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Table 4 Satisfaction with care during labour and birth

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

   

The midwives always kept me informed about what was happening (973/821)

0.5

1.0

1.0

3.7

11.3

23.3

59.1

2.23

1.87, 2.66

<0.001

1.6

2.8

5.0

5.9

14.6

31.2

39.0

The doctors always kept me informed about what was happening (716/670)

3.5

4.1

5.0

11.6

18.0

21.9

35.9

1.09

0.90, 1.32

0.36

3.0

4.8

6.4

11.3

16.4

26.0

32.1

I was always given an active say in decisions about my care during labour and birth (964/817)

1.0

1.7

3.1

6.3

13.4

26.4

48.1

1.91

1.61, 2.26

<0.001

2.8

3.9

5.1

11.3

16.3

27.8

32.8

The midwives were encouraging (972/818)

0.1

0.3

0.8

1.7

4.2

16.0

77.0

2.82

2.31, 3.44

<0.001

0.6

1.5

2.9

4.4

9.3

26.7

54.7

The doctors were encouraging (699/656)

4.7

4.2

5.3

15.3

16.0

20.3

34.2

0.99

0.82, 1.2

0.94

3.7

6.0

4.7

12.0

18.3

22.9

32.3

The midwives provided reassurance if I needed it (970/819)

0.3

0.6

0.3

2.3

6.0

16.9

73.6

2.62

2.12, 3.17

<0.001

1.0

1.6

2.2

6.1

10.3

27.1

51.8

The doctors provided reassurance if I needed it (698/660)

5.6

4.4

5.3

15.9

19.2

21.4

28.2

0.88

0.73, 1.07

0.20

4.1

5.2

5.5

12.4

20.3

22.6

30.0

Care during labour and birth was provided in a safe way (973/823)

0.6

0.9

1.2

1.3

6.4

17.9

71.6

1.73

1.43, 2.10

<0.001

1.0

0.9

1.5

4.0

9.1

24.4

59.2

Care during labour and birth was provided in a competent way (968/818)

1.2

0.9

1.0

2.6

6.5

18.6

69.1

1.84

1.52, 2.21

<0.001

1.2

1.0

2.6

5.0

10.3

25.3

54.7

I was happy with the emotional support I received from midwives (975/815)

0.7

0.5

0.9

1.7

5.4

17.0

73.6

2.71

2.23, 3.29

<0.001

1.7

1.2

4.2

5.2

10.9

25.4

51.4

I was happy with the emotional support I received from doctors (700/664)

7.6

3.9

5.1

18.6

17.0

20.9

27.0

0.89

0.74, 1.07

0.22

5.7

6.0

6.2

12.7

17.9

22.6

28.9

My privacy needs were well respected during labour and birth (964/814)

0.8

0.5

2.0

6.4

6.9

17.7

65.7

1.68

1.39, 2.01

<0.001

1.5

2.5

1.8

6.8

10.0

25.4

52.1

Overall, how would you describe your care in labour and birth? (1 = very poor; 7 = very good) (976/813)

0.7

0.6

1.2

2.1

7.3

22.9

65.3

2.13

1.78, 2.56

<0.001

0.7

1.5

2.5

5.3

12.8

30.4

46.9

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