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Table 3 Satisfaction with pregnancy care

From: Continuity of care by a primary midwife (caseload midwifery) increases women’s satisfaction with antenatal, intrapartum and postpartum care: results from the COSMOS randomised controlled trial

 

Satisfaction scores (%)

Caseload care Standard care b

ORa

95 % CI

P

 

1

2

3

4

5

6

7

   
 

Disagree strongly

     

Agree strongly

   

At my check-ups I was always asked whether I had any questions (982/827)

0.0

0.1

0.2

1.3

3.2

13.8

81.5

2.58

2.08, 3.19

<0.001

1.0

1.2

2.1

3.3

8.8

19.4

64.3

The midwives always kept me informed about what was happening (982/821)

0.1

0.2

0.5

1.5

5.1

19.9

72.7

4.29

3.54, 5.19

<0.001

1.6

1.3

3.4

6.6

17.7

29.4

40.1

The doctors always kept me informed about what was happening (946/819)

2.6

3.5

7.7

13.7

18.5

22.8

31.1

0.93

0.79, 1.10

0.40

2.3

3.7

6.1

11.6

20.8

24.7

30.9

I was always given an active say in decisions about my care in pregnancy (982/820)

0.3

0.4

0.7

3.7

7.8

26.2

60.9

3.18

2.66, 3.81

<0.001

1.1

2.1

4.3

10.2

19.2

27.8

35.4

I always felt my worries, anxieties or concerns about the pregnancy and the baby were taken seriously by the midwives (978/816)

0.8

0.3

0.7

1.7

4.4

15.8

76.3

4.04

3.33, 4.93

<0.001

1.6

1.7

2.9

6.9

12.0

30.9

44.0

I always felt my worries, anxieties or concerns about the pregnancy and the baby were taken seriously by the doctors (925/816)

2.7

2.9

7.0

13.6

17.6

25.7

30.4

0.84

0.71, 0.99

0.04

2.1

3.7

5.5

11.3

16.4

27.3

33.7

The midwives provided reassurance when I needed it (979/813)

0.2

0.3

0.7

1.7

5.1

17.3

74.7

3.89

3.21, 4.71

<0.001

0.9

1.2

2.5

8.7

16.0

29.4

41.3

The doctors provided reassurance when I needed it (920/811)

3.6

5.3

5.9

15.3

21.1

22.2

26.6

0.78

0.66, 0.92

0.003

2.3

3.7

5.6

13.1

18.0

28.4

29.0

At my check-ups the midwives often seemed rushed (982/821)

54.9

25.6

7.2

4.9

3.8

2.3

1.3

0.19

0.16, 0.23

<0.001

20.2

21.7

14.0

15.0

12.8

8.2

8.2

At my check-ups the doctors often seemed rushed (944/819)

13.1

14.0

9.8

15.2

15.9

17.0

15.2

1.11

0.94, 1.31

0.21

12.6

16.0

12.3

13.3

16.4

16.4

13.1

Care in pregnancy was provided in a competent way (969/818)

0.1

0.3

0.9

2.5

7.5

26.7

61.9

3.09

2.57, 3.70

<0.001

0.5

1.1

2.8

8.7

16.4

35.3

35.2

I was happy with the emotional support I received in pregnancy from midwives (977/812)

0.4

0.4

0.6

1.6

4.4

18.6

73.9

5.02

4.13, 6.19

<0.001

1.6

1.6

2.1

12.1

15.4

29.9

37.3

I was happy with the emotional support I received in pregnancy from doctors (907/809)

7.5

6.7

9.2

22.5

20.2

17.2

16.8

0.62

0.52, 0.73

0.001

3.8

3.7

6.7

21.3

18.3

23.9

22.4

I was happy with the physical care I received in pregnancy from midwives (977/818)

0.0

0.3

0.5

1.2

4.4

20.0

73.6

3.91

3.23, 4.75

<0.001

0.7

0.4

2.0

6.7

11.7

36.7

41.8

I was happy with the physical care I received in pregnancy from doctors (925/818)

2.3

3.6

5.1

15.4

16.9

25.1

31.8

1.26

1.46, 1.49

0.008

2.1

2.2

3.8

9.5

16.8

34.0

31.7

Overall, how would you describe your care during pregnancy

0.1

0.2

0.3

1.1

6.8

29.9

61.6

3.35

2.79, 4.03

<0.001

(1 = very poor; 7 = very good) (976/823)

0.6

0.7

2.6

7.2

16.7

38.0

34.3

  1. aOR is proportional odds ratio derived from ordinal logistic regression
  2. bItalicised figures on second rows are Standard Care results