Does a referral from home to hospital affect satisfaction with childbirth? A cross-national comparison
2007

Impact of Hospital Referrals on Childbirth Satisfaction in Belgium and the Netherlands

Sample size: 563 publication Evidence: moderate

Author Information

Author(s): Wendy Christiaens, Anneleen Gouwy, Piet Bracke

Primary Institution: Department of Sociology, Ghent University, Ghent, Belgium

Hypothesis

A referral will result in lower satisfaction with childbirth, especially in Belgium.

Conclusion

Home births lead to higher satisfaction, but once a referral to the hospital is necessary, satisfaction drops and ends up lower than for hospital births planned in advance.

Supporting Evidence

  • Belgian women are more satisfied than Dutch women with childbirth.
  • Home births are more satisfying than hospital births.
  • Referrals to the hospital negatively impact satisfaction, especially for Dutch women.

Takeaway

Women who plan to give birth at home are generally happier than those who give birth in a hospital, but if they have to go to the hospital unexpectedly, they feel less happy about their experience.

Methodology

Two questionnaires were filled out by women at 30 weeks of pregnancy and within two weeks after childbirth, measuring satisfaction with childbirth.

Potential Biases

Response rates varied, and midwives and obstetricians may have been selective in recruiting participants.

Limitations

The study is based on a convenience sample from two cities, which may limit generalizability, and the timing of satisfaction measurement may affect responses.

Participant Demographics

The sample included 605 women, with a mean age of 31 years, 98.7% married or living as married, and varying levels of education.

Statistical Information

P-Value

<.001

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1472-6963-7-109

Want to read the original?

Access the complete publication on the publisher's website

View Original Publication