Department of Psychology, Oklahoma State University, Stillwater, OK, USA.
RUSH University Medical Center, Chicago, IL, USA.
BMC Pregnancy Childbirth. 2024 Oct 9;24(1):656. doi: 10.1186/s12884-024-06866-5.
Satisfaction with birth and healthcare provider experiences have long-term effects for maternal health. Research has shown that mothers who report more trust, respect, and self-efficacy in their relationship with their healthcare providers are more likely to report positive birthing experiences. Further, individuals with obesity, including pregnant mothers, are more likely to experience weight-related stigma from healthcare providers which may negatively impact satisfaction with this relationship. Thus, the current study examines maternal pre-pregnancy body mass index (BMI) as a moderator between birth and provider satisfaction.
A sample of 94 women (ages 16-38) were recruited during pregnancy. Participants completed surveys about their satisfaction with their birth experience, provider satisfaction, height, weight, and demographics including age and education. A moderation analysis was used to examine pre-pregnancy BMI as a moderator between birth and provider satisfaction.
Results show that provider satisfaction is positively associated with birth satisfaction among mothers with moderate (overweight) to high (obese) pre-pregnancy BMI scores in our sample.
Findings suggest that strengthening the patient-provider relationship may promote satisfaction with birth experiences.
对分娩和医疗服务提供者体验的满意度对产妇健康有长期影响。研究表明，报告与医疗保健提供者关系中更信任、尊重和自我效能感的母亲更有可能报告积极的分娩体验。此外，肥胖的个体，包括孕妇，更有可能受到医疗服务提供者的体重相关耻辱感的影响，这可能会对他们对这种关系的满意度产生负面影响。因此，目前的研究检查了产妇怀孕前的体重指数（BMI）作为分娩和提供者满意度之间的调节因素。
在怀孕期间招募了 94 名女性（年龄在 16-38 岁之间）作为样本。参与者完成了关于他们对分娩体验、提供者满意度、身高、体重和人口统计学（包括年龄和教育）的满意度的调查。采用调节分析来检验怀孕前 BMI 作为我们样本中中度（超重）到高度（肥胖）妊娠前 BMI 评分与提供者满意度之间的调节因素。
结果表明，在我们的样本中，提供者满意度与具有中度（超重）到高度（肥胖）妊娠前 BMI 评分的母亲的分娩满意度呈正相关。
研究结果表明，加强医患关系可能会提高对分娩体验的满意度。
