Colaceci Sofia, Corsi Edoardo, Berardi Francesca, Coscarella Pierina, Mariotti Manuela, Ramacciati Nicola
BMid, MNS, PhD, Ricercatrice in Scienze Infermieristiche Ostetrico Ginecologiche, Facolta' dipartimentale di Medicina, Saint Camillus International University of Health and Medical Sciences (UniCamillus), Roma. Email:
BMid, MNS, Dottorando di ricerca in Scienze Infermieristiche e Sanita' Pubblica, Universita' degli Studi di Roma Tor Vergata, Roma.
Prof Inferm. 2020 Jun-Sep;73(3):181-187. doi: 10.7429/pi.2020.733181.
Maternal satisfaction regarding care during delivery is an indicator of maternity service's quality.
We conducted an observational study between May and August 2018, using an online questionnaire for women who have delivered in the last 3 years. Data was processed using descriptive and bivariate analysis, considering satisfaction as outcome.
Sample includes 1229 women. About 73% had a spontaneous vaginal delivery, of which 29.3% received a Kristeller manoeuvre and 34,4% episiotomy. Three women out of 10 complaint about lack of involving in the decision-making process, 13.9% of women believe that their delivery's experience can negatively influence their decision to have another child, and 19.8% would like not to give birth again in the same hospital. Four women out of 10 are only partially satisfied with the care received and 6.4% is not satisfied at all. Satisfaction is significantly associated to the following variables: age more than 25 years old, positive environment during labour, gentle attitude of healthcare provider, respect of needs, respect of dignity, woman's inclusion in the decision making process, presence of a trustworthy person during the labour/delivery, vaginal delivery, positive delivery's experience, episiotomy, Kristeller manoeuvre, skin-to-skin contact, support during breastfeeding and postpartum period, choice to come back in the hospital for another delivery.
We should implement strategies to promote the mother-partner-child triad as a central focus during delivery and allocate human resources in more efficient ways.
产妇对分娩护理的满意度是产科服务质量的一个指标。
我们在2018年5月至8月期间进行了一项观察性研究，使用在线问卷对过去3年内分娩的女性进行调查。以满意度为结果，采用描述性和双变量分析对数据进行处理。
样本包括1229名女性。约73%的产妇为自然阴道分娩，其中29.3%接受了克里斯特勒手法，34.4%接受了会阴切开术。十分之三的女性抱怨在决策过程中缺乏参与，13.9%的女性认为她们的分娩经历会对她们决定生育下一胎产生负面影响，19.8%的女性不想在同一家医院再次分娩。十分之四的女性对所接受的护理仅部分满意，6.4%的女性完全不满意。满意度与以下变量显著相关：年龄超过25岁、分娩时环境积极、医护人员态度温和、需求得到尊重、尊严得到尊重、女性参与决策过程、分娩/接生时有可信赖的人在场、阴道分娩、分娩经历积极、会阴切开术、克里斯特勒手法、皮肤接触、母乳喂养和产后得到支持、选择回到该医院再次分娩。
我们应实施相关策略，在分娩期间将母婴-伴侣-孩子三联体作为核心关注点，并以更有效的方式分配人力资源。
