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The Woman-Centeredness of Various Dutch Maternity Service Providers During Antenatal and Postnatal Care

Fontein-Kuipers, Yvonne; van Beeck, Elise; Kammeraat, Liesbeth; Rutten, Fleur


Elise van Beeck

Liesbeth Kammeraat

Fleur Rutten


To examine the woman-centeredness of maternity care providers from the woman's perspective. To investigate the validity and reliability of the Client Centered Care Questionnaire among a childbearing population.

A cross-sectional study.

The self-report Client Centered Care Questionnaire was administered to evaluate women's one-on-one antenatal and postnatal care appointments with various Dutch care providers: community and hospital-based midwives, General Practitioners, (registrar) obstetricians, sonographers, and maternity care nurses.

Eight-hundred and fifteen completed questionnaires were received. Exploratory and confirmatory factor analyses provided support for a two-factor model, with an acceptable model fit. Woman-centeredness of all maternity care providers showed scores above baseline for the neutral value. Welch ANOVA showed a statistical significant effect of the type of maternity care practitioner in providing woman-centered care during antenatal and postnatal visits (F(5.8) = 7.79). The Bonferroni post hoc test showed that women assigned significantly higher woman-centered care scores to community-based midwives compared with hospital-based midwives (p .011) and compared with registrars/obstetricians (p < .001).

Although overall scores of perceived woman-centeredness indicated a good to excellent performance of woman-centered care, with significantly higher scores for community-based midwives, it cannot be assumed that current woman-centered care completely meets the needs of Dutch childbearing women. The Client Centered Care Questionnaire (CCCQ) is an adequate instrument to measure woman-centered care in antenatal and postnatal maternity services. Further research regarding measuring woman-centered care is needed.

Journal Article Type Article
Acceptance Date Jun 1, 2019
Online Publication Date Dec 23, 2019
Publication Date 2019
Deposit Date Jan 10, 2022
Journal International Journal of Childbirth
Print ISSN 2156-5287
Electronic ISSN 2156-5295
Peer Reviewed Peer Reviewed
Volume 9
Issue 2
Pages 92-101
Keywords woman-centered care; client centered care questionnaire; antenatal care; postnatal care
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