The comparison of the interpersonal action component of woman-centred care reported by healthy pregnant women in different sized practices in the Netherlands: A cross-sectional study

Kuipers, Yvonne (Fontein); van Beeck, Elise; van den Berg, Linda; Dijkhuizen, Mirjam

Abstract

Background: The number of interventions is lower, and the level of satisfaction is higher among women who receive midwife-led primary care from one or two midwives, compared to more midwives. This suggests that midwives in small-sized practices practice more women-centred. This has yet to be explored.

Objective: To examine pregnant women’s perceptions, of the interpersonal action component of woman-centred care by primary care midwives, working in different sized practices.

Methods: A cross-sectional study using the Client Centred Care Questionnaire (CCCQ), administered during the third trimester of pregnancy among Dutch women receiving midwife-led primary care from midwives organised in small-sized practices (1-2 midwives), medium-sized (3-4 midwives) and large-sized practices (≥5 midwives). A Welch ANOVA with post hoc Bonferroni correction was performed to examine the differences.

Results: 553 completed questionnaires were received from 91 small-sized practices/104 women, 98 medium-sized practices/258 women and 65 large-sized practices/191 women. The overall sum scores varied between 57–72 on a minimum/maximum scoring range of 15-75. Women reported significantly higher woman-centred care scores of midwives in small-sized practices (score 70.7) compared with midwives in medium-sized practices (score 63.6) (p<.001) and large-sized practices (score 57.9) (p<.001), showing a large effect (d .88; d 1.56). Women reported statistically significant higher woman-centred care scores of midwives in medium-sized practices compared with large-sized practices (p<.001), showing a medium effect (d .69).

Conclusion: There is a significant variance in woman-centred care based on women’s perceptions of woman-midwife interactions in primary care midwifery, with highest scores reported by women
receiving care from a maximum of two midwives. Although the CCCQ scores of all practices are relatively high, the significant differences in favour of small-sized practices may contribute to moving woman centred care practice from ‘good’ to ‘excellent’ practice.

Citation

Kuipers, Y. (., van Beeck, E., van den Berg, L., & Dijkhuizen, M. (2021). The comparison of the interpersonal action component of woman-centred care reported by healthy pregnant women in different sized practices in the Netherlands: A cross-sectional study. Women and Birth, 34(4), e376-e383. https://doi.org/10.1016/j.wombi.2020.08.002

• Journal Article Type: Article
• Acceptance Date: Aug 17, 2020
• Online Publication Date: Sep 3, 2020
• Publication Date: 2021-07
• Deposit Date: Jan 10, 2022
• Publicly Available Date: Jan 11, 2022
• Journal: Women and Birth
• Print ISSN: 1871-5192
• Publisher: Elsevier
• Peer Reviewed: Peer Reviewed
• Volume: 34
• Issue: 4
• Pages: e376-e383
• DOI: https://doi.org/10.1016/j.wombi.2020.08.002
• Keywords: Antenatal care, Client perceptions, Midwife-led care, Midwifery, Questionnaire, Woman-centred care
• Public URL: http://researchrepository.napier.ac.uk/Output/2833192