Udvari Orsolya, Szalma Ivett
Corvinus University of Budapest, Budapest, Hungary.
Hungarian Demographic Research Institute, Budapest, Hungary.
BMC Pregnancy Childbirth. 2025 Apr 8;25(1):409. doi: 10.1186/s12884-025-07521-3.
This study aims to investigate the impact of socio-demographic factors on childbirth satisfaction in Hungary, with a particular focus on the role of informal payments. While previous research has extensively examined maternal satisfaction, the specific influence of socio-demographic characteristics on childbirth experiences remains insufficiently explored, particularly in Hungary, where informal payments and a dual healthcare system coexist. By addressing this gap, the study seeks to provide a deeper understanding of the factors that shape birth satisfaction.
This study examines satisfaction with childbirth using a representative sample of the Hungarian adult population surveyed between February and April 2024. Descriptive statistics (chi-square test) and factor analysis were applied to understand perceptions of quality obstetric care, including responses from childless women and men on general attitudes towards obstetric services (N = 1360). Logistic regression examined socio-demographic predictors of satisfaction with obstetric care among mothers and fathers who evaluated their partners' experiences (N = 772).
Findings underscore the significance of financial factors in childbirth care. Individuals with lower education levels often consider informal payments and private doctors essential for quality care (χ² = 18.0, p < 0.05). Factor analysis revealed two key dimensions: financial and competency. Emphasis on financial aspects correlated with dissatisfaction (Financial components, Factor 1: OR = 0.74, 95%, p < 0.05) while prioritizing competency was linked to higher satisfaction (Competence, Factor 2: OR = 1.54, 95%, p < 0.01). The percentage of women dissatisfied with their childbirth experience was 13.8%, compared to 6.1% of men.
Efforts to reduce reliance on informal payments and enhance equitable access to high-quality obstetric care are critical for improving childbirth satisfaction in Hungary.
本研究旨在调查社会人口因素对匈牙利分娩满意度的影响，特别关注非正式支付的作用。虽然先前的研究广泛考察了产妇满意度，但社会人口特征对分娩体验的具体影响仍未得到充分探讨，尤其是在匈牙利，非正式支付和双重医疗体系并存的情况下。通过填补这一空白，本研究旨在更深入地了解影响分娩满意度的因素。
本研究使用2024年2月至4月对匈牙利成年人口进行调查的代表性样本，考察对分娩的满意度。应用描述性统计（卡方检验）和因子分析来了解对优质产科护理的看法，包括无子女妇女和男子对产科服务的总体态度的回答（N = 1360）。逻辑回归分析了评估伴侣分娩经历的父母对产科护理满意度的社会人口预测因素（N = 772）。
研究结果强调了财务因素在分娩护理中的重要性。教育水平较低的人通常认为非正式支付和私人医生对获得优质护理至关重要（χ² = 18.0，p < 0.05）。因子分析揭示了两个关键维度：财务和能力。强调财务方面与不满相关（财务成分，因子1：OR = 0.74，95%，p < 0.05），而优先考虑能力则与更高的满意度相关（能力，因子2：OR = 1.54，95%，p < 0.01）。对分娩经历不满意的女性比例为13.8%，而男性为6.1%。
减少对非正式支付的依赖并加强公平获得高质量产科护理的努力对于提高匈牙利的分娩满意度至关重要。
