Ana Cláudia Magnus Martins1, Elsa Regina Justo Giugliani2, Luciana Neves Nunes3, Agnes Meire Branco Leria Bizon4, Andrea Francis Kroll de Senna5, Janini Cristina Paiz6, Juliana Castro de Avilla7, Camila Giugliani8. 1. Postgraduate Programme in Epidemiology, Universidade Federal do Rio Grande do Sul (UFRGS), Rua Ramiro Barcelos, 2400/2º andar. CEP, 90035-003, Porto Alegre, RS, Brazil. Electronic address: amagnusmartins@gmail.com. 2. Postgraduate Programme in Child and Adolescent Health, Universidade Federal do Rio Grande do Sul (UFRGS), Rua Ramiro Barcelos, 2400/2º andar. CEP, 90035-003, Porto Alegre, RS, Brazil. Electronic address: elsag@ufrgs.br. 3. Postgraduate Programme in Epidemiology and Department of Statistics, Institute of Mathematics and Statistics, Universidade Federal do Rio Grande do Sul (UFRGS), Rua Ramiro Barcelos, 2400/2º andar. CEP, 90035-003, Porto Alegre, RS, Brazil. Electronic address: lununes@mat.ufrgs.br. 4. Postgraduate Programme in Child and Adolescent Health, Universidade Federal do Rio Grande do Sul (UFRGS), Rua Ramiro Barcelos, 2400/2º andar. CEP, 90035-003, Porto Alegre, RS, Brazil. Electronic address: abizon@hcpa.edu.br. 5. Postgraduate Programme in Child and Adolescent Health, Universidade Federal do Rio Grande do Sul (UFRGS), Rua Ramiro Barcelos, 2400/2º andar. CEP, 90035-003, Porto Alegre, RS, Brazil. Electronic address: andreafks@gmail.com. 6. Postgraduate Programme in Epidemiology, Universidade Federal do Rio Grande do Sul (UFRGS), Rua Ramiro Barcelos, 2400/2º andar. CEP, 90035-003, Porto Alegre, RS, Brazil. Electronic address: janinicpaiz@gmail.com. 7. Postgraduate Programme in Child and Adolescent Health, Universidade Federal do Rio Grande do Sul (UFRGS), Rua Ramiro Barcelos, 2400/2º andar. CEP, 90035-003, Porto Alegre, RS, Brazil. Electronic address: juavilla0@gmail.com. 8. Postgraduate Programme in Epidemiology, Universidade Federal do Rio Grande do Sul (UFRGS), Rua Ramiro Barcelos, 2400/2º andar. CEP, 90035-003, Porto Alegre, RS, Brazil. Electronic address: cgiugliani@hcpa.edu.br.
Abstract
BACKGROUND: Having a positive childbirth experience is an increasingly valued outcome. Few studies evaluated the women's satisfaction with childbirth through face-to-face interviews out of the health service environment. The objective of this study was to identify factors associated with a higher level of satisfaction with the childbirth experience among Brazilian women. METHODS: This cross-sectional study involved 287 women giving birth in two hospitals in southern Brazil. Women who gave birth to healthy newborns at term were randomly selected. Face-to-face interviews were conducted 31-37 days after delivery, at the mothers' homes, using a structured questionnaire. Satisfaction with the childbirth experience was measured using a Likert-type scale ranging from very satisfied to very dissatisfied. Prevalence ratios (PR) were estimated using Poisson regression with robust variance. RESULTS: Following hierarchical multivariate analysis, the following factors remained associated with a higher level of satisfaction with the childbirth experience: being satisfied with antenatal care (PR=1.30; 95% confidence interval [95%CI]=1.06-1.59), understanding the information provided by health professionals during labor and delivery (PR=1.40; 95%CI=1.01-1.95), not having reported disrespect and abuse (PR=1.53; 95%CI=1.01-2.31), and having had the baby put to the breast within the first hour of life (PR=1.63; 95%CI=1.26-2.11). No association was observed with type of delivery or hospital status (public or private). CONCLUSIONS: A higher level of satisfaction with the childbirth experience is related to satisfactory antenatal care, a non-abusive, respectful, and informative environment during childbirth, and to the opportunity to breastfeed the baby within the first hour of life. In clinical practice, greater attention to these basic principles of care during pregnancy and delivery could provide more positive experiences during birth.
BACKGROUND: Having a positive childbirth experience is an increasingly valued outcome. Few studies evaluated the women's satisfaction with childbirth through face-to-face interviews out of the health service environment. The objective of this study was to identify factors associated with a higher level of satisfaction with the childbirth experience among Brazilian women. METHODS: This cross-sectional study involved 287 women giving birth in two hospitals in southern Brazil. Women who gave birth to healthy newborns at term were randomly selected. Face-to-face interviews were conducted 31-37 days after delivery, at the mothers' homes, using a structured questionnaire. Satisfaction with the childbirth experience was measured using a Likert-type scale ranging from very satisfied to very dissatisfied. Prevalence ratios (PR) were estimated using Poisson regression with robust variance. RESULTS: Following hierarchical multivariate analysis, the following factors remained associated with a higher level of satisfaction with the childbirth experience: being satisfied with antenatal care (PR=1.30; 95% confidence interval [95%CI]=1.06-1.59), understanding the information provided by health professionals during labor and delivery (PR=1.40; 95%CI=1.01-1.95), not having reported disrespect and abuse (PR=1.53; 95%CI=1.01-2.31), and having had the baby put to the breast within the first hour of life (PR=1.63; 95%CI=1.26-2.11). No association was observed with type of delivery or hospital status (public or private). CONCLUSIONS: A higher level of satisfaction with the childbirth experience is related to satisfactory antenatal care, a non-abusive, respectful, and informative environment during childbirth, and to the opportunity to breastfeed the baby within the first hour of life. In clinical practice, greater attention to these basic principles of care during pregnancy and delivery could provide more positive experiences during birth.
Authors: Janini Cristina Paiz; Stela Maris de Jezus Castro; Elsa Regina Justo Giugliani; Sarah Maria Dos Santos Ahne; Camila Bonalume Dall' Aqua; Alice Steglich Souto; Camila Giugliani Journal: PLoS One Date: 2022-07-12 Impact factor: 3.752