Advanced

The role of women's attitudinal profiles in satisfaction with the quality of their antenatal and intrapartum care

Haines, Helen M.; Hildingsson, Ingegerd; Pallant, Julie F. and Rubertsson, Christine LU (2013) In JOGNN - Journal of Obstetric, Gynecologic, and Neonatal Nursing 42(4). p.428-441
Abstract

Objective: To compare perceptions of antenatal and intrapartum care in women categorized into three profiles based on attitudes and fear. Design: Prospective longitudinal cohort study using self-report questionnaires. Profiles were constructed from responses to the Birth Attitudes Profile Scale and the Fear of Birth Scale at pregnancy weeks 18 to 20. Perception of the quality of care was measured using the Quality from Patient's Perspective index at 34 to 36 weeks pregnancy and 2 months after birth. Setting: Two hospitals in Sweden and Australia. Participants: Five hundred and five (505) pregnant women from one hospital in Västernorrland, Sweden (n = 386) and one in northeast Victoria, Australia (n = 123). Results: Women were... (More)

Objective: To compare perceptions of antenatal and intrapartum care in women categorized into three profiles based on attitudes and fear. Design: Prospective longitudinal cohort study using self-report questionnaires. Profiles were constructed from responses to the Birth Attitudes Profile Scale and the Fear of Birth Scale at pregnancy weeks 18 to 20. Perception of the quality of care was measured using the Quality from Patient's Perspective index at 34 to 36 weeks pregnancy and 2 months after birth. Setting: Two hospitals in Sweden and Australia. Participants: Five hundred and five (505) pregnant women from one hospital in Västernorrland, Sweden (n = 386) and one in northeast Victoria, Australia (n = 123). Results: Women were categorized into three profiles: self-determiners, take it as it comes, and fearful. The self-determiners reported the best outcomes, whereas the fearful were most likely to perceive deficient care. Antenatally the fearful were more likely to indicate deficiencies in medical care, emotional care, support received from nurse-midwives or doctors and nurse-midwives'/doctors' understanding of the woman's situation. They also reported deficiencies in two aspects of intrapartum care: support during birth and control during birth. Conclusions: Attitudinal profiling of women during pregnancy may assist clinicians to deliver the style and content of antenatal and intrapartum care to match what women value and need. An awareness of a woman's fear of birth provides an opportunity to offer comprehensive emotional support with the aim of promoting a positive birth experience.

(Less)
Please use this url to cite or link to this publication:
author
publishing date
type
Contribution to journal
publication status
published
keywords
Attitudes, Beliefs, Fear of birth, Fear of Birth Scale, Profiling, Quality, Satisfaction
in
JOGNN - Journal of Obstetric, Gynecologic, and Neonatal Nursing
volume
42
issue
4
pages
14 pages
publisher
Wiley-Blackwell
external identifiers
  • scopus:84880513259
ISSN
0884-2175
DOI
10.1111/1552-6909.12221
language
English
LU publication?
no
id
2c159d60-ebc9-4f7a-8ae3-d5910182ffcf
date added to LUP
2017-10-27 13:57:34
date last changed
2018-04-15 04:48:19
@article{2c159d60-ebc9-4f7a-8ae3-d5910182ffcf,
  abstract     = {<p>Objective: To compare perceptions of antenatal and intrapartum care in women categorized into three profiles based on attitudes and fear. Design: Prospective longitudinal cohort study using self-report questionnaires. Profiles were constructed from responses to the Birth Attitudes Profile Scale and the Fear of Birth Scale at pregnancy weeks 18 to 20. Perception of the quality of care was measured using the Quality from Patient's Perspective index at 34 to 36 weeks pregnancy and 2 months after birth. Setting: Two hospitals in Sweden and Australia. Participants: Five hundred and five (505) pregnant women from one hospital in Västernorrland, Sweden (n = 386) and one in northeast Victoria, Australia (n = 123). Results: Women were categorized into three profiles: self-determiners, take it as it comes, and fearful. The self-determiners reported the best outcomes, whereas the fearful were most likely to perceive deficient care. Antenatally the fearful were more likely to indicate deficiencies in medical care, emotional care, support received from nurse-midwives or doctors and nurse-midwives'/doctors' understanding of the woman's situation. They also reported deficiencies in two aspects of intrapartum care: support during birth and control during birth. Conclusions: Attitudinal profiling of women during pregnancy may assist clinicians to deliver the style and content of antenatal and intrapartum care to match what women value and need. An awareness of a woman's fear of birth provides an opportunity to offer comprehensive emotional support with the aim of promoting a positive birth experience.</p>},
  author       = {Haines, Helen M. and Hildingsson, Ingegerd and Pallant, Julie F. and Rubertsson, Christine},
  issn         = {0884-2175},
  keyword      = {Attitudes,Beliefs,Fear of birth,Fear of Birth Scale,Profiling,Quality,Satisfaction},
  language     = {eng},
  number       = {4},
  pages        = {428--441},
  publisher    = {Wiley-Blackwell},
  series       = {JOGNN - Journal of Obstetric, Gynecologic, and Neonatal Nursing},
  title        = {The role of women's attitudinal profiles in satisfaction with the quality of their antenatal and intrapartum care},
  url          = {http://dx.doi.org/10.1111/1552-6909.12221},
  volume       = {42},
  year         = {2013},
}