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A survey of Greek women’s satisfaction of postnatal care

1 Department of Nursing, Laboratory of Integrated Health Care, University of Peloponnese, Sparta, Greece
2 Faculty of Nursing, National & Kapodistrian University of Athens, Athens, Greece

Background: The research described in this paper is a cross-sectional study which surveys women who delivered their babies in a regional hospital inGreeceto investigate their satisfaction with their postnatal care. This is the first published study which measures satisfaction of postnatal services inGreece. The aim of this study is to determine which factors most influence postnatal satisfaction, which areas are lacking and therefore identify specific areas which should be targeted to improve the performance of health services. Methods: A cross sectional, quantitative study of 300 women who gave birth in a regional Greek hospital between January 2015 and July 2017 were surveyed 40 days after birth using a self-administered questionnaire. The questionnaire contained sociodemographic and clinical characteristic questions and a selection of questions from the WOMen’s views of Birth Postnatal Satisfaction Questionnaire (WOMBPNSQ). Results: This study found that the dimensions with the higher satisfaction scores were “Professional support” and “Continuity”. The lower satisfaction scores were for the dimensions “Woman’s health”, “Contraceptive advice” and “Social support” indicating that these are areas for improvement. The three dimensions most correlated with general satisfaction were “Time with woman”, “Feeding baby” and “Professional support”. Conclusions: This study highlights the important role of health professionals showing that they can enhance postnatal satisfaction by spending time with the women, giving guidance on the care of the newborn and baby feeding. Focusing on improving these areas is expected to enhance the quality of postnatal care.
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References

1. Wilkins C (2006) A qualitative study exploring the support needs of first-time mothers on their journey towards intuitive parenting. Midwifery 22: 169–180.    

2. Emmanuel EN, Creedy DK, St JW (2011) Maternal role development: The impact of maternal distress and social support following childbirth. Midwifery 27: 265–272.    

3. Leahy-Warren P, Mccarthy G (2011) Maternal parental self-efficacy in the postpartum period. Midwifery 27: 802–810.    

4. Hynes L (1999) The puererium, In: Bennett RV, Brown LK, Myles textbook for midwives, 13th Ed., Edinburgh: Churchill Livingston Ltd, 589–628.

5. Abbott H, Bick D, Mcarthur C (1997) Health after birth, In: Henderson C, Jones K, Essential midwifery, London: Mosby, 285–318.

6. Tavoulari EF, Benetou V, Vlastarakos PV, et al. (2016) Factors affecting breastfeeding duration in Greece: What is important? World J Clin Pediatr 5: 349–357.    

7. Bouras G, Mexi-Bourna P, Bournas N, et al. (2013) Mothers' expectations and other factors affecting breastfeeding at six months in Greece. J Child Health Care 17: 387–396.    

8. Koutra K, et al. (2018) Pregnancy, perinatal and postpartum complications as determinants of postpartum depression: The Rhea mother-child cohort in Crete,Greece. Epidemiol Psychiatr Sci 27: 244–255.    

9. Gonidakis F, Rabavilas AD, Varsou E, et al. (2008) A 6-month study of postpartum depression and related factors in Athens Greece. Compr Psychiatry 49: 275–282.    

10. United Nations (2015) Every Woman Every Child. Saving lives, protecting futures: Progress report on the Global Strategy for Women's and Children's Health. United Nations, New York.

11. Bick DE, Rose V, Weavers A, et al. (2011) Improving inpatient postnatal services: Midwives views and perspectives of engagement in a quality improvement initiative. BMC Health Serv Res 11: 293.    

12. Bick D, Murrells T, Weavers A, et al. (2012) Revising acute care systems and processes to improve breastfeeding and maternal postnatal health: A pre and post intervention study in one English maternity unit. BMC Pregnancy Childbirth 12: 41.    

13. Schmied V, Cooke M, Gutwein R, et al. (2009) An evaluation of strategies to improve the quality and content of hospital-based postnatal care in a metropolitan Australian hospital. J Clin Nurs 18: 1850–1861.    

14. Beake S, Rose V, Bick D, et al. (2010) A qualitative study of the experiences and expectations of women receiving in-patient postnatal care in one English maternity unit. BMC Pregnancy Childbirth 10: 70.    

15. Brown SJ, Davey MA, Bruinsma FJ (2005) Women's views and experiences of postnatal hospital care in the Victorian Survey of Recent Mothers 2000. Midwifery 21: 109–126.    

16. Rudman A, Waldenström U (2007) Critical views on postpartum care expressed by new mothers. BMC Health Serv Res 7: 178.    

17. Razurel C, Kaiser B, Dupuis M, et al. (2013) Validation of the postnatal perceived stress inventory in a French speaking population of primiparous women. J Obstet Gynecol Neonat Nurs Jognn 42: 685–696.    

18. Smith MP (1989) Postnatal concerns of mothers: An update. Midwifery 5: 182–188.    

19. Kirca N, Ozcan S (2018) Problems experienced by puerperants in the postpartum period and views of the puerperants about solution recommedations for these problems: A qualitative research. Int J Car Sci 11: 360–370.

20. Sapountzi-Krepia D, Tsaloglidou A, Psychogiou M, et al. (2011) Mothers' experiences of pregnancy, labour and childbirth: A qualitative study in Northern Greece. Int J Nurs Pract 17: 583–590.    

21. Chaniotakis IE, Lymperopoulos C (2009) Service quality effect on satisfaction and word of mouth in the health care industry. J Serv Theory Pract 19: 229–242.

22. Tsetsila E, Lavdaniti M, Psychogiou M, et al. (2010) New mothers' perceptions regarding maternity care services provided in a prefecture of Northern Greece. Int J Car Sci 3: 129–135.

23. Al-Abri R, Al-Balushi A (2014) Patient satisfaction survey as a tool towards quality improvement. Oman Med J 29: 3–7.    

24. Faley H, Enguidanos ER, Coletti CM, et al. (2014) Patient satisfaction surveys and quality of care: An information paper. Ann Emerg Med 64: 351–357.    

25. Smith LF (2011) Postnatal care: Development of a psychometric multidimensional satisfaction questionnaire (the WOMBPNSQ) to assess women's views. Br J Gen Pract 61: e628–e637.

26. Panagopoulou V, Hancock J, Tziaferi S (2016) Women's Satisfaction of Postnatal Care- A Pilot Study in a District Hospital in Greece. 9th Panhellenic, 8th Pan-European Scientific & Professional Nursing Congress, Kalamata,Greece(in Greek).

27. Forster DA, Mclachlan HL, Davey MA, et al. (2016) Continuity of care by a primary midwife (caseload midwifery) increases women's satisfaction with antenatal, intrapartum and postpartum care: Results from the COSMOS randomised controlled trial. BMC Pregnancy Childbirth 16: 28.

28. Barimani M, Vikström A (2015) Successful early postpartum support linked to management, informational, and relational continuity. Midwifery 31: 811–817.    

29. Martin A, Horowitz C, Balbierz A, et al. (2014) Views of women and clinicians on postpartum preparation and recovery. Matern Child Health J 18: 707–713.    

30. Bailey S (2010) Postnatal care: Exploring the views of first-time mothers. Comm Pract 83: 26–29.

31. Rudman A, Waldenström U (2007) Critical views on postpartum care expressed by new mothers. BMC Health Serv Res 7: 178.    

32. Cronin C (2003) First-time mothers-identifying their needs, perceptions and experiences. J Clinl Nurs 12: 260–267.    

33. Hajimiri K, Shakibazadeh E, Mehrizi AAH, et al. (2018) The impact of general health and social support on health promoting lifestyle in the first year postpartum: The structural equation modelling. Electron Physician 10: 6231–6239.    

34. Cornell A, Mccoy C, Stampfel C, et al. (2016) Creating New Strategies to Enhance Postpartum Health and Wellness. Matern Child Health J 20: 39–42.    

35. Fahey JO, Shenassa E (2013) Understanding and meeting the needs of women in the postpartum period: The perinatal maternal health promotion model. J Midwifery Womens Health 58: 613–621.    

36. Mckee M, Stukler D (2016) Health effects of the financial crisis: Lessons fromGreece. Lancet Public Health 1: e40–e41.    

37. Filipidis F, Gerovasili V, Millett C, et al. (2017) Medium-term impact of the economic crisis on mortality, health-related behaviours and access to healthcare in Greece. Sci Rep 7: 464223.

38. Nunes S, Rego G, Nunes R (2015) The impact of economic recession on health-care and the contribution by nurses to promote individuals' dignity. Nurs Inquiry 22: 285–295.    

39. Kerasidou A, Kingori P, Legido-Quigley H (2016) "You have to keep fighting": Maintaining healthcare services and professionalism on the frontline of austerity inGreece. Int J Equity Health 15: 118.

40. ICMJE (2017) International Committee of Medical Journal Editors Form for Disclosure of Potential Conflicts of Interest. Available from: http://www.icmje.org/conflicts-of-interest/.

© 2018 the Author(s), licensee AIMS Press. This is an open access article distributed under the terms of the Creative Commons Attribution Licese (http://creativecommons.org/licenses/by/4.0)

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