Evidence map›Paper›PMID 40028807›Full record

ArticleBirth (Berkeley, Calif.)2025

Effect of Maternity Units' Organizational Levels on Maternal Birth Satisfaction: A Multicentric Cohort Study.

Simona Fumagalli, Antonella Nespoli, Maria Panzeri, Laura Antolini, Elisabetta Colciago, Anna Adami, Matilde Maria Canepa, Elsa Del Bo, Raffaella Ferrara, Paola Agnese Mauri and 18 more

Abstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Birth (Berkeley, Calif.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

28 authors.

Simona FumagalliSchool of Medicine and Surgery, University of Milano Bicocca, Monza, Italy.ORCID 0000-0002-0156-8429
Antonella NespoliSchool of Medicine and Surgery, University of Milano Bicocca, Monza, Italy.
Maria PanzeriSchool of Medicine and Surgery, University of Milano Bicocca, Monza, Italy.ORCID 0009-0005-0140-7069
Laura AntoliniCenter for Biostatistics, Department of Clinical Medicine, Prevention and Biotechnology, University of Milano Bicocca, Monza, Italy.
Elisabetta ColciagoSchool of Medicine and Surgery, University of Milano Bicocca, Monza, Italy.
Anna AdamiDepartment of Medicine and Surgery, University of Verona, Verona, Italy.
Matilde Maria CanepaMidwifery School, Department of Neurosciences, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health (DiNOGMI), University of Genoa, Genoa, Italy.ORCID 0000-0002-3382-8862
Elsa Del BoDepartment of Clinical-Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Pavia, Italy.
Raffaella FerraraDepartment of Obstetrics and Gynaecology, Carlo Poma Hospital, Mantua, Italy.
Paola Agnese MauriDepartment of Clinical Sciences and Community Health, Università Degli Studi di Milano, Milan, Italy.ORCID 0000-0002-1353-6299
Angelo CagnacciMedical and Midwifery School, Department of Neurosciences, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health (DiNOGMI), University of Genoa, Genoa, Italy.
Marcello CeccaroniDepartment of Obstetrics and Gynecology, IRCCS Sacro Cuore-Don Calabria Hospital, Negrar, Italy.
Carmen DattoloDepartment of Obstetrics and Pediatrics, Azienda Socio Sanitaria Territoriale Vimercate, Vimercate, Italy.
Giovanna EspositoDepartment of Clinical Sciences and Community Health, Università Degli Studi di Milano, Milan, Italy.
Massimo Piergiuseppe FranchiDepartment of Obstetrics and Gynecology, University Hospital of Verona, University of Verona, Verona, Italy.
Franco GorleroObstetrics and Gynecology Unit, Galliera Hospital, Genoa, Italy.
Gianpaolo GrisoliaDepartment of Obstetrics and Gynaecology, Carlo Poma Hospital, Mantua, Italy.
Francesca GrossoDepartment of Obstetrics and Gynecology, San Martino Hospital, Genoa, Italy.
Agnese LecisDepartment of Obstetric, Foundation IRCCS San Gerardo Dei Tintori, Monza, Italy.
Marta Mazzeo MelchiondaDepartment of Woman, Newborn and Child, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Virginia MichelerioMidwifery School, Department of Neurosciences, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health (DiNOGMI), University of Genoa, Genoa, Italy.ORCID 0009-0007-4327-0755
Luana MogavinoDepartment of Clinical-Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Pavia, Italy.
Chiara OgliariDepartment of Obstetrics and Gynecology, IRCCS Fondazione Policlinico San Matteo, University of Pavia, Pavia, Italy.
Michela RamunnoDepartment of Obstetrics and Pediatrics, Azienda Socio Sanitaria Territoriale Vimercate, Vimercate, Italy.
Arsenio SpinilloDepartment of Obstetrics and Gynecology, IRCCS Fondazione Policlinico San Matteo, University of Pavia, Pavia, Italy.
Sabrina VallettaDepartment of Medicine and Surgery, University of Verona, Verona, Italy.
Patrizia VerganiSchool of Medicine and Surgery, University of Milano Bicocca, Monza, Italy.
Anna LocatelliSchool of Medicine and Surgery, University of Milano Bicocca, Monza, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionMaternal birth satisfaction is correlated to long-term outcomes and is influenced by the place of birth. In Italy, most births occur in hospitals. Our study aimed to assess whether the organizational level (I vs. II) of the Maternity Unit (MU) had any impact on birth satisfaction.

methodsA multicentric cohort study was conducted in 11 Italian MUs, classified as Level I (for low-risk pregnancies or with minor complications) or Level II (for low and high-risk women) according to organizational, structural, and technical standards. Birth satisfaction was measured using the Italian version of the BSS-R, composed of three sub-scales. Data analysis was performed using Stata/MP18.0.

resultsAmong 1642 participants, maternal satisfaction was similar in I and II level MUs (27.7 vs. 27.2; p-value 0.096). Women who gave birth in an I level MU were found to have a greater Quality of care sub-scale score compared to participants who gave birth in a II level MU (14.28 vs. 13.87; p-value < 0.001). The three sub-scales contributed differently to the total score, with a minor contribution given by the Stress Experienced (8.65/16) and the Women's Attributes sub-scales (4.72/8).

conclusionThis study contributes to understanding how the level of the MU might impact women's birth satisfaction. Factors affecting the Women's Attributes and the Stress Experienced sub-scales' scores should be considered to increase maternal satisfaction with birth, improving the quality of maternity services.

Indexed as

Delivery, ObstetricMaternal Health ServicesParturitionPatient SatisfactionQuality of Health CareAdultCohort StudiesFemaleHumansItalyPregnancyYoung Adultassessment toolBSS‐RItalymaternal birth satisfactionplace of birthquality of care

Identifiers

PMID40028807
PMCPMC12612367

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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.