ArticleBMC pregnancy and childbirth2021
Women's experience and satisfaction with midwife-led maternity care: a cross-sectional survey in China.
Article in BMC pregnancy and childbirth, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 2 of them syntheses that pooled it.
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Who cites it
32 citing papers in PubMed, 2 syntheses or guidelines pooled it, 49 citations in OpenAlex.
- Global prevalence and risk factors of obstetric violence: A systematic review and meta-analysis.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2025Pooled it
- Pharmacological pain relief and women´s birth experience: a systematic review.BMC pregnancy and childbirth · 2025Pooled it
- Prevalence and risk factors of maternal dissatisfaction after vaginal delivery: A multicenter prospective study.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2025Trial
- Childbirth preparation is associated with self-efficacy and the use of non-pharmacological pain relief during labour.Scientific reports · 2026Article
- How Supportive Care Shapes Women's Childbirth Satisfaction: A Systematic Review.Healthcare (Basel, Switzerland) · 2026Review
- Assessing stakeholders' acceptability of implementing the midwifery continuity of care model in China: a convergent mixed-method study.BMC pregnancy and childbirth · 2026Article
- Midwifery Students' Knowledge and Need of Education Toward Oral Diseases in France.International journal of dentistry · 2026Article
- Women's Satisfaction with Midwifery-Led Continuity of Care: Insights from Antenatal, Intrapartum, and Postnatal Experiences in the Sidama Region, Ethiopia. A Non-Randomized Control Trial.Health services insights · 2026Article
- What factors affect women's preferences for the mode of birth? A cross-sectional quantitative study based on the generalized resistance resources framework of salutogenesis.BMC pregnancy and childbirth · 2025Article
- "I Am Going to Take It Up": Implementing Skin-to-Skin Contact in Uganda.Maternal & child nutrition · 2025Article
- Questionnaire development: midwives' knowledge and attitude on liberal birthing position in 2nd stage.BMC medical education · 2025Article
- Relationship between the anxiety of labor companion and labor satisfaction among laboring women.Scientific reports · 2025Article
- Ninety-one years of midwifery continuity of care in low and middle-income countries: a scoping review.BMC health services research · 2025Article
- Midwives' Knowledge, Attitudes, and Practices of Liberal Birthing Position Management During the Second Stage of Labor: A Cross-Sectional Study.Journal of nursing management · 2025Article
- Impact of midwife-led antenatal care on childbirth outcomes and maternal satisfaction among low-risk mothers in India.Bioinformation · 2025Article
- The birthing experience among Indian antenatal mothers in a midwifery-led care unit: A systematic literature review.Bioinformation · 2025Article
- Article
- Core competence of midwives in township hospitals and its influencing factors-A cross-sectional study.Heliyon · 2024Article
- Knowledge of women in Poland on the profession and competencies of a midwife.European journal of midwifery · 2024Article
- The significance of positional care combined with doula delivery during childbirth in the correction of abnormal fetal position.American journal of translational research · 2024Article
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
Abstract
backgroundLow 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.
methodsThe 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.
resultsIn 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.
conclusionWomen 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.
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