributed differently to the total score, with a minor contribution given by the Stress Experienced (8.65/16) and the Women's Attributes sub-scales (4.72/8).Conclusion: This study contributes to understanding how the level of the MU might impact women's birth satisfaction. Factors affecting the Women's Attributes and the Stress Experienced sub-scales' scores should be considered to increase maternal satisfaction with birth, improving the quality of maternity services.","PeriodicalId":55350,"journal":{"name":"Birth-Issues in Perinatal Care","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0