Client experiences with perinatal healthcare for high-risk and low-risk women.
Women Birth
; 31(6): e380-e388, 2018 Dec.
Article
en En
| MEDLINE
| ID: mdl-29395696
ABSTRACT
PROBLEM:
It is unknown if client experiences with perinatal healthcare differ between low-risk and high-risk women.BACKGROUND:
In the Netherlands, risk selection divides pregnant women into low- and high-risk groups. Receiving news that a pregnancy or childbirth has an increased likelihood of complications can cause elevated levels of emotional distress.AIM:
The purpose of this study is to describe client experiences with perinatal healthcare and to determine which, if any, background characteristics, pregnancy circumstances, childbirth or follow-up care characteristics are explaining variables of differences in client experiences between high-risk and low-risk women.METHODS:
Client experiences were measured with a validated questionnaire completed by 1388 women within 12 weeks after childbirth.FINDINGS:
Women rated their experiences with perinatal healthcare with a mean score of 3.78 on a scale of 1-4; 5.5% of the women rated their experiences as "notably bad". Client experiences with perinatal healthcare show small variations, with a lower mean score for women who were at high risk (3.75) compared to low-risk women (3.84). This difference is partially due to more unplanned medical interventions and pain relief during childbirth in the high-risk group. Also, single mothers and non-Dutch women were more susceptible to less positive experiences.CONCLUSION:
Given the potential negative impact of adverse client experiences, this study highlights the need for healthcare professionals to be aware of what women are susceptible for having had negative experiences. It is advised that healthcare provision be altered to tailor to the needs of these women.Palabras clave
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Satisfacción del Paciente
/
Atención Perinatal
/
Parto Obstétrico
/
Parto
/
Mujeres Embarazadas
Tipo de estudio:
Etiology_studies
/
Qualitative_research
/
Risk_factors_studies
Límite:
Adult
/
Female
/
Humans
/
Pregnancy
País/Región como asunto:
Europa
Idioma:
En
Revista:
Women Birth
Asunto de la revista:
ENFERMAGEM
/
OBSTETRICIA
Año:
2018
Tipo del documento:
Article