Women's dissatisfaction with inappropriate behavior by health care workers during childbirth care in France: A survey study.
health personnel
patient satisfaction
questionnaires
surveys
Journal
Birth (Berkeley, Calif.)
ISSN: 1523-536X
Titre abrégé: Birth
Pays: United States
ID NLM: 8302042
Informations de publication
Date de publication:
09 2021
09 2021
Historique:
revised:
09
02
2021
received:
18
07
2020
accepted:
10
02
2021
pubmed:
10
3
2021
medline:
26
10
2021
entrez:
9
3
2021
Statut:
ppublish
Résumé
Quality care during childbirth requires that health care providers have not only excellent skills but also appropriate and considerate attitudes and behavior. Few studies have examined the proportion of women in Western countries expressing dissatisfaction with such inappropriate or inconsiderate behavior. This study evaluated this proportion in a sample presumably representative of French maternity units. This prospective multicenter study, using data from a selfadministered questionnaire, took place in 25 French maternity units during one week in September 2018. The primary outcome measure was mothers' self-reported dissatisfaction with blatantly inappropriate behavior (ie, inappropriate attitude, inadequate respect for privacy, insufficient gentleness of care, and/or inappropriate language) by health care workers in the delivery room. The secondary outcome was their self-reported dissatisfaction with these workers' inconsiderate behavior (ie, unclear and inappropriate information, insufficient participation in decision-making, or deficient consideration of pain). Of 803 potentially eligible women, 627 completed the questionnaire after childbirth; 5.62% (35/623, 95% CI: 3.94-7.73) reported dissatisfaction with blatantly inappropriate behaviors and 9.79% (61/623, 95% CI: 7.57-12.40) with inconsiderate behaviors. The main causes of dissatisfaction reported by women in this survey were the inadequate consideration of their pain and the failure to share decision-making. Most of the women were satisfied with how health care workers behaved towards them in the delivery room. Nonetheless, health care staff must be aware of women's demands for greater consideration of their expressions of pain and of their voice in decisions.
Sections du résumé
BACKGROUND
Quality care during childbirth requires that health care providers have not only excellent skills but also appropriate and considerate attitudes and behavior. Few studies have examined the proportion of women in Western countries expressing dissatisfaction with such inappropriate or inconsiderate behavior. This study evaluated this proportion in a sample presumably representative of French maternity units.
METHODS
This prospective multicenter study, using data from a selfadministered questionnaire, took place in 25 French maternity units during one week in September 2018. The primary outcome measure was mothers' self-reported dissatisfaction with blatantly inappropriate behavior (ie, inappropriate attitude, inadequate respect for privacy, insufficient gentleness of care, and/or inappropriate language) by health care workers in the delivery room. The secondary outcome was their self-reported dissatisfaction with these workers' inconsiderate behavior (ie, unclear and inappropriate information, insufficient participation in decision-making, or deficient consideration of pain).
RESULTS
Of 803 potentially eligible women, 627 completed the questionnaire after childbirth; 5.62% (35/623, 95% CI: 3.94-7.73) reported dissatisfaction with blatantly inappropriate behaviors and 9.79% (61/623, 95% CI: 7.57-12.40) with inconsiderate behaviors. The main causes of dissatisfaction reported by women in this survey were the inadequate consideration of their pain and the failure to share decision-making.
CONCLUSIONS
Most of the women were satisfied with how health care workers behaved towards them in the delivery room. Nonetheless, health care staff must be aware of women's demands for greater consideration of their expressions of pain and of their voice in decisions.
Types de publication
Journal Article
Multicenter Study
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
328-337Investigateurs
Audery Battut
(A)
Anne Cloudstone
(A)
Cyrielle Gerentes
(C)
Nausicaa Martinez
(N)
Claire Pinceloup
(C)
Mélanie Cosset
(M)
Sandra Favre
(S)
Danielle Dolezon
(D)
Chantal Boudet
(C)
Pauline Romegoux
(P)
Charifa Aboubi
(C)
Laura Benoit
(L)
Naima Gherici
(N)
Florence Payan
(F)
Elisabeth Poulet
(E)
Annie Bonnefond
(A)
Angélique Riffard
(A)
Alain Almodovar
(A)
Nathalie Roch
(N)
Jessica Goubault
(J)
Cécile Morgan
(C)
Charlotte Gomart
(C)
Eugénie Pollet
(E)
Marie Amélie Silvestre
(MA)
Joelle Tonda
(J)
Marianne Gindre
(M)
Christelle Haegenaer
(C)
Nadine Ruat
(N)
Floriane Bouty
(F)
Claire Andre
(C)
Juliette Blanc
(J)
Florence Facchin
(F)
Mathilde Senghor
(M)
Simone-Laure Bonjean
(SL)
Marion Costa
(M)
Pauline Delon
(P)
Agathe Douet
(A)
Stéphanie Fabre
(S)
Aurélie Lopez
(A)
Caroline Pinget
(C)
Emmanuelle Blanc
(E)
Sabine Caudevelle
(S)
Marie Lafuente
(M)
Catherine Levrat
(C)
Gaelle Maiga
(G)
Diane Schwich
(D)
Louise Taillieu
(L)
Sylvie Coche
(S)
Nathalie Corgnet
(N)
Béatrice Desparain
(B)
Nanoucha Lasfer
(N)
Sidonie Perrin
(S)
Christèle Rolin
(C)
Claudie Louet
(C)
Aude Derrier Sanlaville
(AD)
Delphine Large
(D)
Isabelle Rome-Esteoule
(I)
Clarisse Irabide Escolano
(CI)
Maud Digarcher
(M)
Alice Gonnon
(A)
Françoise Luquet
(F)
Charlène Burnier
(C)
Myriam Guerin
(M)
Françoise Mely
(F)
Informations de copyright
© 2021 Wiley Periodicals LLC.
Références
Tunçalp Ӧ, Were WM, MacLennan C, et al. Quality of care for pregnant women and newborns-the WHO vision. BJOG Int J Obstet Gynaecol. 2015;122(8):1045-1049. https://doi.org/10.1111/1471-0528.13451
Reis V, Deller B, Carr C, Smith J. Respectful maternity care: Country experiences. USAID, MCHIP; 2012. https://afar.info/id=2681
d’Oliveira AFPL, Diniz SG, Schraiber LB. Violence against women in health-care institutions: an emerging problem. Lancet Lond Engl. 2002;359(9318):1681-1685. https://doi.org/10.1016/S0140-6736(02)08592-6
Malterud K, Thesen J. When the helper humiliates the patient: a qualitative study about unintended intimidations. Scand J Public Health. 2008;36(1):92-98. https://doi.org/10.1177/1403494807085358
Ravaldi C, Skoko E, Battisti A, Cericco M, Vannacci A. Abuse and disrespect in childbirth assistance in Italy: a community-based survey. Eur J Obstet Gynecol Reprod Biol. 2018;224:208-209. https://doi.org/10.1016/j.ejogrb.2018.03.055
Larson E, Sharma J, Bohren MA, Tunçalp Ö. When the patient is the expert: measuring patient experience and satisfaction with care. Bull World Health Organ. 2019;97(8):563-569. https://doi.org/10.2471/BLT.18.225201
Rudigoz RC, Milliez J, Ville Y, Crepin G. De la bientraitance en obstétrique. Bulletin de l'Académie Nationale de Médecine. 2018;202(7):1323-1340. http://dx.doi.org/10.1016/s0001-4079(19)30199-2
Blondel B, Gonzalez L, Raynaud P, et al. Enquête nationale périnatale 2016. Les naissances et les établissements, situation et évolution depuis 2010. DREES, Rapport; 2017. https://drees.solidarites-sante.gouv.fr/sites/default/files/2021-01/rapport_Perinat_2016.pdf
R Core Team. R: A language and environment for statistical computing. R Foundation for Statistical Computing; 2020. https://www.R-project.org/
Dorai-Raj S. Binom: Binomial confidence intervals for several parameterizations; 2014. https://CRAN.R-project.org/package=binom
Bates D, Mächler M, Bolker B, Walker S. Fitting linear mixed-effects models using ime4. J Stat Softw. 2015;67(1):1-48. https://doi.org/10.18637/jss.v067.i01
Henderson CR. Best linear unbiased estimation and prediction under a selection model. Biometrics. 1975;31(2):423-447. https://doi.org/10.2307/2529430
Lukasse M, Schroll A-M, Karro H, et al. Prevalence of experienced abuse in healthcare and associated obstetric characteristics in six European countries. Acta Obstet Gynecol Scand. 2015;94(5):508-517. https://doi.org/10.1111/aogs.12593
Maimburg RD, Vaeth M, Dahlen H. Women’s experience of childbirth - A five year follow-up of the randomised controlled trial “Ready for Child Trial”. Women and Birth. 2016;29(5):450-454. https://doi.org/10.1016/j.wombi.2016.02.003
Waldenström U. Why do some women change their opinion about childbirth over time? Birth Berkeley Calif. 2004;31(2):102-107. https://doi.org/10.1111/j.0730-7659.2004.00287.x
Bohren MA, Mehrtash H, Fawole B, et al. How women are treated during facility-based childbirth in four countries: A cross-sectional study with labour observations and community-based surveys. The Lancet. 2019;394(10210):1750-1763. https://doi.org/10.1016/S0140-6736(19)31992-0
Bohren MA, Vogel JP, Hunter EC, et al. The mistreatment of women during childbirth in health facilities globally: a mixed-methods systematic review. PLoS Med. 2015;12(6):e1001847; discussion e1001847. https://doi.org/10.1371/journal.pmed.1001847
Bousquet D, Couraud G, Collet M. Les actes sexistes durant le suivi gynécologique et obstétrical. Haut Conseil à l’Egalité entre les femmes et les hommes; 2018:164.
Champion J-B, Collin C, Glénat P, Lesdos-Cauhapé C, Quénechdu V. Bilan Démographique 2018. Institut national de la statistique et des études économiques; 2019. https://www.insee.fr/fr/statistiques/3692693
Anim-Somuah M, Smyth RM, Cyna AM, Cuthbert A. Epidural versus non-epidural or no analgesia for pain management in labour. Cochrane Database of Syst Rev. 2018;5:CD000331. http://dx.doi.org/10.1002/14651858.cd000331.pub4
Yurashevich M, Carvalho B, Butwick AJ, Ando K, Flood PD. Determinants of women’s dissatisfaction with anaesthesia care in labour and delivery. Anaesthesia. 2019;74(9):1112-1120. https://doi.org/10.1111/anae.14756
Bernitz S, Øian P, Sandvik L, Blix E. Evaluation of satisfaction with care in a midwifery unit and an obstetric unit: a randomized controlled trial of low-risk women. BMC Pregnancy Childbirth. 2016;16(1). https://doi.org/10.1186/s12884-016-0932-x
Sandall J, Soltani H, Gates S, Shennan A, Devane D. Midwife-led continuity models versus other models of care for childbearing women. Cochrane Database Syst Rev. 2016;4:CD004667. https://doi.org/10.1002/14651858.CD004667.pub5
Brown S, Lumley J. Satisfaction with care in labor and birth: a survey of 790 Australian women. Birth Berkeley Calif. 1994;21(1):4-13.
Molenaar J, Korstjens I, Hendrix M, de Vries R, Nieuwenhuijze M. Needs of parents and professionals to improve shared decision-making in interprofessional maternity care practice: a qualitative study. Birth. 2018;45(3):245-254. https://doi.org/10.1111/birt.12379
Vlemmix F, Warendorf JK, Rosman AN, et al. Decision aids to improve informed decision-making in pregnancy care: A systematic review. BJOG Int J Obstet Gynaecol. 2013;120(3):257-266. https://doi.org/10.1111/1471-0528.12060
Éléments Pour Élaborer Une Aide à La Prise de Décision Partagée Entre Patient et Professionnel de Santé - Recommandation de Bonne Pratique. Paris, France: Haute Autorité de Santé; 2018. https://www.has-sante.fr/upload/docs/application/pdf/2018-03/elaborer_une_aide_a_la_prise_de_decision_partagee_mel.pdf
Roué J-M, Kuhn P, Lopez Maestro M, et al. Eight principles for patient-centred and family-centred care for newborns in the neonatal intensive care unit. Arch Dis Child Fetal Neonatal Ed. 2017;102(4):F364-F368. https://doi.org/10.1136/archdischild-2016-312180
Akca A, Corbacioglu Esmer A, Ozyurek ES, et al. The influence of the systematic birth preparation program on childbirth satisfaction. Arch Gynecol Obstet. 2017;295(5):1127-1133. https://doi.org/10.1007/s00404-017-4345-5
Chang Y-S, Coxon K, Portela AG, Furuta M, Bick D. Interventions to support effective communication between maternity care staff and women in labour: A mixed-methods systematic review. Midwifery. 2018;59:4-16. https://doi.org/10.1016/j.midw.2017.12.014