{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T21:11:30Z","timestamp":1787692290773,"version":"build-2784847793"},"reference-count":44,"publisher":"BMJ","issue":"9","license":[{"start":{"date-parts":[[2020,9,13]],"date-time":"2020-09-13T00:00:00Z","timestamp":1599955200000},"content-version":"unspecified","delay-in-days":12,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Institute for Maternal and Child Health IRCCS Burlo Garofolo"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2020,7,22]]},"published-print":{"date-parts":[[2020,9]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study aimed to explore the association between maternal satisfaction and other indicators of quality of care (QoC) at childbirth, as defined by WHO standards.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Cross-sectional study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Referral hospital in Northeast Italy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>1244 consecutive mothers giving birth in the hospital participated in a survey.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data collection and analysis<\/jats:title>\n                    <jats:p>Univariate analyses were performed to evaluate the association between maternal satisfaction and 61 variables, including measures of \u2018provision of care\u2019, \u2018experience of care\u2019, \u2018availability of resources\u2019 and other maternal characteristics. Exploratory factor analysis was performed to create groups of correlated variables, which were used in multivariate analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Overall, 509 (40.9%) of women were &gt;35 years of age, about half (52.7%) were highly educated, most (95.2%) were married\/living with partner and employed (79.3%) and about half (52.9%) were primiparous. Overall, 189 (15.2%) were not born in Italy and 111 (8.9%) did not have Italian citizenship. Most women (84.2%) were highly satisfied (score \u22657\/10) with the care received. Among the 61 variables explored, 46 (75.4%) were significantly associated with women\u2019s satisfaction, 33 with higher satisfaction and 13 with lower satisfaction. Multivariate analysis largely confirmed univariate findings, with six out of eight groups of correlated variables being statistically significantly associated with women\u2019s satisfaction. Factors most strongly associated with women\u2019s satisfaction were \u2018effective communication, involvement, listening to women\u2019s needs, respectful and timely care\u2019 (OR 16.84, 95% CI 9.90 to 28.61, p&lt;0.001) and \u2018physical structure\u2019 (OR 6.51, 95% CI 4.08 to 10.40, p&lt;0.001). Additionally, \u2018victim of abuse, discrimination, aggressiveness\u2019 was inversely associated with the wish to return to the facility or to recommend it to a friend (OR 0.35, 95% CI 0.17 to 0.70, p&lt;0.003).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study suggested that many variables are strongly associated with women\u2019s satisfaction with care during childbirth and support the use of multiple measures to monitor the QoC at childbirth.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2020-037063","type":"journal-article","created":{"date-parts":[[2020,9,14]],"date-time":"2020-09-14T18:35:32Z","timestamp":1600108532000},"page":"e037063","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":40,"title":["Association between maternal satisfaction and other indicators of quality of care at childbirth: a cross-sectional study based on the WHO standards"],"prefix":"10.1136","volume":"10","author":[{"given":"Marzia","family":"Lazzerini","sequence":"first","affiliation":[{"name":"WHO Collaborating Center for Maternal and Child Health, Institute for Maternal and Child Health IRCCS Burlo Garofolo, Trieste, Friuli-Venezia Giulia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8260-4788","authenticated-orcid":false,"given":"Ilaria","family":"Mariani","sequence":"additional","affiliation":[{"name":"WHO Collaborating Center for Maternal and Child Health, Institute for Maternal and Child Health IRCCS Burlo Garofolo, Trieste, Friuli-Venezia Giulia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chiara","family":"Semenzato","sequence":"additional","affiliation":[{"name":"WHO Collaborating Center for Maternal and Child Health, Institute for Maternal and Child Health IRCCS Burlo Garofolo, Trieste, Friuli-Venezia Giulia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4741-4628","authenticated-orcid":false,"given":"Emanuelle Pessa","family":"Valente","sequence":"additional","affiliation":[{"name":"WHO Collaborating Center for Maternal and Child Health, Institute for Maternal and Child Health IRCCS Burlo Garofolo, Trieste, Friuli-Venezia Giulia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2020,9,14]]},"reference":[{"key":"2026062608021072000_10.9.e037063.1","unstructured":"UNFPA, World Health Organization, UNICEF, World Bank Group, The United Nations Population Division . 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