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Table 4 Satisfaction with care during labour and birth

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    
The midwives always kept me informed about what was happening (973/821) 0.5 1.0 1.0 3.7 11.3 23.3 59.1 2.23 1.87, 2.66 <0.001
1.6 2.8 5.0 5.9 14.6 31.2 39.0
The doctors always kept me informed about what was happening (716/670) 3.5 4.1 5.0 11.6 18.0 21.9 35.9 1.09 0.90, 1.32 0.36
3.0 4.8 6.4 11.3 16.4 26.0 32.1
I was always given an active say in decisions about my care during labour and birth (964/817) 1.0 1.7 3.1 6.3 13.4 26.4 48.1 1.91 1.61, 2.26 <0.001
2.8 3.9 5.1 11.3 16.3 27.8 32.8
The midwives were encouraging (972/818) 0.1 0.3 0.8 1.7 4.2 16.0 77.0 2.82 2.31, 3.44 <0.001
0.6 1.5 2.9 4.4 9.3 26.7 54.7
The doctors were encouraging (699/656) 4.7 4.2 5.3 15.3 16.0 20.3 34.2 0.99 0.82, 1.2 0.94
3.7 6.0 4.7 12.0 18.3 22.9 32.3
The midwives provided reassurance if I needed it (970/819) 0.3 0.6 0.3 2.3 6.0 16.9 73.6 2.62 2.12, 3.17 <0.001
1.0 1.6 2.2 6.1 10.3 27.1 51.8
The doctors provided reassurance if I needed it (698/660) 5.6 4.4 5.3 15.9 19.2 21.4 28.2 0.88 0.73, 1.07 0.20
4.1 5.2 5.5 12.4 20.3 22.6 30.0
Care during labour and birth was provided in a safe way (973/823) 0.6 0.9 1.2 1.3 6.4 17.9 71.6 1.73 1.43, 2.10 <0.001
1.0 0.9 1.5 4.0 9.1 24.4 59.2
Care during labour and birth was provided in a competent way (968/818) 1.2 0.9 1.0 2.6 6.5 18.6 69.1 1.84 1.52, 2.21 <0.001
1.2 1.0 2.6 5.0 10.3 25.3 54.7
I was happy with the emotional support I received from midwives (975/815) 0.7 0.5 0.9 1.7 5.4 17.0 73.6 2.71 2.23, 3.29 <0.001
1.7 1.2 4.2 5.2 10.9 25.4 51.4
I was happy with the emotional support I received from doctors (700/664) 7.6 3.9 5.1 18.6 17.0 20.9 27.0 0.89 0.74, 1.07 0.22
5.7 6.0 6.2 12.7 17.9 22.6 28.9
My privacy needs were well respected during labour and birth (964/814) 0.8 0.5 2.0 6.4 6.9 17.7 65.7 1.68 1.39, 2.01 <0.001
1.5 2.5 1.8 6.8 10.0 25.4 52.1
Overall, how would you describe your care in labour and birth? (1 = very poor; 7 = very good) (976/813) 0.7 0.6 1.2 2.1 7.3 22.9 65.3 2.13 1.78, 2.56 <0.001
0.7 1.5 2.5 5.3 12.8 30.4 46.9
  1. aOR is proportional odds ratio derived from ordinal logistic regression
  2. bItalicised figures on second rows are Standard Care results