Antenatal cardiotocography in primary midwife-led care: Women's satisfaction.
antenatal cardiotocography
midwife-led care
satisfaction
value-based health care
women's experiences
Journal
Birth (Berkeley, Calif.)
ISSN: 1523-536X
Titre abrégé: Birth
Pays: United States
ID NLM: 8302042
Informations de publication
Date de publication:
12 2023
12 2023
Historique:
revised:
24
02
2023
received:
04
10
2022
accepted:
27
04
2023
medline:
14
11
2023
pubmed:
1
6
2023
entrez:
1
6
2023
Statut:
ppublish
Résumé
In the Netherlands, antenatal cardiotocography (aCTG), used to assess fetal well-being, is performed in obstetrician-led care. To improve continuity of care, an innovation project was designed wherein primary care midwives perform aCTGs for specific indications. The aim of this study was to examine the satisfaction and experiences of pregnant women who received an aCTG in primary midwife-led care and explore which factors were associated with high satisfaction. Data were collected through a self-administered questionnaire based on the Consumer Quality Index. The primary outcome was general satisfaction on a 10-point scale, with a score above nine indicating participants were "highly satisfied". In total, 1227 women were included in the analysis. The study showed a mean general satisfaction score of 9.2. Most women were highly satisfied with receiving an aCTG in primary midwife-led care (77.4%). On the Consumer Quality Index, the mean satisfaction level varied from 3.98 (SD ± 0.11) for the subscale "client satisfaction" to 3.87 (SD ± 0.32) for the subscale "information provision" on a 4-point scale. Women at between 33 and 36 weeks' gestation were more likely to be highly satisfied (adjusted OR [aOR] = 3.35). Compared with a completely comfortable position during the aCTG, a mostly comfortable or somewhat comfortable level had decreased odds of being associated with a ranking of highly satisfied (aOR 0.24 and 0.19, respectively). This study shows that pregnant women are satisfied with having an aCTG in midwife-led care. Providing aCTG in midwife-led care can increase access to continuity of care.
Sections du résumé
BACKGROUND
In the Netherlands, antenatal cardiotocography (aCTG), used to assess fetal well-being, is performed in obstetrician-led care. To improve continuity of care, an innovation project was designed wherein primary care midwives perform aCTGs for specific indications. The aim of this study was to examine the satisfaction and experiences of pregnant women who received an aCTG in primary midwife-led care and explore which factors were associated with high satisfaction.
METHODS
Data were collected through a self-administered questionnaire based on the Consumer Quality Index. The primary outcome was general satisfaction on a 10-point scale, with a score above nine indicating participants were "highly satisfied".
RESULTS
In total, 1227 women were included in the analysis. The study showed a mean general satisfaction score of 9.2. Most women were highly satisfied with receiving an aCTG in primary midwife-led care (77.4%). On the Consumer Quality Index, the mean satisfaction level varied from 3.98 (SD ± 0.11) for the subscale "client satisfaction" to 3.87 (SD ± 0.32) for the subscale "information provision" on a 4-point scale. Women at between 33 and 36 weeks' gestation were more likely to be highly satisfied (adjusted OR [aOR] = 3.35). Compared with a completely comfortable position during the aCTG, a mostly comfortable or somewhat comfortable level had decreased odds of being associated with a ranking of highly satisfied (aOR 0.24 and 0.19, respectively).
CONCLUSIONS
This study shows that pregnant women are satisfied with having an aCTG in midwife-led care. Providing aCTG in midwife-led care can increase access to continuity of care.
Types de publication
Journal Article
Research Support, U.S. Gov't, P.H.S.
Langues
eng
Sous-ensembles de citation
IM
Pagination
798-807Subventions
Organisme : AHRQ HHS
ID : RAAK.MKB09.009
Pays : United States
Informations de copyright
© 2023 The Authors. Birth published by Wiley Periodicals LLC.
Références
Porter ME, Teisberg EO. Redefining Health Care: Creating Value-Based Competition on Results. Harvard business press; 2006.
Verloskundig systeem Nederland. Koninklijke Nederlandse Organisatie van Verloskundigen. 2018. Available from: https://www.knov.nl/over-de-knov/tekstpagina/780-3/verloskundig-systeem-nederland/hoofdstuk/1094/verloskundig-systeem-nederland. Accessed 23 September, 2022.
Warmelink JC, Hoijtink K, Noppers M, et al. An explorative study of factors contributing to the job satisfaction of primary care midwives. Midwifery. 2015;31(4):482-488.
Eindrapport van de Commissie Verloskunde van het College voor zorgverzekeringen. Verloskundig Vademecum. College voor Zorgverzekeringen; 2003.
Offerhaus PM, Geerts C, de Jonge A, Hukkelhoven CW, Twisk JW, Lagro-Janssen AL. Variation in referrals to secondary obstetrician-led care among primary midwifery care practices in The Netherlands: a nationwide cohort study. BMC Pregnancy Childbirth. 2015;15(1):1-10.
Baas CI, Erwich JJH, Wiegers TA, de Cock TP, Hutton EK. Women's suggestions for improving midwifery care in The Netherlands. Birth (Berkeley, Calif). 2015;42(4):369-378.
Perdok H, Verhoeven CJ, van Dillen J, et al. Continuity of care is an important and distinct aspect of childbirth experience: findings of a survey evaluating experienced continuity of care, experienced quality of care and women's perception of labor. BMC Pregnancy Childbirth. 2018;18(1):1-9.
Neppelenbroek E, Verhoeven C. Handboek implementatie antenataal CTG in verloskundigenpraktijken. Handboek implementatie antenataal CTG in verloskundigenpraktijken; 2022:1-102.
Maatschappelijke businesscase geboortezorg. Doelmatige geboortezorg kan. 2014. Available from: http://www.verloskundigenplein.nl/userfiles/file/maatschappelijke-businesscase-geboortezorg(1).pdf. Accessed February 15, 2023
van der Pijl MSG, Tiel Groenestege EQ, Verhoeven CJM. Experiences and views of midwives performing antenatal cardiotocography in Dutch primary care: a qualitative study. Midwifery. 2019;72:60-66.
De Jonge A, Downe S, Page L, et al. Value based maternal and newborn care requires alignment of adequate resources with high value activities. BMC Pregnancy Childbirth. 2019;19(1):1-6.
Neppelenbroek EM, van der Heijden OWH, de Vet HCW, et al. Interobserver and intraobserver agreement of antenatal cardiotocography assessments by maternity care professionals: a prospective study. Authorea. 2022.
Sociaaleconomische status van huishoudens in Nederland. Centraal Bureau voor de Statistiek. 2020. Available from: https://www.cbs.nl/nl-nl/maatwerk/2020/49/sociaaleconomische-status-van-huishoudens-in-nederland. Accessed 23 September, 2022
Berekenwijze Sociaal Economische Status scores. Centraal Bureau voor de Statistiek. 2021. Available from: https://webcache.googleusercontent.com/search?q=cache:T74RetICmYgJ:https://www.cbs.nl/-/media/_pdf/2021/45/berekenwijze-sociaal-economische-statusscores.pdf&cd=1&hl=nl&ct=clnk&gl=nl. Accessed 23 September, 2022
Delnoij DM, Rademakers JJ, Groenewegen PP. The Dutch consumer quality index: an example of stakeholder involvement in indicator development. BMC Health Serv Res. 2010;10(1):1-12.
Crichton N. Visual analogue scale (VAS). J Clin Nurs. 2001;10(5):706.
Williams B, Coyle J, Healy D. The meaning of patient satisfaction: an explanation of high reported levels. Soc Sci Med. 1998;47(9):1351-1359.
Hildingsson I, Haines H, Cross M, Pallant JF, Rubertsson C. Women's satisfaction with antenatal care: comparing women in Sweden and Australia. Women Birth. 2013;26(1):e9-e14.
Wiegers TA. The quality of maternity care services as experienced by women in The Netherlands. BMC Pregnancy Childbirth. 2009;9(1):1-11.
Goberna-Tricas J, Banús-Giménez MR, Palacio-Tauste A, Linares-Sancho S. Satisfaction with pregnancy and birth services: the quality of maternity care services as experienced by women. Midwifery. 2011;27(6):e231-e237.
Dahlberg U, Aune I. The woman's birth experience-the effect of interpersonal relationships and continuity of care. Midwifery. 2013;29(4):407-415.
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.
Brouwer W, Delnoij DMJ. Verdiepingsstudie prestatie-indicatoren consumenttevredenheid en patiënttevredenheid. Nivel Utrecht; 2004.
Perined, Utrecht, 2022. Available from: www.peristat.nl. [cited August 7, 2022].
Enquête beroepsbevolking. Centraal Bureau voor de Statistiek. 2018. Available from: https://www.cbs.nl/nl-nl/onze-diensten/methoden/onderzoeksomschrijvingen/korte-onderzoeksbeschrijvingen/enquete-beroepsbevolking--ebb--. Accessed 23 September, 2022.