Table 5 Complete content analysis framework
Model of Care | Number of quotes | Frequency of total | Main Category | Number of quotes | Frequency of total | Subcategory | Number of quotes | Frequency of total | Concept | Number of quotes | Frequency of total |
|---|---|---|---|---|---|---|---|---|---|---|---|
Standard Care | 844 | 21.81% | Strengths | 115 | 2.97% | Striking it Lucky | 115 | 2.97% | Everyone was great | 58 | 1.50% |
Having a great provider I know | 27 | 0.70% | |||||||||
Having a student midwife | 19 | 0.49% | |||||||||
Working in the birthing world | 11 | 0.28% | |||||||||
Limitations | 729 | 18.84% | Lack of continuity of care was a major failing | 488 | 12.61% | I would have loved continuity of care | 350 | 9.05% | |||
Hello, Push | 57 | 1.47% | |||||||||
I had to keep repeating my story | 50 | 1.29% | |||||||||
Offered contradictory medical advice | 28 | 0.72% | |||||||||
Letdown postpartum | 3 | 0.08% | |||||||||
I felt completely anonymous | 175 | 4.52% | My concerns were dismissed | 71 | 1.84% | ||||||
I did not feel heard | 25 | 0.65% | |||||||||
They were constantly trying to find something wrong | 21 | 0.54% | |||||||||
Gaps in care | 21 | 0.54% | |||||||||
I would never go public again | 16 | 0.41% | |||||||||
Provider was disrepectful, coercive | 7 | 0.18% | |||||||||
Fight for VBAC | 6 | 0.16% | |||||||||
Cascade of interventions | 5 | 0.13% | |||||||||
Ongoing issues processing and healing from the birth | 3 | 0.08% | |||||||||
Bound by policies and protocols | 66 | 1.71% | COVID-19 influence | 32 | 0.83% | ||||||
Overworked and understaffed | 13 | 0.34% | |||||||||
I had a bit of a different method of care due to living remotely | 12 | 0.31% | |||||||||
Excessive waiting times | 9 | 0.23% | |||||||||
High Risk Care | 469 | 12.12% | Strengths | 56 | 1.45% | Striking it Lucky | 50 | 1.29% | Everyone was great | 22 | 0.57% |
Having a great provider I know | 21 | 0.54% | |||||||||
Working in the birthing world | 5 | 0.13% | |||||||||
Having a student midwife | 2 | 0.05% | |||||||||
Access to a multi-disciplinary team | 6 | 0.16% | |||||||||
Limitations | 413 | 10.67% | Lack of continuity of care was a major failing | 245 | 6.33% | I would have loved continuity of care | 112 | 2.89% | |||
Dangers of fragmented care | 80 | 2.07% | |||||||||
I had to keep repeating my story | 31 | 0.80% | |||||||||
Hello, Push | 12 | 0.31% | |||||||||
Letdown postpartum | 10 | 0.26% | |||||||||
I felt completely anonymous | 107 | 2.77% | I've never felt so disregarded in my own healthcare | 77 | 1.99% | ||||||
My concerns were dismissed | 19 | 0.49% | |||||||||
Cascade of interventions | 8 | 0.21% | |||||||||
Fight for VBAC | 3 | 0.08% | |||||||||
Bound by policies and protocols | 61 | 1.58% | I was denied continuity of care | 28 | 0.72% | ||||||
They unnecessarily deemed me high risk | 15 | 0.39% | |||||||||
COVID-19 influence | 8 | 0.21% | |||||||||
My provider prior to transfer was still the person I turned to | 8 | 0.21% | |||||||||
Excessive waiting times | 2 | 0.05% | |||||||||
GP Shared | 365 | 9.43% | Strengths | 52 | 1.34% | Striking it Lucky | 23 | 0.59% | Everyone was great | 17 | 0.44% |
Working in the birthing world | 4 | 0.10% | |||||||||
Having a student midwife | 2 | 0.05% | |||||||||
Having a great provider I know | 29 | 0.75% | Having a great GP I knew and trusted prior to pregnancy | 27 | 0.70% | ||||||
Postpartum support | 2 | 0.05% | |||||||||
Limitations | 313 | 8.09% | I felt completely anonymous | 93 | 2.40% | I was just a number | 69 | 1.78% | |||
I got lost in the system | 11 | 0.28% | |||||||||
Offered contradictory medical advice | 9 | 0.23% | |||||||||
Cascade of interventions | 4 | 0.10% | |||||||||
Great divide between community and hospital | 130 | 3.36% | Two different experiences | 60 | 1.55% | ||||||
Communication breakdown | 43 | 1.11% | |||||||||
My GP didn't know a whole lot about maternity care | 21 | 0.54% | |||||||||
I didn't know who I could go to when I needed to ask questions | 6 | 0.16% | |||||||||
Lack of continuity of care was a major failing | 60 | 1.55% | I would have loved continuity of care | 28 | 0.72% | ||||||
Hello, Push | 18 | 0.47% | |||||||||
I had to keep repeating my story | 6 | 0.16% | |||||||||
Letdown postpartum | 8 | 0.21% | |||||||||
Bound by policies and protocols | 30 | 0.78% | COVID-19 influence | 19 | 0.49% | ||||||
Overworked and understaffed | 11 | 0.28% | |||||||||
Midwifery Group Practice | 1063 | 27.47% | Strengths | 514 | 13.29% | Access to a multi-disciplinary team | 38 | 0.98% | Everyone was great | 16 | 0.41% |
Working in the birthing world | 9 | 0.23% | |||||||||
Having access to MGP care | 7 | 0.18% | |||||||||
Having a student midwife | 6 | 0.16% | |||||||||
Having a great provider I know | 325 | 8.40% | Having my own midwife | 225 | 5.82% | ||||||
Having the same provider for multiple births | 49 | 1.27% | |||||||||
Postpartum support | 16 | 0.41% | |||||||||
Having an inclusive relationship with my provider | 15 | 0.39% | |||||||||
Far better experience than last time | 12 | 0.31% | |||||||||
My midwife was amazing, especially during covid restrictions | 8 | 0.21% | |||||||||
Woman-centered care | 151 | 3.90% | Respectful care | 63 | 1.63% | ||||||
Skilled and knowledgeable care | 34 | 0.88% | |||||||||
This model should be the standard and accessible to all | 26 | 0.67% | |||||||||
Bolstering confidence in women's birthing abilities | 14 | 0.36% | |||||||||
At-home appointments | 14 | 0.36% | |||||||||
Limitations | 549 | 14.19% | I wasn't able to form much of a meaningful relationship | 241 | 6.23% | Felt more disjointed than I had expected | 139 | 3.59% | |||
I didn't really 'click' with my midwife | 59 | 1.52% | |||||||||
Minimal emphasis on birth preferences | 23 | 0.59% | |||||||||
I had to keep repeating my story | 10 | 0.26% | |||||||||
Offered contradictory medical advice | 10 | 0.26% | |||||||||
Bound by policies and protocols | 149 | 3.85% | I did not get to choose my MGP care provider | 40 | 1.03% | ||||||
Overworked and understaffed | 38 | 0.98% | |||||||||
Restrictive hospital policies | 32 | 0.83% | |||||||||
COVID influence | 20 | 0.52% | |||||||||
Accepted into MGP later in pregnancy | 19 | 0.49% | |||||||||
Incomplete continuity of care | 159 | 4.11% | Hello, Push | 82 | 2.12% | ||||||
I would have loved continuity of care | 64 | 1.65% | |||||||||
Letdown postpartum | 13 | 0.34% | |||||||||
Private Obstetrician | 587 | 15.17% | Strengths | 404 | 10.44% | Access to a multi-disciplinary team | 57 | 1.47% | Access to mdwifery care | 42 | 1.09% |
Working in the birthing world | 7 | 0.18% | |||||||||
I was able to contact the maternity ward 24 h a day | 6 | 0.16% | |||||||||
Having a student midwife | 2 | 0.05% | |||||||||
Having a great provider I know | 213 | 5.51% | Having a doctor I know | 133 | 3.44% | ||||||
I felt they understood my priorities, concerns | 35 | 0.90% | |||||||||
Respectful care | 17 | 0.15% | |||||||||
Far better experience than last time | 9 | 0.23% | |||||||||
Having an inclusive relationship with my provider | 7 | 0.18% | |||||||||
Having the same provider for multiple births | 6 | 0.16% | |||||||||
I felt safe | 6 | 0.16% | |||||||||
Individualised care around risk factors | 134 | 3.46% | Skilled and knowledgeable care | 92 | 2.38% | ||||||
Around the clock care | 24 | 0.62% | |||||||||
Healing from a previously traumatic birth experience | 8 | 0.21% | |||||||||
Support for VBAC | 6 | 0.16% | |||||||||
Option for extra monitoring and scans | 4 | 0.10% | |||||||||
Limitations | 183 | 4.73% | Impersonal, clinical care | 111 | 2.87% | My OB didn't know who I was | 30 | 0.78% | |||
My concerns were dismissed | 29 | 0.75% | |||||||||
I didn't feel like anything was explained well | 13 | 0.34% | |||||||||
I ended up with the birth that was convenient for my Obstetrician | 13 | 0.34% | |||||||||
Cascade of interventions | 8 | 0.21% | |||||||||
I felt like I was part of a system | 8 | 0.21% | |||||||||
Fight for VBAC | 6 | 0.16% | |||||||||
Each appointment and scan was very short | 4 | 0.10% | |||||||||
Incomplete continuity of care | 52 | 1.34% | Hello, Push | 37 | 0.96% | ||||||
Letdown postpartum | 15 | 0.39% | |||||||||
Bound by policies and protocols | 20 | 0.52% | Overworked and understaffed | 9 | 0.23% | ||||||
COVID influence | 7 | 0.18% | |||||||||
Expensive, even with private cover | 4 | 0.10% | |||||||||
Privately Practicing Midwife | 541 | 13.98% | Strengths | 519 | 13.41% | Having a great provider I know | 246 | 6.36% | Having my own midwife | 143 | 3.70% |
Far better experience than last time | 24 | 0.62% | |||||||||
I felt supported throughout my pregnancy, birth, and my postpartum period | 22 | 0.57% | |||||||||
Having an inclusive relationship with my provider | 18 | 0.47% | |||||||||
Having the same provider for multiple births | 13 | 0.34% | |||||||||
She is a part of my family now | 9 | 0.23% | |||||||||
Healing from a previously traumatic birth experience | 9 | 0.23% | |||||||||
My midwife was amazing, especially during covid restrictions | 8 | 0.21% | |||||||||
Having the gold standard of maternity care | 163 | 4.21% | I couldn’t rate my midwife more highly | 129 | 3.33% | ||||||
Best value for money every spent | 15 | 0.36% | |||||||||
This model should be the standard and accessible to all | 10 | 0.26% | |||||||||
Postpartum support | 9 | 0.23% | |||||||||
Woman-centered care | 110 | 2.84% | Respectful care | 52 | 1.34% | ||||||
I felt safe | 18 | 0.47% | |||||||||
Skilled and knowledgab le care | 13 | 0.34% | |||||||||
Bolstering confidence in women's birthing abilities | 12 | 0.31% | |||||||||
At-home appointments | 10 | 0.26% | |||||||||
Around the clock care | 5 | 0.13% | |||||||||
Limitations | 22 | 0.57% | I wasn't able to form much of a meaningful relationship | 18 | 0.47% | I had big hopes for my private midwife | 7 | 0.18% | |||
Impersonal care concerning birth preferences | 6 | 0.16% | |||||||||
Hello, Push | 5 | 0.13% | |||||||||
Bound by policies and protocols | 4 | 0.10% | COVID influence | 2 | 0.05% | ||||||
They weren't allowed at the birth | 2 | 0.05% |