Maternal Satisfaction with Healthcare after Perinatal Loss in Monochorionic Twin Pregnancy
Druguet, Mònica (Universitat de Barcelona. Departament de Psicologia Social i Psicologia Quantitativa)
Nuño Gómez, Laura (Hospital Clínic i Provincial de Barcelona)
Rodó, Carlota (Hospital Universitari Vall d'Hebron)
Arévalo, Silvia (Hospital Universitari Vall d'Hebron)
Carreras Moratonas, Elena (Hospital Universitari Vall d'Hebron)
Gómez-Benito, Juana (Universitat de Barcelona. Institut de Neurociències)
Universitat Autònoma de Barcelona

Data:	2019
Resum:	Introduction: The analysis of patients' satisfaction with healthcare is recognised as being useful in the evaluation of health outcomes and perceived quality of care. Little is known, however, about how the psychological status of women who experience perinatal complications may affect their perceived satisfaction with care. Methods: We assessed healthcare satisfaction in 52 women who had undergone intrauterine surgery during a complicated monochorionic twin pregnancy and examined the influence that fetal loss and sociodemographic, clinical, and psychological factors had on the degree of satisfaction. Data were gathered in an individual interview and through the administration of the Medical Patient Satisfaction Questionnaire, Beck Depression Inventory, and State-Trait Anxiety Inventory. Relationships between variables were analysed using a chi-square test, Spearman's rho, Student's t test, and the Mann-Whitney U test, in accordance with the metric nature of the variables and the assumptions fulfilled. Results: Age and level of education were not associated with the degree of healthcare satisfaction. Negative but non-significant correlations were observed between the level of satisfaction and symptoms of anxiety and depression. Satisfaction with healthcare was high in the sample as a whole, although it was significantly higher among women who had not experienced fetal loss. There were no differences in satisfaction with services involving direct contact with medical staff, whereas satisfaction with indirect services was lower among women who had experienced perinatal loss. Conclusions: Due to the unique characteristics of this population, specialised care teams of both professional healthcare and indirect services are needed. Although administrative aspects of healthcare are regarded as being of secondary importance, this may not be the case with more vulnerable populations.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Maternal satisfaction ; Professional care ; Fetal surgery ; Perinatal loss ; Grief ; Monochorionic pregnancy ; Psychological difficulties
Publicat a:	Journal of clinical medicine, Vol. 8 (august 2019) , ISSN 2077-0383

DOI: 10.3390/jcm8081213
PMID: 31416177

9 p, 272.3 KB

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