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Table 5 Satisfaction with postpartum care in hospital (bottom row – rating of care at home)

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 (969/820)

0.7

2.6

5.4

8.3

13.8

27.7

41.6

1.95

1.65, 2.31

< 0.001

3.1

4.2

10.0

9.8

20.0

26.0

27.1

The doctors always kept me informed about what was happening (856/755)

6.7

6.2

9.2

19.2

15.8

19.4

23.6

1.01

0.85, 1.19

0.06

7.3

7.8

9.7

13.1

18.5

20.8

22.8

I was always given an active say in decisions about care of my baby and myself (970/815)

1.4

1.7

3.7

8.8

14.3

26.2

43.9

1.62

1.37, 1.92

< 0.001

2.5

4.5

5.9

10.6

17.3

26.1

33.1

I was given the advice I needed with breast feeding (967/812)

2.0

3.1

4.7

7.9

13.2

24.9

44.3

1.60

1.35, 1.89

< 0.001

5.5

5.4

7.3

8.6

15.3

22.7

35.2

I was given the advice I needed about how to handle, settle or look after my baby (962/808)

3.9

5.6

7.8

15.4

18.6

19.3

29.4

1.50

1.27, 1.77

< 0.001

6.9

8.4

9.4

14.5

22.4

17.0

21.4

I was given the advice I needed about any problems with the baby’s health and progress (947/806)

1.2

1.7

4.7

11.1

15.6

27.4

38.4

1.75

1.48, 2.08

< 0.001

4.3

4.7

5.7

13.3

19.5

25.4

27.1

I was given the advice I needed about my own health and recovery after the birth (972/820)

2.1

1.3

3.7

8.6

13.8

28.7

41.8

1.80

1.52, 2.13

< 0.001

3.7

4.5

6.3

11.3

18.4

25.6

30.1

The midwives were sensitive (962/816)

1.7

2.0

2.4

9.8

13.7

24.5

46.0

2.09

1.76, 2.48

< 0.001

2.8

3.7

5.6

11.2

21.6

29.0

26.1

The doctors were sensitive (865/760)

4.7

4.2

7.3

22.9

18.2

19.5

23.2

1.08

0.91, 1.29

0.36

5.0

4.3

6.8

21.3

21.8

22.9

17.8

The midwives were encouraging (971/817)

0.4

1.3

2.7

5.7

13.9

25.8

50.3

2.04

1.71, 2.42

< 0.001

1.5

2.7

4.2

10.7

18.6

30.0

32.4

The doctors were encouraging (859/756)

4.3

4.8

6.8

20.8

18.5

20.7

24.1

1.06

0.89, 1.26

0.52

4.1

5.2

5.4

21.4

20.2

23.8

19.8

The midwives often seemed rushed (968/820)

25.6

18.4

14.1

10.7

11.3

12.2

7.8

0.32

0.27, 0.37

< 0.001

9.5

11.5

8.2

13.2

15.1

18.5

24.0

The doctors often seemed rushed (873/759)

13.3

10.3

11.0

21.0

15.1

16.4

12.9

0.69

0.58, 0.82

< 0.001

7.5

8.6

9.9

21.0

19.0

15.6

18.6

Care in hospital after the birth was provided in a competent way (967/815)

1.7

1.5

3.8

8.8

17.0

27.1

40.2

1.36

1.15, 1.61

< 0.001

2.7

3.3

4.1

10.6

17.1

30.1

32.3

I was happy with the emotional aspects of care by midwives (967/811)

1.6

2.1

2.9

9.6

13.4

23.7

46.7

2.05

1.73, 2.43

< 0.001

3.6

4.4

5.8

11.5

19.0

27.5

28.2

I was happy with the emotional aspects of care by doctors (857/747)

4.8

6.0

8.5

25.3

19.5

15.8

20.2

0.95

0.80, 1.13

0.53

5.8

5.6

7.4

22.1

21.3

19.3

18.6

Overall, how would you describe the care you received in hospital after the birth? (1 = very poor; 7 = very good) (970/813)

1.7

2.3

4.4

8.3

16.3

30.7

36.4

1.56

1.32, 1.85

< 0.001

3.4

3.4

7.5

10.6

19.1

27.7

28.3

 

Overall, how would you describe the care your baby received in hospital after the birth? (1 = very poor; 7 = very good) (969/814)

1.0

1.1

2.4

6.3

14.0

28.9

46.2

1.30

1.10–1.55

0.002

1.6

1.8

3.9

6.4

15.0

32.1

39.2

 

Care at home

1

2

3

4

5

6

7

   

Very poor

Very good

Overall, how would you describe the care you and your baby received from hospital staff at home after the birth? (957/768)

0.5

0.4

1.2

2.3

8.6

18.9

68.1

3.19

2.64, 3.85

< 0.001

1.3

2.7

3.8

10.8

13.7

26.7

41.0

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