Satisfaction Of Pregnant Women Research Articles

Pre-eclampsia Educational Tool Impact on Knowledge, Anxiety, and Satisfaction in Pregnant Women: A Randomized Trial.

This study aimed to evaluate the impact of educational tools concerning pre-eclampsia on knowledge, anxiety, and women's satisfaction. The investigators conducted a randomized controlled trial from March to July 2014 at the Centre Hospitalier Universitaire de Sherbrooke (Sherbrooke, QC) by comparing ambulatory pregnant women (20-32 weeks of gestation) who were receiving educational tools on pre-eclampsia with control patients who received routine care. Tools consisted of an informative pamphlet, a video, and a pictographic magnet, all validated by a multidisciplinary team. The primary outcome was global knowledge (number of correct answers on 35 items) about the disease after 1 month, as assessed by questionnaire. Secondary outcomes included anxiety regarding pre-eclampsia and satisfaction concerning the different tools (a 1-6 Likert scale was used). Among 362 pregnant women approached for the research, 269 were randomized. After 1 month, 247 questionnaires (92%) were filled and analyzed: 122 from the control group and 125 from the intervention group. Baseline characteristics were similar between the groups. Patients who received the tools scored significantly higher on global knowledge (70.1%±19.2% compared with 51.1%±23.4%; mean difference of 19.0%; P<0.001). Anxiety scores regarding pre-eclampsia were similar between the groups, with a mean of 2.40 out of 6 for the control group and 2.53 out of 6 for the intervention group (equivalence test, P<0.001). High score levels of satisfaction for the pamphlet and video were found: 5.1 out of 6 and 5.2 out of 6, respectively. These well-received educational tools for pregnant women increased their knowledge about pre-eclampsia without increasing their anxiety about it. Women reported the highest satisfaction for the tools.

Satisfaction in the management of pain during labour with the use of transcutaneous nerve stimulation

There are many factors involved with satisfaction in women during labour. Pain relief is considered one of the weaknesses, in such a way that it could influence the rating of the rest of satisfaction items. The use of Transcutaneous Electrical Nerve Stimulation (TENS), like a non-pharmacologic approach, is an effective and safe technique used during childbirth. Measure for Testing Satisfaction (COMFORTS) scale is a specific questionnaire that includes the most important factors associated with the relation between mother satisfaction and the childbirth experience. The aim of this work was to analyze factors that can influence satisfaction in pregnant women during labour and its relation with pain management. A randomized and double-blind controlled trial was conducted. All participants completed the satisfaction scale immediately after childbirth. 63 participants were randomly assigned to one TENS device to relieve the pain, with different dose in each patients group. The primary outcome was to evaluate satisfaction in patients during childbirth and its relation with pain relief. This measurement was made with two scales, the satisfaction level was measured with COMFORTS scale and pain was measured with Visual Analogue Scale (VAS). The total COMFORTS scale mean score was 171.03 ± 19.69 with an individual item mean of 4.28. Women who have had more than one delivery presented the highest level of satisfaction, followed by nulliparous and those who have had a previous pregnancy. Women who expressed a low level of satisfaction had experienced severe pain. Lower degree of satisfaction was observed in women with severe pain 3.03 ± 1.1 than women with moderate pain, 4.53 ± 0.7. Overall, high level of satisfaction during labour was obtained; we recommended the use of TENS for pain relief to improve general satisfaction.

Effect of Life Skills Counseling on Marital Satisfaction of Pregnant Women Referring to Health Clinics in Asadabad, Hamadan, Iran

Effect of Life Skills Counseling on Marital Satisfaction of Pregnant Women Referring to Health Clinics in Asadabad, Hamadan, Iran

The Effect of Epidural-Spinal Anesthesia on Labor Outcome and Satisfaction in Parturient Mothers: A Randomized Controlled Trial

Introduction: One of the health system concerns is the use of medications for pain relief during labor and its side effects. Therefore, the aim of this study was to investigate the effect of epiduralspinal anesthesia (combined anesthesia [CA]) on labor outcome and satisfaction in pregnant women. Methods: In this randomized controlled trial study, we included 80 nulliparous women who had been admitted to Fatemieh hospital (Hamadan, Iran) during 2015-2016 due to spontaneous onset of labor. They were randomly assigned into 2 groups of 40, one group with CA versus normal vaginal delivery (NVD) group. Data were collected by using of demographic questionnaire, satisfaction questionnaire, and baby truck scales. Data were analyzed by descriptive and analytical statistics in SPSS version 16.0. Results: Average maternal age (mean ± SD) in the CA group was 26.94 ± 4.34 and in the NVD group was 25.89 ±5.18, respectively. There was a significant difference between the 2 groups in terms of length of second stage of labor (P=0.001), headache (P=0.04), and Apgar score (first minute) (P=0.001). Chi-square test showed a significant difference between the 2 groups in terms of satisfaction with childbirth (P=0.004). Conclusion: In this study, labor pain relief by using the spinal-epidural anesthesia (CA) increased the labor satisfaction. Nevertheless, this approach was associated with some maternal and neonatal complications such as: headaches, length of third stage of labor, and low Apgar score. It seems that the use of this method for painless delivery requires further studies.

Life Satisfaction Related to Intended and Unintended Pregnancies of Rural Women in Bangladesh

Life satisfaction is the most pivotal elements that arise in marital satisfaction of couples. The purpose of this study was to show the importance of mental health and life satisfaction of pregnant women during pregnancy. This study was conducted on two groups of subjects, women with intended pregnancy (n = 101) and women with unintended pregnancy (n = 100), a total of 201 patients who admitted to one of the hospitals of Community Clinic Project, Fatepur, Pirganj, Rangpur for medical examination and a period of maternity. Sampling was done in a purposive sampling manner. The method of the study was a cause and effect-comparative one. The used questionnaire was made by the researcher consisting of the demographic variables, satisfaction with life and Diner short form of sexual function. After obtaining consent, questionnaire was completed by the complementary method. Descriptive statistics, percentage, mean and standard deviation were used to analyze the data. To evaluate the research hypotheses, inferential statistics methods, t-test for both groups and Pearson's correlation coefficient were used. According to the results, a significant difference was seen in life satisfaction between women with intended pregnancy and those with unintended pregnancy (P <0.0001). While there was no significant difference in the overall score scale of sexual satisfaction between the two groups of pregnant women but significant difference was obtained concerning sexual desire and sexual satisfaction (P <0.0001). Sexual desire and satisfaction in women with intended pregnancy was reported to be higher than those in women with unintended pregnancy. Finally attention to the psychological needs of pregnant women during pregnancy especially in women with unintended pregnancy will help them to prevent connubial problems and make their life satisfactory.

Pregnant Women's Satisfaction with the Quality of Antenatal Care At Maternal and Child Health Centers in El-Beheira Governorate

Pregnant Women's Satisfaction with the Quality of Antenatal Care At Maternal and Child Health Centers in El-Beheira Governorate

Effect of Turkish classical music on prenatal anxiety and satisfaction: A randomized controlled trial in pregnant women with pre-eclampsia

ObjectivesThe present study aimed to evaluate the effect of music therapy on anxiety and satisfaction in pregnant women with preeclampsia. Design, setting and subjectsA randomized controlled trial was performed on 70 pregnant women with pre-eclampsia hospitalized in the research and application hospital of Kahramanmaras Sütcü İmam University between December 2012 and February 2014. The subjects were allocated to experimental or control groups in a random manner (n=35 each). InterventionsPregnant women in the experimental group were subject to a 30min Turkish classical music therapy trial each day for a period of 7days (5days before and 2days after labor) whereas those in the control group received routine care and also were assigned to 30min of bed rest a day. The Personal Information Form, State-Trait Anxiety Inventory, and Newcastle Satisfaction with Nursing Scale were administered to participants. Data were analyzed using descriptive statistics, student t-test, and Mann-Whitney U test where appropriate. Main outcome measuresOutcome measures were anxiety scale scores, satisfaction scale scores, vital signs, fetal movement and fetal heart rate. ResultsThe differences between anxiety scores were not statistically significant (p>0.05). On the other hand, Newcastle Satisfaction with Nursing Scale scores of the experiment group were higher than the control group (p<0.01). Finally, when considering fetal movement counts, a significant increase was determined in the experiment group, whereas Music Therapy had a minimalizing effect on fetal heart rate and a lowering effect on blood pressure (p<0.05). ConclusionIt may be suggested that nurses and midwives can utilize music therapy in the care and follow-up of pregnant women with preeclampsia in obstetrics units.

Expectations and satisfaction of pregnant women: unveiling prenatal care in primary care.

To analyze the perception of primiparous women about prenatal care in Basic Health Units in a municipality in southern Brazil. This is a qualitative research from the perspective of Social Representation Theory, from the following question: How has been the pre-natal care for you? Eighteen pregnant women were interviewed. The analysis resulted in three categories: Expectation representation about prenatal care; Rescuing the care offered in prenatal consultation; Unveiling the (dis) satisfaction with prenatal consultation. The prenatal care was apprehended as an essential moment for safe pregnancy, although centered on the doctor's figure and guarantee access to early laboratory and imaging tests. On the other hand, dissatisfaction was revealed from the reception at the entrance to the health unit to the consultations access, although some statements suggest timely satisfaction. Prenatal care did not meet the specific expectations of the study group and unveiled that the nurse did not supply it, as a member of the multidisciplinary team. The organization of the nursing work process in primary care, related to prenatal care, needs to be revisited to promote the effectiveness of its actions.

Satisfaction of antenatal mothers with the care provided by nurse-midwives in an urban secondary care unit.

Background:The satisfaction of antenatal women to antenatal services has rarely been studied in India. In a nation with a maternal mortality ratio of 178/100,000 live births, it is crucial to explore all avenues to reduce it.Aims:Our study aims to assess the pregnant women's satisfaction with regard to antenatal care services provided by nurse-midwives in an urban health center in South India.Methods:We administered a satisfaction of care questionnaire to 200 consecutive antenatal women attending the nurse run antenatal clinics from April 2014 to November 2014. The date entry was done using Epi-Data system and the analysis by SPSS version 16.Statistical Analysis Used:The absolute distribution of each of the question in the satisfaction of care questionnaire was calculated as proportions. The relationship between satisfaction of care and parity, number of visits, years of experience of the care provider and mother's education was tested using Mann–Whitney test for two independent groups.Results:The mean age of the mothers was 23.5 years. More than 95% of the mothers expressed satisfaction with the number of antenatal visits components of antenatal care. Only 31.8% of the mothers were satisfied with the health education on family planning. There was no significant relationship between satisfaction of care and parity of mothers or years of experience of care provider.Conclusions:Pregnant women attending a nurse run antenatal care service have positively expressed satisfaction of care provided therein.

Evaluation of Sexual Satisfaction in Pregnant Women with Vaginal Candidiasis

Evaluation of Sexual Satisfaction in Pregnant Women with Vaginal Candidiasis

Associação entre as orientações pré-natais em aleitamento materno e a satisfação com o apoio para amamentar

OBJETIVOS: analisar a associação entre orientações pré-natais em aleitamento materno e a satisfação das gestantes com o apoio recebido para amamentar. MÉTODOS: estudo transversal realizado no município do Rio de Janeiro, Brasil, com amostra representativa de 461 gestantes acompanhadas nos 15 hospitais com mais de 1000 partos/ano do Sistema Único de Saúde. Sete desses hospitais eram credenciados na Iniciativa Hospital Amigo da Criança e oito não. As razões de prevalência (RP) da satisfação foram obtidas por modelo de regressão de Poisson com variância robusta, segundo modelo hierarquizado. RESULTADOS: ficaram satisfeitas com o apoio recebido para amamentar 62,0% das gestantes. As variáveis associadas ao desfecho na análise múltipla foram ter recebido orientação sobre como amamentar (RP=1,77; IC95%: 1,38-2,28), ter recebido orientação sobre livre demanda (RP=1,52; IC95%: 1,22-1,88), ter recebido orientação sobre não uso de mamadeira e outros leites (RP=1,35; IC95%: 1,15-1,58) e a qualidade do acompanhamento pré-natal segundo a percepção da gestante (RP=1,22; IC95%: 1,08-1,38). CONCLUSÕES: a satisfação da gestante com o apoio recebido para amamentar não variou segundo as características sociodemográficas da mulher, porém se associou a orientações pré-natais sobre aleitamento materno, ressaltando a importância da qualidade da assistência.

Limited Role of Body Satisfaction and Body Image Self-Consciousness in Sexual Frequency and Satisfaction in Pregnant Women

This cross-sectional study examined the role of maternal body image and body image self-consciousness in sexual satisfaction and intercourse frequency during pregnancy when controlling for satisfaction with partnership. Pregnant women in their third trimester of pregnancy (N = 150) participated in the study. Body image was measured by the Body Areas Satisfaction Scale (BASS) and Body Image Self-Consciousness Scale (BISC), while relationship satisfaction was measured by different subscales of the Perceived Quality of Marital Relationship (PQMR) Scale. Sexual satisfaction was also measured by one of the subscales of the PQMR (Intimate Relationship). The sexual behavior questionnaire comprised questions about frequency of sexual intercourse, desire, and other aspects of sexual functioning as well as the reasons that might prevent women from having intercourse during pregnancy. Findings suggested that satisfaction with body image and body image self-consciousness were related to sexual satisfaction. Nevertheless, other aspects of partnership, such as communication, appeared to be much more important predictors of sexual satisfaction than body image variables. The best predictor of sexual frequency was fear that intercourse might harm the fetus. Implications for education about sexuality issues in pregnancy are discussed.

Sexual Positions and Sexual Satisfaction of Pregnant Women

The purpose of this study was to investigate the sexual positions and sexual satisfaction of women during pregnancy. The authors sampled pregnant women (N = 215) from outpatients registered at the antepartum clinic of a medical center in northern Taiwan. The authors gathered data on recent sexual satisfaction, general sexual satisfaction, and sexual position using a self-report, structured questionnaire. The results showed that coital frequency decreased from the first to third trimester (p < .05). The most common sexual position for pregnant women (67.6%) was man on top, face-to-face. Sexual position did not change significantly by trimester. More women with more sexual satisfaction than women with poor sexual satisfaction tended to adopt the woman-on-top, face-to-face, and abdominal-supportive sexual positions.

Development and testing of the patient expectations and satisfaction with prenatal care instrument.

Addressing consumer needs requires the development of a valid means of specifically measuring pregnant women's satisfaction with prenatal care. This study's purpose was to develop items for, to pilot-test, and to examine the structural validity of the Patient Expectations and Satisfaction with Prenatal Care (PESPC) instrument. Extant literature and information obtained from focus groups were used in the development. The PESPC was pilot-tested with a sample of 114 pregnant women receiving prenatal care. To structurally validate the PESPC, data collected from 587 women who participated in a cross-sectional, self-administered survey were used. Structural equation modeling and confirmatory factor analysis were used to develop and cross-validate the PESPC. The PESPC was found to be structurally valid, and the subscales of Expectations and Satisfaction demonstrated acceptable levels of internal consistency.

Health care characteristics associated with women's satisfaction with prenatal care.

The objective of this study was to explore the relation between prenatal care characteristics and satisfaction among Medicaid recipients. African-American (n = 75) and Mexican-American (n = 26) nonadolescent primiparous pregnant women who had at least three prenatal care visits participated in a 25-minute telephone survey that asked them about satisfaction with prenatal care (art of care, technical quality, physical environment, access, availability and efficacy); prenatal care characteristics (practitioner attributes, service availability, and features of the delivery of care); and, personal characteristics (sociodemographics, health status and behaviors, and pregnancy-related variables). Univariate and multivariable analyses were conducted to explore the relations between personal characteristics and satisfaction and between care characteristics and satisfaction. For the overall sample, the following prenatal care characteristics were associated with increased satisfaction: having procedures explained by the provider, short waiting times at the prenatal care site, the availability of ancillary services, and reporting that the prenatal care practitioner was male. When examining the data by ethnicity, whether the provider explained procedures was the most important determinant of satisfaction for both African-American and Mexican-American women. Knowledge of the care characteristics that impact low-income pregnant women's satisfaction can be utilized to alter service delivery to increase use of prenatal care and ultimately to improve perinatal outcomes.

Pregnancy care of the low risk woman: the community-hospital interface.

Aims to determine the extent to which women suitable for community-based antenatal and intrapartum care will require hospital contact. Reports on an historical cohort study of low risk women who underwent standard shared care and for whom the records for both pregnancy and delivery were complete at The City Hospital and University Hospital, Nottingham. Concludes that the shift to community-based care aims to bring many improvements to the overall care and satisfaction of pregnant women. However, it may not reduce the workload of hospital-based services to a great extent as the majority of women, even if low risk at booking, will require some hospital input at some time during pregnancy or labour.