Social psychological predictors of satisfaction
with intrapartum and postpartum care – what
matters to women in Czech maternity hospitals?

• Authors: Lea Takács , Jitka Mlíková Seidlerová , Lenka Šulová , Simona Horáková Hoskovcová
• Languages of publication: EN

Abstracts

EN

Objective: To identify the social psychological
factors affecting women’s evaluation of care provided in
Czech maternity hospitals using following criteria: satisfaction
with intrapartum and postpartum care, willingness
to return to a given hospital and to recommend the
hospital to others. Methods: 762 women completed a 71-item original Czech
questionnaire KLI-P designed to measure the psychosocial
climate in both delivery and after-birth unit on six scales.
The sample was representative of the Czech parturients
population. Multivariate logistic regression was used to
investigate the predictive value of the questionnaire scales
for maternal satisfaction, willingness to return to and to
recommend a given hospital. Results: For delivery unit, the satisfaction predictors were:
helpfulness and empathy of midwives (Χ2=48.9), communication
of information and availability of caregivers
(Χ2=16.6), helpfulness and empathy of physicians (Χ2=10.9),
symmetrical and respectful attitude of staff members
(Χ2=9.7) and physical comfort and services (Χ2=7.6). The
predictors of satisfaction with after-birth unit included
helpfulness and empathy of the staff (Χ2≥42.1), communication
of information and availability of caregivers
(Χ2=52.5), physical comfort and services (Χ2=30.6), control
and involvement in decision-making (Χ2=6.6) and parity
(Χ2=8.6). The factors influencing women’s willingness to return to and to recommend a hospital differed from the
predictors of general satisfaction. Conclusions: The satisfaction factors revealed in this
research correspond predominantly to the results of
studies conducted in other countries (warm, non-formal
and supportive approach, sufficient and well-timed provision
of information and explanation, availability of caregivers,
physical environment). However, participation in
decision making, which has been repeatedly shown to be
among the strongest predictors of childbirth satisfaction,
was not important for the Czech parturients’ satisfaction
with intrapartal care. This finding can be explained by different
attitudes and expectations of both parturients and
caregivers in a post-totalitarian country.

Keywords

EN

Maternity care; satisfaction with childbirthcare; patient-caregiver relationship; women’s health; patient satisfaction

• Publisher: De Gruyter Open
• Journal: Open Medicine
• Year: 2014
• Volume: 10
• Issue: 1

Dates

received

11 - 11 - 2014

online

2 - 2 - 2015

accepted

28 - 11 - 2014

Contributors

author

Lea Takács

• Department of Psychology
  Faculty of Arts and Philosophy, Charles University, Nám. J. Palacha
  2,116 38, Prague 1, Czech Republic

author

Jitka Mlíková Seidlerová

• Internal Department II, Faculty of Medicine
  in Pilsen, Charles University, Czech Republic

author

Lenka Šulová

• Department of Psychology
  Faculty of Arts and Philosophy, Charles University, Nám. J. Palacha
  2,116 38, Prague 1, Czech Republic

author

Simona Horáková Hoskovcová

• Department of Psychology
  Faculty of Arts and Philosophy, Charles University, Nám. J. Palacha
  2,116 38, Prague 1, Czech Republic

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Identifiers

DOI

10.1515/med-2015-0022