(1) Background: To evaluate women’s satisfaction with the care received during childbirth undergoing labour and how this changes over time. (2) Methods: An observational, multicentre and longitudinal study in two public hospitals of Spain with a convenience sample of 248 women during the post-partum period. Satisfaction was evaluated using the Intrapartal-Specific Quality from the Patient’s Perspective questionnaire. Socio-demographic and clinical variables were considered. A bivariate analysis evaluated the relationship between satisfaction and the recorded variables to compare the hypotheses, and also to know if there were any significant differences between the scores obtained at the various evaluated time points (three days, 15 days, one year postpartum). The multivariate analysis by binary logistic regression helped complete the study about the variables related to the level of satisfaction; (3) Results: The mean scores for satisfaction at each time point were high, and they lowered with time. The bivariate analysis showed an association between satisfaction and the following variables: ‘mother’s place of birth’, ‘level of education’, ‘type of labour onset’, ‘type of birth’ and ‘type of perineal trauma’. For the multivariate analysis, women who gave birth vaginally, began labour spontaneously and had an epidural were more satisfied than those who did not; (4) Conclusions: Women seemed to obtain good levels of satisfaction with the care they received. Even so, based on continuously improved quality, we proposed some improvement measures, particularly regarding the physical environment and the information offered to patients. It is important to know at what time experience while giving birth should be evaluated as scores can lower with time as part of its normal evolution.
Background: Teachers are not trained or feel prepared for urgent action. Nevertheless, the presence of children with health problems is relevant. We identified vital health risk problems and complications among students, as well as the related training and perception of teachers. Methods: An explanatory sequential design was employed. The study sample consisted of a cross-sectional study of an intentional nonprobabilistic sample of 3246 teachers in the quantitative phase, and a total of 16 semistructured interviews were conducted in its qualitative phase. Results: 56.6% (1837) of teachers show high concern about facing such situations and only 0.6% (19) feel appropriately trained. For 81.8% (2556), the existence of school nursing would be quite relevant. The presence of nursing professionals in schools could lead to an improvement in the quality of life of both the students and teachers. Conclusions: There is a significant percentage of children with diseases that often require specific care and there is a high probability that teachers, throughout their professional lives, have to deal with situations of vital urgency. The presence of professionals in educational centres seems to be a relevant option. These data suggest that it is necessary for nurses to establish a pilot programme for the incorporation of professional nurses in educational centres to determine its implications, benefits in health prevention and promotion issues, as well as costs.
Disrespectful care during childbirth may adversely affect women's well-being and their relationship with health services. This explanatory sequential mixed-methods study explored women's perceptions and reported consequences of disrespectful treatment during childbirth in Spain. In the quantitative phase, 1,579 women completed the Childbirth Abuse and Respect Evaluation Maternal Questionnaire (CARE-MQ), a validated instrument that assesses self-reported experiences of abuse and/or disrespectful treatment during childbirth. In the qualitative phase, 20 women who reported such experiences participated in semi-structured interviews. Quantitative data were analysed using descriptive and bivariate analyses, and qualitative data were analysed thematically. The mean CARE-MQ score was 6.84 (SD 9.61). Although most women scored 0 on most items, relevant proportions reported negative experiences, particularly lack of support with infant care or breastfeeding (20.4%) and lack of respect for the birth plan when possible or lack of explanation of alternatives (13.8%). Higher CARE-MQ scores were observed in association with induction of labour, neuraxial analgesia, emergency caesarean section, severe perineal trauma, absence of skin-to-skin contact, and longer hospital stay. Qualitative findings described non-consented procedures, poor communication, lack of empathy, feelings of infantilization and helplessness, and subsequent distrust toward healthcare services. These findings highlight the need to strengthen respectful maternity care, informed decision-making, and professional training in woman-centred childbirth care.