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Satisfaction of women in labour with nursing care during childbirth.
KLÍMOVÁ, Magdaléna
This dissertation investigates the level of satisfaction among expectant mothers with the care services provided during childbirth. Satisfaction reflects a subjective perception of an expectant mother in meeting her needs during childbirth. The feeling of satisfaction is very personal, however, evaluation of the care provided needs to be determined and not ignored. It is important for expectant mothers that the health care professionals present as empathic, friendly, co-operative, and tactful.Theoretical part was developed from evidence-based literature and available findings related to this problematic. There is a description of a childbirth process including a midwife's role during the individual stages of childbirth and options for pain management. Other chapters focus on midwife's approach toward an expectant mother and factors which influence the level of satisfaction during childbirth. Dissertation's aim was to determine whether the expectant mothers were more satisfied in smaller maternity departments, and to evaluate the way a midwife may influence the mother's satisfaction. There were two hypotheses stated and verified by a statistical testing. Hypothesis No. 1: Expectant mothers are more satisfied in smaller maternity departments than larger ones. Hypothesis No. 2: The level of satisfaction is influenced by midwife's empathic approach. Practical part focused mainly on a midwife's approach toward expectant mother. A quantitative research was implemented in form of questionnaires. The research sample constituted of expectant mothers from four postpartum departments in the Czech Republic. In total the sample included 215 expectant mothers, 109 from smaller facilities and 106 from larger maternity departments. In terms of the overall level of satisfaction with their midwife during the childbirth process, 89% of expectant mothers from smaller maternity departments and 83% of expectant mothers from larger departments stated they were satisfied. Conversely, 11% of respondents from smaller facilities and 17% of respondents from larger facilities were dissatisfied. Based on research analysis comparing the level of satisfaction of expectant mothers from smaller and larger maternity departments the hypothesis no. 1 "Expectant mothers are more satisfied in smaller maternity departments than the larger ones" did not show as statistically significant and was rejected. Nonetheless, the questionnaire responses clearly showed that empathic approach of a midwife influenced expectant mother's satisfaction. Statistical testing demonstrated a significant correlation between an expectant mother's satisfaction and empathic approach of a midwife. The second hypothesis "The level of satisfaction is influenced by midwife's empathic approach" was accepted.The research findings may serve as a guiding material for the midwives in order to provide a high quality care to expectant mothers during the childbirth process. They may also be utilised by future midwives who are in undergraduate preparation for the profession, or those professionals who contribute in any way during the childbirth process. Additionally, the research findings may be presented at conferences designated for midwives.
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