Evidence map›Paper›PMID 27566632›Full record

ArticleBMJ open2016

Comparative study analysing women's childbirth satisfaction and obstetric outcomes across two different models of maternity care.

Ma Belén Conesa Ferrer, Manuel Canteras Jordana, Carmen Ballesteros Meseguer, César Carrillo García, M Emilia Martínez Roche

Abstract readComparative StudyMulticenter Study
In one paragraph

Article in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  14. The Association between Birth Satisfaction and the Risk of Postpartum Depression.International journal of environmental research and public health · 2021
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  20. Patient satisfaction with peri-partum care at Bertha Gxowa district hospital, South Africa.African journal of primary health care & family medicine · 2020
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Ma Belén Conesa FerrerDepartment of Nursing at the University of Murcia, Midwife in the University Hospital of Torrevieja, Murcia, Spain.
Manuel Canteras JordanaDepartment of Statistics, Murcia University, Murcia, Spain.
Carmen Ballesteros MeseguerDepartment of Nursing at the University of Murcia, Midwife in the University Hospital Virgen de la Arrixaca, Murcia, Spain.
César Carrillo GarcíaDepartment of Nursing, Murcia University, Murcia, Spain.
M Emilia Martínez RocheDepartment of Nursing, Murcia University, Murcia, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo describe the differences in obstetrical results and women's childbirth satisfaction across 2 different models of maternity care (biomedical model and humanised birth).

setting2 university hospitals in south-eastern Spain from April to October 2013.

designA correlational descriptive study.

participantsA convenience sample of 406 women participated in the study, 204 of the biomedical model and 202 of the humanised model.

resultsThe differences in obstetrical results were (biomedical model/humanised model): onset of labour (spontaneous 66/137, augmentation 70/1, p=0.0005), pain relief (epidural 172/132, no pain relief 9/40, p=0.0005), mode of delivery (normal vaginal 140/165, instrumental 48/23, p=0.004), length of labour (0-4 hours 69/93, >4 hours 133/108, p=0.011), condition of perineum (intact perineum or tear 94/178, episiotomy 100/24, p=0.0005). The total questionnaire score (100) gave a mean (M) of 78.33 and SD of 8.46 in the biomedical model of care and an M of 82.01 and SD of 7.97 in the humanised model of care (p=0.0005). In the analysis of the results per items, statistical differences were found in 8 of the 9 subscales. The highest scores were reached in the humanised model of maternity care.

conclusionsThe humanised model of maternity care offers better obstetrical outcomes and women's satisfaction scores during the labour, birth and immediate postnatal period than does the biomedical model.

Indexed as

Models, OrganizationalPatient SatisfactionAdolescentAdultAnalgesia, ObstetricalDelivery, ObstetricFemaleHumansLabor, ObstetricMaternal Health ServicesParturitionPerinatal CarePregnancySpainSurveys and QuestionnairesYoung Adultbiomedical modelhumanized childbirthmidwifeWoman’s satisfaction

Identifiers

PMID27566632
PMCPMC5013466

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.