Publication: Comparative study analysing women’s childbirth satisfaction and obstetric outcomes across two different models
of maternity care
Authors
Conesa Ferrer, María Belén ; Canteras Jordana, Manuel ; Ballesteros Meseguer, Carmen ; Carrillo García, César ; Martínez Roche, María Emilia
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Publisher
BMJ Publishing Group
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DOI
https://doi.org/10.1136/bmjopen-2016-011362
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info:eu-repo/semantics/article
Description
© 2016 by the authors. This manuscript version is made available under the CC-BY-NC 4.0 license http://creativecommons.org/licenses/by-nc/4.0/
This document is the Published version of a Published Work that appeared in final form in BMJ Open. To access the final edited and published work see https://doi.org/10.1136/bmjopen-2016-011362
Abstract
Objectives: To describe the differences in obstetrical
results and women’s childbirth satisfaction across 2
different models of maternity care (biomedical model
and humanised birth).
Setting: 2 university hospitals in south-eastern Spain
from April to October 2013.
Design: A correlational descriptive study.
Participants: A convenience sample of 406 women
participated in the study, 204 of the biomedical model
and 202 of the humanised model.
Results: The differences in obstetrical results were
(biomedical model/humanised model): onset of labour
(spontaneous 66/137, augmentation 70/1, p=0.0005),
pain relief (epidural 172/132, no pain relief 9/40,
p=0.0005), mode of delivery (normal vaginal 140/165,
instrumental 48/23, p=0.004), length of labour
(0–4 hours 69/93, >4 hours 133/108, p=0.011),
condition of perineum (intact perineum or tear 94/178,
episiotomy 100/24, p=0.0005). The total questionnaire
score (100) gave a mean (M) of 78.33 and SD of 8.46
in the biomedical model of care and an M of 82.01 and
SD of 7.97 in the humanised model of care
(p=0.0005). In the analysis of the results per items,
statistical differences were found in 8 of the 9
subscales. The highest scores were reached in the
humanised model of maternity care.
Conclusions: The humanised model of maternity care
offers better obstetrical outcomes and women’s
satisfaction scores during the labour, birth and
immediate postnatal period than does the biomedical
model.
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Citation
BMJ Open, 2016, Vol. 6, N. 8 : e011362
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