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dc.contributor.authorBernitz, Stine
dc.contributor.authorØian, Pål
dc.contributor.authorSandvik, Leiv
dc.contributor.authorBlix, Ellen
dc.date.accessioned2016-08-29T08:33:54Z
dc.date.available2016-08-29T08:33:54Z
dc.date.issued2016-06-18
dc.description.abstractBACKGROUND Satisfaction with birth care is part of quality assessment of care. The aim of this study was to investigate possible differences in satisfaction with intrapartum care among low-risk women, randomized to a midwifery unit or to an obstetric unit within the same hospital. METHODS Randomized controlled trial conducted at the Department of Obstetrics and Gynecology, Østfold Hospital Trust, Norway. A total of 485 women with no expressed preference for level of birth care, assessed to be at low-risk at onset of spontaneous labor were included. To assess the overall satisfaction with intrapartum care, the Labour and Delivery Satisfaction Index (LADSI) questionnaire, was sent to the participants 6 months after birth. To assess women’s experience with intrapartum transfer, four additional items were added. In addition, we tested the effects of the following aspects on satisfaction; obstetrician involved, intrapartum transfer from the midwifery unit to the obstetric unit during labor, mode of delivery and epidural analgesia. RESULTS Women randomized to the midwifery unit were significantly more satisfied with intrapartum care than those randomized to the obstetric unit (183 versus 176 of maximum 204 scoring points, mean difference 7.2, p = 0.002). No difference was found between the units for women who had an obstetrician involved during labor or delivery and who answered four additional questions on this aspect (mean item score 4.0 at the midwifery unit vs 4.3 at the obstetric unit, p = 0.3). Intrapartum transfer from the midwifery unit to an obstetric unit, operative delivery and epidurals influenced the level of overall satisfaction in a negative direction regardless of allocated unit (p < 0.001). CONCLUSION Low-risk women with no expressed preference for level of birth care were more satisfied if allocated to the midwifery unit compared to the obstetric unit. TRIAL REGISTRATION The trial is registered at www.​clinicaltrials.​gov NCT00857129. Initially released 03/05/2009.en_US
dc.description.sponsorshipThe trial was funded by The South-Eastern Regional Health Authority, The National Advisory Committee for Obstetrics in Norway and by Østfold Hospital Trust.en_US
dc.descriptionPublisher's version, source: <a href=http://doi.org/10.1186/s12884-016-0932-x>http://doi.org/10.1186/s12884-016-0932-x</a>.en_US
dc.identifier.citationBMC Pregnancy and Childbirth 2016, 16:143en_US
dc.identifier.issn1471-2393
dc.identifier.otherFRIDAID 1362310
dc.identifier.other10.1186/s12884-016-0932-x
dc.identifier.urihttp://hdl.handle.net/10037/9574
dc.identifier.urnURN:NBN:no-uit_munin_9131
dc.language.isoengen_US
dc.publisherBioMed Centralen_US
dc.rights.accessRightsopenAccess
dc.subjectVDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Gynekologi og obstetrikk: 756en_US
dc.subjectLow-risk birthen_US
dc.subjectIntrapartum careen_US
dc.subjectSatisfactionen_US
dc.subjectBirth care uniten_US
dc.titleEvaluation of satisfaction with care in a midwifery unit and an obstetric unit: a randomized controlled trial of low-risk womenen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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