ArticleBMC pregnancy and childbirth2025
Socio-demographic factors, informal payments and satisfaction with childbirth in the Hungarian context.
Article in BMC pregnancy and childbirth, 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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Abstract
objectiveThis study aims to investigate the impact of socio-demographic factors on childbirth satisfaction in Hungary, with a particular focus on the role of informal payments. While previous research has extensively examined maternal satisfaction, the specific influence of socio-demographic characteristics on childbirth experiences remains insufficiently explored, particularly in Hungary, where informal payments and a dual healthcare system coexist. By addressing this gap, the study seeks to provide a deeper understanding of the factors that shape birth satisfaction.
methodsThis study examines satisfaction with childbirth using a representative sample of the Hungarian adult population surveyed between February and April 2024. Descriptive statistics (chi-square test) and factor analysis were applied to understand perceptions of quality obstetric care, including responses from childless women and men on general attitudes towards obstetric services (N = 1360). Logistic regression examined socio-demographic predictors of satisfaction with obstetric care among mothers and fathers who evaluated their partners' experiences (N = 772).
resultsFindings underscore the significance of financial factors in childbirth care. Individuals with lower education levels often consider informal payments and private doctors essential for quality care (χ² = 18.0, p < 0.05). Factor analysis revealed two key dimensions: financial and competency. Emphasis on financial aspects correlated with dissatisfaction (Financial components, Factor 1: OR = 0.74, 95%, p < 0.05) while prioritizing competency was linked to higher satisfaction (Competence, Factor 2: OR = 1.54, 95%, p < 0.01). The percentage of women dissatisfied with their childbirth experience was 13.8%, compared to 6.1% of men.
conclusionEfforts to reduce reliance on informal payments and enhance equitable access to high-quality obstetric care are critical for improving childbirth satisfaction in Hungary.
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