Trial reportBMC pregnancy and childbirth2016
Evaluation of satisfaction with care in a midwifery unit and an obstetric unit: a randomized controlled trial of low-risk women.
Trial report in BMC pregnancy and childbirth, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00857129 (Differentiated Birth Service- an Improvement?), which is not on this map. Cited by 21 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Differentiated Birth Service- an Improvement?
Who cites it
21 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Pharmacological pain relief and women´s birth experience: a systematic review.BMC pregnancy and childbirth · 2025Pooled it
- Measuring women's childbirth experiences: a systematic review for identification and analysis of validated instruments.BMC pregnancy and childbirth · 2017Pooled it
- Factors Associated With Midwives' Perceived Difficulty in Supporting Couples With Older First-Time Mothers by Workplace Type in Japan.Japan journal of nursing science : JJNS · 2026Article
- Review
- Article
- Article
- An assessment of women's satisfaction with maternity care during labour and birth in a referral hospital in Namibia.Heliyon · 2025Article
- Article
- Midwife-Led Versus Obstetrician-Led Perinatal Care for Low-Risk Pregnancy: A Systematic Review and Meta-Analysis of 1.4 Million Pregnancies.Journal of clinical medicine · 2024Review
- Article
- Article
- Woman-Centered Care: Standardized Outcomes Measure.Medicina (Kaunas, Lithuania) · 2023Article
- Experiences of childbirth care among immigrant and non-immigrant women: a cross-sectional questionnaire study from a hospital in Norway.BMC pregnancy and childbirth · 2023Article
- Comparison of labour and postnatal satisfaction between women with and without severe maternal morbidity: a double-cohort study.BMJ open · 2022Article
- The Trust Gap Between the Coronavirus Vaccine and Communities of Color: What Midwives Can Do To Help.Journal of midwifery & women's health · 2021Article
- Women's experiences of maternity care in England: preliminary development of a standard measure.BMC pregnancy and childbirth · 2019Article
- Continuity of care is an important and distinct aspect of childbirth experience: findings of a survey evaluating experienced continuity of care, experienced quality of care and women's perception of labor.BMC pregnancy and childbirth · 2018Article
- Midwife-led maternity care in Ireland - a retrospective cohort study.BMC pregnancy and childbirth · 2017Article
- Onsite midwife-led birth units (OMBUs) for care around the time of childbirth: a systematic review.BMJ global health · 2016Article
- Freestanding Midwife-Led Units: A Narrative Review.Iranian journal of nursing and midwifery researchReview
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSatisfaction with birth care is part of quality assessment of care. The aim of this study was to investigate possible differences in satisfaction with intrapartum care among low-risk women, randomized to a midwifery unit or to an obstetric unit within the same hospital.
methodsRandomized controlled trial conducted at the Department of Obstetrics and Gynecology, Østfold Hospital Trust, Norway. A total of 485 women with no expressed preference for level of birth care, assessed to be at low-risk at onset of spontaneous labor were included. To assess the overall satisfaction with intrapartum care, the Labour and Delivery Satisfaction Index (LADSI) questionnaire, was sent to the participants 6 months after birth. To assess women's experience with intrapartum transfer, four additional items were added. In addition, we tested the effects of the following aspects on satisfaction; obstetrician involved, intrapartum transfer from the midwifery unit to the obstetric unit during labor, mode of delivery and epidural analgesia.
resultsWomen randomized to the midwifery unit were significantly more satisfied with intrapartum care than those randomized to the obstetric unit (183 versus 176 of maximum 204 scoring points, mean difference 7.2, p = 0.002). No difference was found between the units for women who had an obstetrician involved during labor or delivery and who answered four additional questions on this aspect (mean item score 4.0 at the midwifery unit vs 4.3 at the obstetric unit, p = 0.3). Intrapartum transfer from the midwifery unit to an obstetric unit, operative delivery and epidurals influenced the level of overall satisfaction in a negative direction regardless of allocated unit (p < 0.001).
conclusionLow-risk women with no expressed preference for level of birth care were more satisfied if allocated to the midwifery unit compared to the obstetric unit.
trial registrationThe trial is registered at www.clinicaltrials.gov NCT00857129 . Initially released 03/05/2009.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.