2019/05/17 by Stahl, Katja
#610 Medical sciences #Medicine #Perspektive der Frauen #intrapartale Betreuung #intrapartum care #postpartale Betreuung #postpartum care #women’s views
paper · doi:10.3205/zhwi000012
Background: Intra- and postpartum care experience is associated with short-, middle- and long-term perinatal outcomes. Evidence of women’s views on key dimensions of care quality in a German context is scarce. Aim: Analysis of factors influencing overall intra- and postpartum care experience in German hospitals. Methods: Secondary analysis of survey data of 9,597 women from 77 German hospitals. Logistic regression was performed for analysis of predictors of care experience; odds ratios with 99% confidence intervals were calculated for strength of association. Results: Predictors of overall negative intrapartum care experience were lack of trust in midwives (OR 5,67; 99% CI 3,32-9,69), lack of availability of midwives (OR 4,77; 99% CI 2,25-10,11), lack of involvement in decision-making processes (OR 3,77; 99% CI 2,14-6,64), and insufficient pain relief (OR 2,99; 99% CI 1,81-4,94). Predictors of overall negative postpartum care experience were lack of trust in ward staff (OR 4,49; 99% CI 3,05-6,59), lack of availability (OR 3,13; 99% CI 1,86-5,26), insufficient practical support with feeding (OR 2,88; 99% CI 2,04-4,05), questions not answered understandably (OR 2,50; 99% CI 1,76-3,56), and insufficient postpartum pain relief (OR 2,2; 99% CI 1,62-2,98). Conclusion: Trust in and availability of midwives are key dimensions of care quality from women’s perspective. Woman-centred care should focus on quality and quantity of staff rather than on architectural environment, food and amenities.