Harvey Sheila, Rach Diane, Stainton M Colleen, Jarrell John, Brant Rollin
Arbour Birth Center, Calgary, Alberta, Canada.
Midwifery. 2002 Dec;18(4):260-7. doi: 10.1054/midw.2002.0317.
to determine if there were differences in women's satisfaction with maternity care given by doctors and midwives. In addition a simple, six-question, satisfaction questionnaire was to be tested.
a randomised controlled trial comparing two models of maternity care.
a tertiary referral centre in Alberta, Canada.
one hundred and ninety four women with a low-risk pregnancy were randomly assigned to either the midwife care, experimental group (n = 101), or the doctor care, control group (n = 93).
a pilot midwifery programme was introduced into a maternity services delivery system that did not have established midwifery.
women's satisfaction was measured, at two weeks postpartum, with the Labour and Delivery Satisfaction Index (LADSI), general attitudes toward the birth experience, also at two weeks postpartum; with the Attitudes about Labour and Delivery Experience (ADLE) questionnaire. Fluctuations in satisfaction were measured with a Six Simple Questions (SSQ) questionnaire at 36 weeks gestation and 48 hours, two and six weeks postpartum.
women in the midwife group reported significantly greater satisfaction and a more positive attitude toward their childbirth experience than women in the doctor group (p < 0.001). The SSQ demonstrated scores similar to the LADSI. Satisfaction in both groups was lowest at 36 weeks gestation and highest immediately postpartum.
women experiencing low-risk pregnancies were more satisfied with care by midwives than with care provided by doctors. Satisfaction scores were high for both groups and may have been lower for women in the doctor group as a result of disappointment with caregiver assignment as all women had sought midwifery care. The SSQ measures similar dimensions to the LADSI but the agreement is not strong enough to recommend its use as a substitute at this time.
the significantly higher satisfaction of the women with the care provided by the midwives together with better clinical outcomes reported elsewhere suggest that the option of midwifery care should be accessible as an option for all women in Canada. Further research is suggested to determine the usefulness of the SSQ.
确定女性对医生和助产士提供的产科护理的满意度是否存在差异。此外，还要测试一份简单的、包含六个问题的满意度调查问卷。
一项比较两种产科护理模式的随机对照试验。
加拿大艾伯塔省的一家三级转诊中心。
194名低风险妊娠女性被随机分配到助产士护理实验组（n = 101）或医生护理对照组（n = 93）。
将一项助产士试点项目引入一个尚未设立助产士服务的产科服务提供系统。
产后两周，用分娩满意度指数（LADSI）测量女性的满意度，同时也在产后两周用分娩经历态度（ADLE）问卷测量对分娩经历的总体态度。在妊娠36周、产后48小时、两周和六周时，用六个简单问题（SSQ）问卷测量满意度的波动情况。
与医生组的女性相比，助产士组的女性对分娩经历的满意度明显更高，态度也更积极（p < 0.001）。SSQ显示的分数与LADSI相似。两组的满意度在妊娠36周时最低，产后即刻最高。
低风险妊娠女性对助产士护理的满意度高于医生提供的护理。两组的满意度得分都很高，医生组女性的满意度得分可能较低，原因是所有女性都寻求助产士护理，却对护理人员的分配感到失望。SSQ测量的维度与LADSI相似，但目前其一致性还不够强，不足以推荐将其用作替代指标。
女性对助产士提供的护理满意度显著更高，以及其他地方报告的更好的临床结果表明，在加拿大，应将助产士护理作为所有女性的一种选择提供。建议进一步研究以确定SSQ的有用性。
