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Table 3 Satisfaction with pregnancy care

From: Continuity of care by a primary midwife (caseload midwifery) increases women’s satisfaction with antenatal, intrapartum and postpartum care: results from the COSMOS randomised controlled trial

  Satisfaction scores (%) Caseload care Standard care b ORa 95 % CI P
  1 2 3 4 5 6 7    
  Disagree strongly       Agree strongly    
At my check-ups I was always asked whether I had any questions (982/827) 0.0 0.1 0.2 1.3 3.2 13.8 81.5 2.58 2.08, 3.19 <0.001
1.0 1.2 2.1 3.3 8.8 19.4 64.3
The midwives always kept me informed about what was happening (982/821) 0.1 0.2 0.5 1.5 5.1 19.9 72.7 4.29 3.54, 5.19 <0.001
1.6 1.3 3.4 6.6 17.7 29.4 40.1
The doctors always kept me informed about what was happening (946/819) 2.6 3.5 7.7 13.7 18.5 22.8 31.1 0.93 0.79, 1.10 0.40
2.3 3.7 6.1 11.6 20.8 24.7 30.9
I was always given an active say in decisions about my care in pregnancy (982/820) 0.3 0.4 0.7 3.7 7.8 26.2 60.9 3.18 2.66, 3.81 <0.001
1.1 2.1 4.3 10.2 19.2 27.8 35.4
I always felt my worries, anxieties or concerns about the pregnancy and the baby were taken seriously by the midwives (978/816) 0.8 0.3 0.7 1.7 4.4 15.8 76.3 4.04 3.33, 4.93 <0.001
1.6 1.7 2.9 6.9 12.0 30.9 44.0
I always felt my worries, anxieties or concerns about the pregnancy and the baby were taken seriously by the doctors (925/816) 2.7 2.9 7.0 13.6 17.6 25.7 30.4 0.84 0.71, 0.99 0.04
2.1 3.7 5.5 11.3 16.4 27.3 33.7
The midwives provided reassurance when I needed it (979/813) 0.2 0.3 0.7 1.7 5.1 17.3 74.7 3.89 3.21, 4.71 <0.001
0.9 1.2 2.5 8.7 16.0 29.4 41.3
The doctors provided reassurance when I needed it (920/811) 3.6 5.3 5.9 15.3 21.1 22.2 26.6 0.78 0.66, 0.92 0.003
2.3 3.7 5.6 13.1 18.0 28.4 29.0
At my check-ups the midwives often seemed rushed (982/821) 54.9 25.6 7.2 4.9 3.8 2.3 1.3 0.19 0.16, 0.23 <0.001
20.2 21.7 14.0 15.0 12.8 8.2 8.2
At my check-ups the doctors often seemed rushed (944/819) 13.1 14.0 9.8 15.2 15.9 17.0 15.2 1.11 0.94, 1.31 0.21
12.6 16.0 12.3 13.3 16.4 16.4 13.1
Care in pregnancy was provided in a competent way (969/818) 0.1 0.3 0.9 2.5 7.5 26.7 61.9 3.09 2.57, 3.70 <0.001
0.5 1.1 2.8 8.7 16.4 35.3 35.2
I was happy with the emotional support I received in pregnancy from midwives (977/812) 0.4 0.4 0.6 1.6 4.4 18.6 73.9 5.02 4.13, 6.19 <0.001
1.6 1.6 2.1 12.1 15.4 29.9 37.3
I was happy with the emotional support I received in pregnancy from doctors (907/809) 7.5 6.7 9.2 22.5 20.2 17.2 16.8 0.62 0.52, 0.73 0.001
3.8 3.7 6.7 21.3 18.3 23.9 22.4
I was happy with the physical care I received in pregnancy from midwives (977/818) 0.0 0.3 0.5 1.2 4.4 20.0 73.6 3.91 3.23, 4.75 <0.001
0.7 0.4 2.0 6.7 11.7 36.7 41.8
I was happy with the physical care I received in pregnancy from doctors (925/818) 2.3 3.6 5.1 15.4 16.9 25.1 31.8 1.26 1.46, 1.49 0.008
2.1 2.2 3.8 9.5 16.8 34.0 31.7
Overall, how would you describe your care during pregnancy 0.1 0.2 0.3 1.1 6.8 29.9 61.6 3.35 2.79, 4.03 <0.001
(1 = very poor; 7 = very good) (976/823) 0.6 0.7 2.6 7.2 16.7 38.0 34.3
  1. aOR is proportional odds ratio derived from ordinal logistic regression
  2. bItalicised figures on second rows are Standard Care results