Psychosocial factors influencing the perinatal health care satisfaction of parturients

Czech version

Authors: L. Takács; E. Kodyšová
Authors‘ workplace: Katedra psychologie FF UK, Praha, vedoucí katedry doc. PhDr. I. Gillernová, CSc.
Published in: Ceska Gynekol 2011; 76(3): 199-204

Overview

Objective:
To give an overview of the main psychosocial factors influencing the perinatal health care satisfaction of parturients and present recommendations for good practice.

Design:
Original study.

Setting:
Department of Psychology, Faculty of Philosophy, Charles University, Prague.

Methods:
Qualitative methodology – content analysis of 189 childbirth narratives written by parturients and demi-structured interviews with 44 parturients.

Results:
Seven dimensions of perinatal health care satisfaction of parturients were identified: 1. staff attitude and behavior; 2. staff communication; 3. parturient’s participation in decision-making; 4. support of early mother-baby contact; 5. breastfeeding support; 6. mother-baby friendliness of maternity unit operation rules; 7. clarity of maternity unit operation rules. The most important dimensions include empathy and psychological support, respect for privacy and feelings of shame, relational symmetry/asymmetry and quality of provided information.

Conclusion:
Psychosocial aspects are a decisive criterion of perinatal health care satisfaction of parturients. Psychological competences of health care providers and staff make an inseparable part of their competence, with communication skills development and prevention and therapy of the burn-out syndrome deserving special attention.

Key words:
patient satisfaction, maternal-child nursing, quality of health care, medical psychology, behavioral medicine.

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