Women’s dissatisfaction with inappropriate behavior by health care workers during childbirth care in France: A survey study

Background Quality care during childbirth requires that health care providers have not only excellent skills but also appropriate and considerate attitudes and behavior. Few studies have examined the proportion of women in Western countries expressing dissatisfaction with such inappropriate or incon...

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Published in:	Birth (Berkeley, Calif.) Vol. 48; no. 3; pp. 328 - 337
Main Authors:	Gaucher, Laurent, Huissoud, Cyril, Ecochard, Rene, Rudigoz, René‐Charles, Cortet, Marion, Bouvet, Lionel, Bouveret, Laetitia, Touzet, Sandrine, Gonnaud, Françoise, Colin, Cyrille, Gaucherand, Pascal, Dupont, Corinne, Battut, Audery, Cloudstone, Anne, Gerentes, Cyrielle, Martinez, Nausicaa, Pinceloup, Claire, Cosset, Mélanie, Favre, Sandra, Dolezon, Danielle, Boudet, Chantal, Romegoux, Pauline, Aboubi, Charifa, Benoit, Laura, Gherici, Naima, Payan, Florence, Poulet, Elisabeth, Bonnefond, Annie, Riffard, Angélique, Almodovar, Alain, Roch, Nathalie, Goubault, Jessica, Morgan, Cécile, Gomart, Charlotte, Pollet, Eugénie, Silvestre, Marie Amélie, Tonda, Joelle, Gindre, Marianne, Haegenaer, Christelle, Ruat, Nadine, Bouty, Floriane, Andre, Claire, Blanc, Juliette, Facchin, Florence, Senghor, Mathilde, Bonjean, Simone‐Laure, Costa, Marion, Delon, Pauline, Douet, Agathe, Fabre, Stéphanie, Lopez, Aurélie, Pinget, Caroline, Blanc, Emmanuelle, Caudevelle, Sabine, Lafuente, Marie, Levrat, Catherine, Maiga, Gaelle, Schwich, Diane, Taillieu, Louise, Coche, Sylvie, Corgnet, Nathalie, Desparain, Béatrice, Lasfer, Nanoucha, Perrin, Sidonie, Rolin, Christèle, Louet, Claudie, Sanlaville, Aude Derrier, Large, Delphine, Rome‐Esteoule, Isabelle, Escolano, Clarisse Irabide, Digarcher, Maud, Gonnon, Alice, Luquet, Françoise, Burnier, Charlène, Guerin, Myriam, Mely, Françoise
Format:	Journal Article
Language:	English
Published:	United States Wiley Subscription Services, Inc 01-09-2021 Wiley
Subjects:	Attitudes Behavior Childbirth & labor Clinical decision making Discontent Gynecology and obstetrics Health behavior Health care health personnel Human health and pathology Inappropriateness Life Sciences Maternity units Medical personnel Mothers Multicenter studies Pain Patient satisfaction Polls & surveys Privacy Quality of care Questionnaires surveys Women Womens health Workers patient satisfaction questionnaires surveys health personnel Midwifery Obstetric violence Violences obstétricales Sage-femme Maïeutique
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Summary:	Background Quality care during childbirth requires that health care providers have not only excellent skills but also appropriate and considerate attitudes and behavior. Few studies have examined the proportion of women in Western countries expressing dissatisfaction with such inappropriate or inconsiderate behavior. This study evaluated this proportion in a sample presumably representative of French maternity units. Methods This prospective multicenter study, using data from a selfadministered questionnaire, took place in 25 French maternity units during one week in September 2018. The primary outcome measure was mothers' self‐reported dissatisfaction with blatantly inappropriate behavior (ie, inappropriate attitude, inadequate respect for privacy, insufficient gentleness of care, and/or inappropriate language) by health care workers in the delivery room. The secondary outcome was their self‐reported dissatisfaction with these workers' inconsiderate behavior (ie, unclear and inappropriate information, insufficient participation in decision‐making, or deficient consideration of pain). Results Of 803 potentially eligible women, 627 completed the questionnaire after childbirth; 5.62% (35/623, 95% CI: 3.94‐7.73) reported dissatisfaction with blatantly inappropriate behaviors and 9.79% (61/623, 95% CI: 7.57‐12.40) with inconsiderate behaviors. The main causes of dissatisfaction reported by women in this survey were the inadequate consideration of their pain and the failure to share decision‐making. Conclusions Most of the women were satisfied with how health care workers behaved towards them in the delivery room. Nonetheless, health care staff must be aware of women's demands for greater consideration of their expressions of pain and of their voice in decisions.
Bibliography:	Funding information Data acquisition was funded by the local perinatal care network (AURORE). ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0730-7659 1523-536X
DOI:	10.1111/birt.12542