Evaluation of quality of midwifery care provided during childbirth in birth centers from the perspectives of women: A cross-sectional survey

Abstract

Purpose

This study aimed to assess the quality of care provided in birth centers during childbirth from the perspective of the mothers, obtaining both quantitative and qualitative evaluations using a web questionnaire.

Methods

This was a cross-sectional study conducted using data collected anonymously by means of an online questionnaire. On their third or fourth postnatal day, women who gave birth at 96 birth centers answered questions regarding their satisfaction with the childbirth and midwifery care provided and the quality of childbirth care they received, including a) evidence-based care, b) safety, and c) women-centered care. Descriptive statistics were analyzed. Additionally, the mothers' descriptions of the provided midwifery care and their feelings about it were analyzed qualitatively and inductively.

Results

Almost 90% of the 113 mothers reported that they had receiving evidence-based and women-centered care. Approximately 90% of the mothers experienced a sense of safety regarding the system and facilities of the centers, and were fully informed about maternal transport facilities. The mean scores for satisfaction with childbirth and midwifery care were 98.2/100 and 99.3/100, respectively. Six categories were derived regarding provided midwifery care and mother's feelings about it, continuous accompaniment to mothers and their family, respectful, individual and diverse care, a feeling of security from careful handling, nurtured connections with midwives, a place where I will continue to belong, and a proactive and positive childbirth experience.

Conclusion

The mothers' perspectives revealed that evidence-based, safety and women-centered care was provided at birth centers. Consequently, most of the women were satisfied with their birth experiences at the birth centers. Receiving midwife-led continuity and respectful care from the antenatal period is important for a positive birth experience and a long-term childcare support. Regarding safety, it was considered necessary to provide explanations about possible complications and transportation options before complications occur, in order to alleviate the mother's anxiety and ensure a sense of security.