To evaluate the stability of global maternal satisfaction with perinatal hospital care during the post-partum period and its relationship to anxiety, depression, and stressful medical events, a cohort study of 300 mothers delivering at a university hospital was performed during the first month postpartum. Satisfaction, measured on a 4-point Likert scale (0-3), declined from 2.75 ± 0.03 (mean ± standard error) before hospital discharge to 2.48 ± 0.04 at 1 month postpartum (P = .000), and only 69.5% of mothers very much satisfied predischarge remained so at 1 month (P = .000). Predischarge satisfaction declined with greater medical events (adjusted odds ratio [AOR] = 0.85, 95% confidence interval [CI] = 0.74, 0.97, P < .05) and with concomitant anxiety (AOR= 0.92, CI= 0.89, 0.95, P< .001); reduced satisfaction at 1 month was associated with high anxiety (AOR = 0.97, CI = 0.95, 0.98) and depression (AOR = 0.96, CI = 0.93, 0.99) at that time. Thus, perinatal satisfaction may be time-dependent and associated with contemporaneous medical and psychological changes.
Zastowny T, Stratmann W, Adams E, Fox M.Patient satisfaction and experience with health services and quality of care. Qual Manag Health Care. 1995;3:50-61.
2.
Janssen P, Klein M, Harris S, Soolsma J, Seymour L.Single room maternity care and client satisfaction. Birth. 2000;27:235-243.
3.
Waldenstrom U, Brown S, McLachlan H, Forster D, Brennecke S.Does team midwife care increase satisfaction with antenatal, intrapartum, and postpartum care?Birth. 2000;27:156-167.
4.
Lieu T, Braveman P, Escobar G, Fischer A, Jensvold N, Capra A.A randomized comparison of home and clinic follow-up visits after early postpartum hospital discharge. Pediatrics. 2000;105:1058-1065.
5.
Musci M, Esslinger J, Kornhauser M.Neonatal care management: an integrated approach. Disease Management and Health Outcomes. 2001;9:305-316.
6.
Sadler L, Davison T, McCowan L.Maternal satisfaction with active management of labor: a randomized controlled trial. Birth. 2001;28:225-235.
7.
Little M, Saul G, Testa K, Gaziano C.The influence of telephonic nursing care coordination on patient satisfaction in a predominantly low-income, high-risk pregnancy population. Lippincotts Case Manag. 2002;7:15-23.
8.
Wolke D, Dave S, Hayes J, Townsend J, Tomlin M.Routine examination of the newborn and maternal satisfaction: a randomised controlled trial. Arch Dis Child Fetal Neonatal Ed. 2002;86:F155-F160.
9.
Harrison M, Kushner K, Benzies K, Rempel G, Kimak C.Women’s satisfaction with their involvement in health care decisions during a high-risk pregnancy. Birth. 2003;30:109-115.
10.
Inturrisi M, Lambert L.Length of stay for uncomplicated vaginal birth: a perinatal continuous quality improvement project. J Perinat Neonat Nurs. 1998;12:11-22.
11.
Mosen D, Clark S, Mundorff M, Tracy D, McKnight E, Zollo M.The medical and economic impact of the Newborns’ and Mothers’ Health Protection Act. Obstet Gynecol. 2002; 99:116-124.
12.
Gries D, Phyall G, Barfield W.Evaluation of an early discharge program for infants after childbirth in a military population. Mil Med. 2000;165:616-621.
13.
Lieu T, Wikler C, Capra A, Martin K, Escobar G, Braveman P.Clinical outcomes and maternal perceptions of an updated model of perinatal care. Pediatrics. 1998;102:1437-1444.
14.
Shear C, Gipe B, Mattheis J, Levy M.Provider continuity and quality of medical care. A retrospective analysis of prenatal and perinatal outcome. Med Care. 1983;21:1204-1210.
15.
McDuffie R, Beck A, Bischoff K, Cross J, Orleans M.Effect of frequency of prenatal care visits on perinatal outcome among low-risk women. A randomized controlled trial. JAMA. 1996; 275:847-851.
16.
Villar J, Carroli G, Khan-Neelofur D, Piaggio G, Gulmezoglu M.Patterns of routine antenatal care for low-risk pregnancy. Cochrane Database Syst Rev. 2001;4:CD000934.
17.
Crow R, Gage H, Hampson S, et al.The measurement of satisfaction with healthcare: implications for practice from a systematic review of the literature. Health Technol Assess. 2002;6:1-5.
18.
Miller L.Postpartum depression. JAMA. 2002;287:762-765.
19.
Wenzel A, Haugen E, Jackson L, Robinson K.Prevalence of generalized anxiety at eight weeks postpartum. Arch Women Ment Health. 2003;6:43-49.
20.
Webster J, Pritchard M, Linnane J, Roberts J, Hinson J, Starrenburg S.Postnatal depression: use of health services and satisfaction with health-care providers. J Qual Clin Pract. 2001;21:144-148.
Ruiz R, Fullerton J, Dudley D.The interrelationship of maternal stress, endocrine factors and inflammation on gestational length. Obstet Gynecol Surv. 2003;58:415-428.
23.
Beck A, Ward C, Mendelson M, Mock J, Erbaugh J.An inventory for measuring depression. Arch Gen Psychiatry. 1961;4:561-571.
24.
Hall T, Dornan M.Patient sociodemographic characteristics as predictors of satisfaction with medical care: a meta-analysis. Soc Sci Med. 1990;30:811-818.
25.
Wensing M, Elwyn G.Research on patients’ views in the evaluation and improvement of quality of care. Qual Saf Health Care. 2002;11:153-157.
26.
Collins K, O’Cathain A.The continuum of patient satisfaction—from satisfied to very satisfied. Soc Sci Med. 2003;57: 2465-2470.
27.
O’Hara M, Varner M, Johnson S.Assessing stressful life events associated with childbearing: The Peripartum Events Scale. J Reprod Infant Psychol. 1986;4:85-98.
28.
SPSS. Version 11.5. Chicago, Ill: SPSS, Inc; 2002.
29.
Lewis J.Patient views on quality care in general practice: literature review. Soc Sci Med. 1994;39:655-670.
30.
Britton J.Pre-discharge anxiety among mothers of well newborns: prevalence and correlates. Acta Paediatr. 2005;94: 1771-1776.
31.
Sitzia J, Wood N.Patient satisfaction: a review of issues and concepts. Soc Sci Med. 1997;45:1829-1843.
32.
Hopton J, Howie J, Porter M.The need for another look at the patient in general practice satisfaction surveys. J Fam Pract. 1993;10:82-87.
33.
Llewellyn C, McGurk M, Weinman J.Are psychosocial and behavioural factors related to health related-quality of life in patients with head and neck cancer? A systematic review. Oral Oncol. 2005;41:440-454.
34.
Spertus J, McDonell M, Woodman C, Fihn S.Association between depression and worse disease-specific functional status in outpatients with coronary artery disease. Am Heart J. 2000;140:105-110.
35.
Neumeyer-Gromen A, Lampert T, Stark K, Kallischnigg G.Disease management programs for depression: a systematic review and meta-analysis of randomized controlled trials. Med Care. 2004;42:1211-1221.
36.
Ofman J, Badamgarav E, Henning J, et al.Does disease management improve clinical and economic outcomes in patients with chronic diseases? A systematic review. Am J Med. 2004;117:182-192.
37.
Aharony L, Strasser S.Patient satisfaction: what we know and what we still need to explore. Med Care Rev. 1993;50:49-79.
38.
Cleary P, McNeil B.Patient satisfaction as an indicator of quality of care. Inquiry. 1988;25:25-36.
39.
Rubin H.Patients’ evaluations of hospital care: A review of the literature. Med Care. 1989;28:S1-S9.
40.
Schall M, Evans B, Lottinger A.Evaluating predictors and concomitants of patient health visit satisfaction: an empirical study focusing on methodological aspects of satisfaction research. Health Mark Q. 1998;15:1-24.
41.
Kaldenberg D.Patient satisfaction and health status. Health Mark Q. 2001;18:81-101.
42.
Rubin H.Can patients evaluate the quality of hospital care?Med Care Rev. 1990;47:267-325.
43.
Etter J, Perneger T.Analysis of non-response bias in a mailed health survey. J Clin Epidemiol. 1997;50:1123-1128.
