DIFFERENCES IN WOMEN´S SATISFACTION AND OBSTETRIC OUTCOMES IN TWO DISTINCT MODELS OF DELIVERY

2^nd International Conference on Advances in Skin, Wound Care and Tissue Science

November 9-10, 2017 | Frankfurt, Germany

Ma Bel�©n Conesa Ferrer

University of Murcia, Spain

Scientific Tracks Abstracts: J Tissue Sci Eng

Abstract :

Background: In the 20th century, the technological development in the obstetric field changed childbirth to a biomedical model. Delivery at home was slowly replaced by hospital deliveries, and giving birth became a medicalised procedure in most countries. After the International Conference on Humanization (2000), another model of maternity care appeared the humanised one. Humanising birth means considering womenâ��s beliefs, values and feelings and respecting their autonomy and dignity. Satisfaction with childbirth is considered the most important qualitative outcome in assessing childbirth experience, given that womenâ��s satisfaction with this experience affects their health and their relationship with their infant. The aim of the present study is to describe the differences in obstetrical results and womenâ��s childbirth satisfaction across two different models of maternity care (biomedical model and humanised birth). Method: A correlational descriptive study was carried out. A convenience sample of 406 women participated in the study, 204 of the biomedical model and 202 of the humanised model. A modified version of The Women�´s Views of Birth Labour Satisfaction Questionnaire (WOMBLSQ) was used to measure women�´s childbirth satisfaction. Results: There were better obstetrical outcomes in the humanised model than in the biomedical one: a more spontaneous beginning of labour, normal vaginal deliveries, less length of labour and fewer episiotomies. From the total questionnaire score (100), it was obtained an M: 78.33 and SD: 8.46 at the biomedical model of care and an M: 82.01 and SD: 7.97 at the humanized model of care (P=0.0005). In the analysis of the results per items statistical differences were obtained in 8 of the 9 subscales. The highest scores were obtained in the humanised model of maternity care. Conclusions: The humanised model of maternity care produces better obstetrical outcomes and womenâ��s satisfaction scores during the labour, birth and immediate postnatal period than the biomedical model.

Biography :

Mª Belén Conesa Ferrer currently working as an associate professor in the Faculty of Nursing at the University of Murcia, Spain, and have been working as a midwife for the last twelve years in several hospitals of Spain. Besides, and have the master in Sciences of Marriage and Family by the University San Vicente Mártir of Valencia, Spain and also have the doctorate in Nursing by the University of Murcia. As part of my research work, she has written a book on the patient and woman satisfaction during labour, which was published in 2016.