Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil.
Vice-Presidência de Ensino, Informação e Comunicação, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil.
Cad Saude Publica. 2023 May 8;39(5):e00154522. doi: 10.1590/0102-311XEN154522. eCollection 2023.
This study aimed to describe maternal satisfaction with their experience during childbirth and birth and their association with sociodemographic, clinical and obstetric, and good practice characteristics during childbirth care. The sample included 2,069 women who wanted to express their opinions at the end of the interview of the Stork Network Assessment survey. Exploratory factor analysis was performed to summarize the variables of interest, creating latent variables, for input in the multiple logistic regression model. Six factors were created and tested in the model. Respect for the puerperal women was associated with satisfaction (vaginal delivery: 1.40; cesarean section: 1.47). Regarding those who underwent a cesarean section, satisfaction was associated with living in the Central-West (1.91) and South (2.00) regions and the presence of a companion during hospitalization (1.25). However, for women who had vaginal delivery, satisfaction was inversely associated with large hospitals (0.62) and undergoing interventions during labor and delivery (0.83), but positively with multiparity (1.98), receiving good care practices for labor and delivery (1.24), and having immediate contact with the newborn (1.20). The better understanding of the factors associated with mothers' care satisfaction for labor and delivery can improve care quality provided in public hospitals in the Brazil.
本研究旨在描述产妇对分娩经历和分娩的满意度,并探讨其与社会人口学、临床和产科以及分娩护理良好实践特征的关系。该研究样本包括 2069 名希望在鹳鸟网络评估调查访谈结束时表达意见的女性。采用探索性因子分析对感兴趣的变量进行总结,创建潜在变量,输入多逻辑回归模型进行检验。共创建并检验了 6 个因素。尊重产妇与满意度相关(阴道分娩:1.40;剖宫产:1.47)。对于接受剖宫产的女性,满意度与居住在中西部(1.91)和南部(2.00)地区以及住院期间有陪伴有关(1.25)。然而,对于阴道分娩的女性,满意度与大型医院呈负相关(0.62),与分娩期间的干预呈负相关(0.83),但与多胎妊娠呈正相关(1.98),与接受良好的分娩护理实践呈正相关(1.24),与新生儿立即接触呈正相关(1.20)。更好地了解与产妇分娩护理满意度相关的因素,可以提高巴西公立医院提供的护理质量。