scholarly journals Women’s experience and satisfaction with midwife-led maternity care: a cross-sectional survey in China

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ying Liu ◽  
Tengteng Li ◽  
Nafei Guo ◽  
Hui Jiang ◽  
Yuehong Li ◽  
...  

Abstract Background Low risk pregnancy ending in a vaginal birth is best served and guided by a midwife. Utilizing a midwife in such cases offers many emotional and economic advantages and does not increase the risks for mother or neonate. However, women’s experience and satisfaction of midwife-led maternity care is rarely reported in China. The primary objective of this study is to describe the experience of Chinese women receiving midwife-led maternity care, and to report their satisfaction level of the experience. Methods The study is a cross-sectional survey of 4192 women who had natural birth from March–June 2019 in a maternity care center, Shanghai, China. We used a self-administered questionnaire addressing items related to women’s experience during childbirth, as well as their satisfaction with midwife-led maternity care. We also included demographic and perinatal characteristics of each participant. Descriptive statistics and correlations analysis between groups of different experience and satisfaction were used. Results In this sample, 87.7% of women had a Doula and a family member present during childbirth. Epidural anesthesia was used in 75.6% and episiotomy was needed in 23.2%. Free positioning during the first stage of labor and free positioning during the second stage of labor and delivery were adopted in 84.3 and 67.9% of the cases, respectively. Moderate to severe perineal pain and moderate to severe perineal edema were reported in 43.1 and 12.2% of the participants, respectively. High satisfaction level was found when there was midwife-led prenatal counseling and presence of Doula and family member, Lamaze breathing techniques, warm perineal compresses, epidural anesthesia, free positioning during the first stage of labor, and midwifes’ postpartum guidance. Negative satisfaction was seen with perineal pain and edema. Conclusion Women in this survey generally had high satisfaction with midwife-led maternity care. This satisfaction is probably felt because of the prenatal counseling by the midwife and allowing a Doula and a family member in the room during childbirth. Other intangible factors to improve the satisfaction level were Lamaze breathing techniques, warm perineal compresses, epidural anesthesia, free positioning during first stage of labor, and early skin to skin contact.

2008 ◽  
Vol 19 (09) ◽  
pp. 721-734 ◽  
Author(s):  
Hua Ou ◽  
Camille C. Dunn ◽  
Ruth A. Bentler ◽  
Xuyang Zhang

Background: Cochlear implants (CI) have become widely used for the management of profound sensorineural hearing loss. However, data relative to satisfaction in CI users are not so readily available. No standard outcome inventory for CI users has been developed. The Satisfaction with Amplification in Daily Life (SADL) inventory was originally developed for hearing aid users by Cox and Alexander (1999). Because the SADL inventory has been shown to have good psychometric properties for use within hearing aid users, the present study adapted the SADL for CI use and assessed the validity and reliability of the adapted version. Purpose: (1) To explore the factor structure (i.e., subscales), validity, and reliability of the SADL inventory applied to CI users and compare the resulting factor structure to that reported by Cox and Alexander (1999) for hearing aid users; and (2) to evaluate the satisfaction level of CI users as measured by the SADL inventory and compare the satisfaction level of unilateral CI users (CI-only) to that of users of a CI and hearing aid in opposite ears (CIHA). Research Design: A cross-sectional survey. All CIHA users in this study voluntarily elected to wear their hearing aids in conjunction with their CIs. Study Sample: The satisfaction level of postlingually deafened adult CI users was assessed for 100 CI-only and 35 CIHA users using the SADL inventory. Data Collection And Analysis: The psychometric properties of the adapted SADL following administration to CI-only and CIHA users were examined through a factor analysis. Results: A similar factor structure was found for CI-only users compared to the original published SADL data. The differences were primarily related to one particular factor. CI users have a moderately high satisfaction level. No significant differences were found between the CI-only and CIHA groups except for hearing aid feedback. Conclusions: It is concluded that the SADL is appropriate for clinical use with CI users.


Midwifery ◽  
2018 ◽  
Vol 67 ◽  
pp. 87-94 ◽  
Author(s):  
Jane Henderson ◽  
Claire Carson ◽  
Hiranthi Jayaweera ◽  
Fiona Alderdice ◽  
Maggie Redshaw

2020 ◽  
Author(s):  
Pratik Khanal ◽  
Navin Devkota ◽  
Minakshi Dahal ◽  
Kiran Paudel ◽  
Shiva Raj Mishra ◽  
...  

AbstractBackgroundHealth workers involved in COVID-19 response might be at risk of developing fear and psychological distress. This study aimed to identify factors associated with COVID-19 fear among health workers in Nepal during the early phase of pandemic.MethodsA web-based cross-sectional survey was conducted in the month of April-May 2020 among 475 health workers directly involved in COVID-19 management. The Fear Scale of COVID 19 (FCV-19S) was used to measure the status of fear. Scatter plots were used to observe the relationship between fear and other psychological outcomes: anxiety, depression and insomnia. Multivariable logistic regression was done to identify factors associated with COVID fear.ResultsCOVID-19 fear score was moderately correlated with anxiety and depression, and weakly correlated with insomnia (p<0.001). Nurses (AOR=2.29; 95% CI: 1.23-4.26), health workers experiencing stigma (AOR=1.83; 95% CI: 1.12-2.73), those working in affected district(AOR=1.76; 95% CI: 1.12-2.77) and presence of family member with chronic diseases (AOR=1.50; 95% CI: 1.01-2.25) was associated with higher odds of developing COVID-19 fear as compared to other health workers, health workers not experiencing stigma, working in non-affected district and not having family member with chronic diseases respectively.ConclusionNurses, health workers facing stigma, those working in affect district and having family member with chronic diseases were more at risk of developing COVID-19 fear. It is thus recommended to improve work environment to reduce fear among health workers, employ stigma reduction interventions, and ensure personal and family support for those having family member with chronic diseases.


2021 ◽  
Author(s):  
Lily Payvandi ◽  
Chase Parsons ◽  
Fabienne C. Bourgeois ◽  
Jonathan Hron

BACKGROUND Limited English proficient (LEP) patients are at higher risk of poor health outcomes and are less likely to utilize telehealth compared to English speaking patients. There is no formal evaluation of inpatient telehealth user experience by language preference to date. OBJECTIVE To compare the experience of Spanish and English-speaking patients and families using our inpatient telehealth program (ITP). To evaluate the experience of Spanish interpreters using ITP. METHODS We prospectively administered a survey to English and Spanish speaking patients and families who used our ITP from October 1, 2020 to March 31, 2021. We performed semi-structured interviews of hospital based Spanish interpreters by phone who participated in ITP. RESULTS High satisfaction was reported by both English and Spanish speakers (SD 0.47-1.7, IQR 0-2). Both English and Spanish speaking patients participated in ITP with their primary inpatient care team, subspecialty consultants and other clinicians. Hospital tablets were used more often than personal devices, and only English speaking patients utilized a personal laptop. Patients and families encountered challenges with log-in, team coordination with multiple users and equipment availability. Interpreters encountered challenges with audio and visual quality, communication, safety, and Wi-fi access. CONCLUSIONS There is high satisfaction amongst both English and Spanish speaking patients using our ITP. Use cases are multi-disciplinary and suggest lasting applicability post-pandemic, however significant investment is needed to provide robust infrastructure to support utilization by all patients, but especially integration of interpreter services for LEP patients. CLINICALTRIAL N/A


2016 ◽  
Vol 25 (2) ◽  
pp. 105-115 ◽  
Author(s):  
Rebecca L. Dekker ◽  
Sarah King ◽  
Kara Lester

ABSTRACTThe purpose of this study was to describe how people use social media to find and disseminate information about evidence-based maternity care. We used a cross-sectional Internet-based survey design in which 1,661 participants were recruited from childbirth-related blogs. Participants answered questions about how they find, use, and share evidence-based maternity information using social media. Overall, women in this study were highly engaged in using social media to find and share maternity information. Most respondents were very interested in reading evidence-based maternity care articles online. Most intend to use this information that they found, despite the fact that a substantial percentage had no intentions of discussing this information with their childbirth educators or physician.


2016 ◽  
Vol 19 (13) ◽  
pp. 2458-2466 ◽  
Author(s):  
Sarah Grenier Wax ◽  
Susan M Stankorb

AbstractObjectiveFood insecurity increases risk of health conditions that may decrease military readiness. The aim of the present study was to define the prevalence of food insecurity among households with young children utilizing military installation childcare facilities and to describe household characteristics associated with food insecurity among this population.DesignCross-sectional survey including demographic questions and the US Department of Agriculture Food Security Survey Module six-item short form given to households (n 248) enrolled in Joint Base San Antonio Child Development Centers (JBSA-CDC) during the spring of 2015.SubjectsDepartment of Defense families with at least one child less than 6 years old enrolled in a JBSA-CDC.SettingsJoint Base San Antonio, TX, USA.ResultsNearly one in seven families reported food insecurity. Households were more likely to be food-insecure if the head of household’s highest level of education was high school or equivalent (P=0·003) and if the head of household was unmarried/unpartnered (P=0·001). Among food-insecure households headed by military service members, all were junior enlisted or non-commissioned officers (E1–E9). Food-insecure households were less likely to live off-post in owned or rented homes compared with those who were food-secure (P=0·016). Other characteristics associated with food insecurity included at least one family member enrolled in the Exceptional Family Member Program (P=0·020) and more children in the household (P=0·029). Few families reported enrolment in government supplemental food programmes.ConclusionsFood insecurity is prevalent in military families. Targeted interventions and policies can be developed using the demographic risk factors identified in the present study.


2016 ◽  
Vol 10 (07) ◽  
pp. 694-703 ◽  
Author(s):  
Supa Pengpid ◽  
Karl Peltzer ◽  
Apa Puckpinyo ◽  
Sariyamon Tiraphat ◽  
Somchai Viripiromgool ◽  
...  

Introduction: The aim of this study was to assess tuberculosis (TB) knowledge, attitudes, and practices in both the general population and risk groups in Thailand. Methodology: In a cross-sectional survey, a general population (n = 3,074) and family members of a TB patient (n = 559) were randomly selected, using stratified multistage sampling, and interviewed. Results: The average TB knowledge score was 5.7 (maximum = 10) in the Thai and 5.1 in the migrant and ethnic minorities general populations, 6.3 in Thais with a family member with TB, and 5.4 in migrants and ethnic minorities with a family member with TB. In multivariate linear regression among the Thai general population, higher education, higher income, and knowing a person from the community with TB were all significantly associated with level of TB knowledge. Across the different study populations, 18.6% indicated that they had undergone a TB screening test. Multivariate logistic regression found that older age, lower education, being a migrant or belonging to an ethnic minority group, residing in an area supported by the Global Fund, better TB knowledge, having a family member with TB, and knowing other people in the community with TB was associated having been screened for TB. Conclusion: This study revealed deficiencies in the public health knowledge about TB, particularly among migrants and ethnic minorities in Thailand. Sociodemographic factors should be considered when designing communication strategies and TB prevention and control interventions.


2021 ◽  
Vol 9 (D) ◽  
pp. 98-102
Author(s):  
Amin Golshah ◽  
Mohadese Feiz Rahnemoon ◽  
Zahra Bagheri ◽  
Nasim Karami

AIM: In recent years, miniscrews are extensively used for anchorage in orthodontic treatments. This study aimed to assess the frequency of using miniscrew anchorage by the Iranian orthodontists in 2020. MATERIALS AND METHODS: This descriptive, cross-sectional study evaluated 70 Iranian orthodontists. After obtaining their written informed consent, a questionnaire was emailed to them. The validity of the questionnaire was confirmed by four faculty members and its reliability was determined to be 75% by calculating the Cronbach’s alpha after administering it among 40 orthodontists. Data were analyzed using SPSS version 22. RESULTS: Of 97 administered questionnaires, 70 were filled out and returned (response rate=72.16%) by 42 males and 28 females. Of participants, 62.3% reported using miniscrews in their practice. Furthermore, 96.6% of the orthodontists reported that they would place the miniscrews by themselves. The majority of orthodontists (98.3%) were completely or relatively satisfied with the efficacy of miniscrews, and 93.5% recommended the use of miniscrews to their colleagues. Factors such as poor expertise in miniscrew insertion, doubts about its advantages, high cost, and time-consuming placement were the main reasons for reluctance of some orthodontists in using miniscrews. CONCLUSION: Considering the high efficacy of miniscrews for orthodontic treatment and high satisfaction level of Iranian orthodontists with miniscrews, their application is expected to rise by the Iranian orthodontists after eliminating the existing limitations against their widespread use.


Author(s):  
Alyson Mahar ◽  
Christina Reppas-Rindlisbacher ◽  
Megan Edgelow ◽  
Shailee Siddhpuria ◽  
Julie Hallet ◽  
...  

Introduction The COVID-19 pandemic, including associated public health measures such as travel restrictions, cancellation of elective surgeries, and the closure of public spaces and retail services (full list available at: https://github.com/jajsmith/COVID-19NonPharmaceuticalInterventions ), has resulted in risks to the health and well-being of Veterans, including disruptions to healthcare, loss of income, social isolation, and viral infection and mortality. Although a few studies are ongoing to better understand who may be at greatest risk, little is known about how Veterans experienced the pandemic and what coping strategies they employed at the outset. This infographic summarizes national cross-sectional survey responses collected from 210 Veterans aged 55 years and older who participated in the Canadian COVID-19 Coping Study between May-June 2020 (Women’s College Hospital Research Ethics Board REB # 2020-0045-E). The average age of Veterans who participated was 72 years; 29% were female, 93% completed the survey in English and 84% were retired. This population is older and more likely to be female than the gen-eral Veteran population.4 None of the Veterans included in this study had been diagnosed with COVID-19 at the time of study. A total of 11% had a family member or friend with a diagnosis or symptoms, and less than 5% had a family member or friend hospitalized, or who died as a result of COVID-19.


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