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Client-care provider interaction during labour and birth as experienced by women: Respect, communication, confidentiality and autonomy

INTRODUCTION: Respectful Maternity Care is important for achieving a positive labour and birth experience. Client-care provider interaction—specifically respect, communication, confidentiality and autonomy—is an important aspect of Respectful Maternity Care. The aim of this study was twofold: (1) to...

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Autores principales: van der Pijl, Marit S. G., Kasperink, Marlies, Hollander, Martine H., Verhoeven, Corine, Kingma, Elselijn, de Jonge, Ank
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7880498/
https://www.ncbi.nlm.nih.gov/pubmed/33577594
http://dx.doi.org/10.1371/journal.pone.0246697
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author van der Pijl, Marit S. G.
Kasperink, Marlies
Hollander, Martine H.
Verhoeven, Corine
Kingma, Elselijn
de Jonge, Ank
author_facet van der Pijl, Marit S. G.
Kasperink, Marlies
Hollander, Martine H.
Verhoeven, Corine
Kingma, Elselijn
de Jonge, Ank
author_sort van der Pijl, Marit S. G.
collection PubMed
description INTRODUCTION: Respectful Maternity Care is important for achieving a positive labour and birth experience. Client-care provider interaction—specifically respect, communication, confidentiality and autonomy—is an important aspect of Respectful Maternity Care. The aim of this study was twofold: (1) to assess Dutch women’s experience of respect, communication, confidentiality and autonomy during labour and birth and (2) to identify which client characteristics are associated with experiencing optimal respect, communication, confidentiality and autonomy. METHODS: Pregnant women and women who recently gave birth in the Netherlands were recruited to fill out a validated web-based questionnaire (ReproQ). Mean scores per domain (scale 1–4) were calculated. Domains were dichotomised in non-optimal (score 1, 2,3) and optimal client-care provider interaction (score 4), and a multivariable logistic regression analysis was performed. RESULTS: Of the 1367 recruited women, 804 respondents completed the questionnaire and 767 respondents completed enough questions to be included for analysis. Each domain had a mean score above 3.5. The domain confidentiality had the highest proportion of optimal scores (64.0%), followed by respect (53.3%), communication (45.1%) and autonomy (36.2%). In all four domains, women who gave birth at home with a community midwife had a higher proportion of optimal scores than women who gave birth in the hospital with a (resident) obstetrician or hospital-based midwife. Lower education level, being multiparous and giving birth spontaneously were also significantly associated with a higher proportion of optimal scores in (one of) the domains. DISCUSSION: This study shows that on average women scored high on experienced client-care provider interaction in the domains respect, communication, confidentiality and autonomy. At the same time, client-care provider interaction in the Netherlands still fell short of being optimal for a large number of women, in particular regarding women’s autonomy. These results show there is still room for improvement in client-care provider interaction during labour and birth.
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spelling pubmed-78804982021-02-19 Client-care provider interaction during labour and birth as experienced by women: Respect, communication, confidentiality and autonomy van der Pijl, Marit S. G. Kasperink, Marlies Hollander, Martine H. Verhoeven, Corine Kingma, Elselijn de Jonge, Ank PLoS One Research Article INTRODUCTION: Respectful Maternity Care is important for achieving a positive labour and birth experience. Client-care provider interaction—specifically respect, communication, confidentiality and autonomy—is an important aspect of Respectful Maternity Care. The aim of this study was twofold: (1) to assess Dutch women’s experience of respect, communication, confidentiality and autonomy during labour and birth and (2) to identify which client characteristics are associated with experiencing optimal respect, communication, confidentiality and autonomy. METHODS: Pregnant women and women who recently gave birth in the Netherlands were recruited to fill out a validated web-based questionnaire (ReproQ). Mean scores per domain (scale 1–4) were calculated. Domains were dichotomised in non-optimal (score 1, 2,3) and optimal client-care provider interaction (score 4), and a multivariable logistic regression analysis was performed. RESULTS: Of the 1367 recruited women, 804 respondents completed the questionnaire and 767 respondents completed enough questions to be included for analysis. Each domain had a mean score above 3.5. The domain confidentiality had the highest proportion of optimal scores (64.0%), followed by respect (53.3%), communication (45.1%) and autonomy (36.2%). In all four domains, women who gave birth at home with a community midwife had a higher proportion of optimal scores than women who gave birth in the hospital with a (resident) obstetrician or hospital-based midwife. Lower education level, being multiparous and giving birth spontaneously were also significantly associated with a higher proportion of optimal scores in (one of) the domains. DISCUSSION: This study shows that on average women scored high on experienced client-care provider interaction in the domains respect, communication, confidentiality and autonomy. At the same time, client-care provider interaction in the Netherlands still fell short of being optimal for a large number of women, in particular regarding women’s autonomy. These results show there is still room for improvement in client-care provider interaction during labour and birth. Public Library of Science 2021-02-12 /pmc/articles/PMC7880498/ /pubmed/33577594 http://dx.doi.org/10.1371/journal.pone.0246697 Text en © 2021 van der Pijl et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
van der Pijl, Marit S. G.
Kasperink, Marlies
Hollander, Martine H.
Verhoeven, Corine
Kingma, Elselijn
de Jonge, Ank
Client-care provider interaction during labour and birth as experienced by women: Respect, communication, confidentiality and autonomy
title Client-care provider interaction during labour and birth as experienced by women: Respect, communication, confidentiality and autonomy
title_full Client-care provider interaction during labour and birth as experienced by women: Respect, communication, confidentiality and autonomy
title_fullStr Client-care provider interaction during labour and birth as experienced by women: Respect, communication, confidentiality and autonomy
title_full_unstemmed Client-care provider interaction during labour and birth as experienced by women: Respect, communication, confidentiality and autonomy
title_short Client-care provider interaction during labour and birth as experienced by women: Respect, communication, confidentiality and autonomy
title_sort client-care provider interaction during labour and birth as experienced by women: respect, communication, confidentiality and autonomy
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7880498/
https://www.ncbi.nlm.nih.gov/pubmed/33577594
http://dx.doi.org/10.1371/journal.pone.0246697
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