Experiences and satisfaction with intrapartum care: a comparison of normal weight women to obese women

dc.contributor.authorFinnbogason, Christine
dc.contributor.examiningcommitteeAteah, Christine (Nursing) Morris, Margaret (Surgery)en_US
dc.contributor.supervisorHeaman, Maureen (Nursing)en_US
dc.date.accessioned2016-04-15T19:16:47Z
dc.date.available2016-04-15T19:16:47Z
dc.date.issued2016
dc.degree.disciplineNursingen_US
dc.degree.levelMaster of Nursing (M.N.)en_US
dc.description.abstractObesity is a steadily growing problem, and has both physiological and psychological consequences during pregnancy. Obese women may face discrimination which could shape their perceptions of maternity care. To date, few studies have studied the influence of body weight on patient satisfaction with care. The objectives of this study were: (1) to compare childbirth experiences and satisfaction with intrapartum care of normal weight (BMI between 18.5 and 24.9 kg/m2) and obese (BMI greater than or equal to 30.0 kg/m2) women and (2) to determine factors associated with satisfaction with intrapartum care. Guided by Barker’s (1997) pragmatic model of patient satisfaction, a descriptive comparative and correlational design was used to examine the relationship between childbirth experiences, weight discrimination, and satisfaction with intrapartum care among normal weight and obese women. Postpartum primiparous women (N = 138) in two Winnipeg hospitals completed a questionnaire package and had their chart reviewed (70 normal weight, 68 obese weight). Results: Using independent t-test, no significant differences in satisfaction with intrapartum care or childbirth experiences were found in the two weight groups. In the linear multiple regression model, perceived weight discrimination during labour and delivery was negatively associated (β = -5.78, p = 0.032), while professional support (β = 13.11, p < .001) and perceived control and safety (β = 3.25, p = 0.032) were positively associated with satisfaction with intrapartum care. Understanding factors that influence satisfaction with intrapartum care will assist healthcare providers and administrators to improve satisfaction in all women regardless of their weight.en_US
dc.description.noteMay 2016en_US
dc.identifier.urihttp://hdl.handle.net/1993/31233
dc.language.isoengen_US
dc.rightsopen accessen_US
dc.subjectSatifaction with intrapartum careen_US
dc.subjectChildbirth Experiencesen_US
dc.subjectObesityen_US
dc.subjectWeight discriminationen_US
dc.subjectPatient satisfactionen_US
dc.subjectIntrapartum careen_US
dc.titleExperiences and satisfaction with intrapartum care: a comparison of normal weight women to obese womenen_US
dc.typemaster thesisen_US
local.subject.manitobayesen_US
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