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Table 5 Satisfaction with postpartum care in hospital (bottom row – rating of care at home)

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 (969/820) 0.7 2.6 5.4 8.3 13.8 27.7 41.6 1.95 1.65, 2.31 < 0.001
3.1 4.2 10.0 9.8 20.0 26.0 27.1
The doctors always kept me informed about what was happening (856/755) 6.7 6.2 9.2 19.2 15.8 19.4 23.6 1.01 0.85, 1.19 0.06
7.3 7.8 9.7 13.1 18.5 20.8 22.8
I was always given an active say in decisions about care of my baby and myself (970/815) 1.4 1.7 3.7 8.8 14.3 26.2 43.9 1.62 1.37, 1.92 < 0.001
2.5 4.5 5.9 10.6 17.3 26.1 33.1
I was given the advice I needed with breast feeding (967/812) 2.0 3.1 4.7 7.9 13.2 24.9 44.3 1.60 1.35, 1.89 < 0.001
5.5 5.4 7.3 8.6 15.3 22.7 35.2
I was given the advice I needed about how to handle, settle or look after my baby (962/808) 3.9 5.6 7.8 15.4 18.6 19.3 29.4 1.50 1.27, 1.77 < 0.001
6.9 8.4 9.4 14.5 22.4 17.0 21.4
I was given the advice I needed about any problems with the baby’s health and progress (947/806) 1.2 1.7 4.7 11.1 15.6 27.4 38.4 1.75 1.48, 2.08 < 0.001
4.3 4.7 5.7 13.3 19.5 25.4 27.1
I was given the advice I needed about my own health and recovery after the birth (972/820) 2.1 1.3 3.7 8.6 13.8 28.7 41.8 1.80 1.52, 2.13 < 0.001
3.7 4.5 6.3 11.3 18.4 25.6 30.1
The midwives were sensitive (962/816) 1.7 2.0 2.4 9.8 13.7 24.5 46.0 2.09 1.76, 2.48 < 0.001
2.8 3.7 5.6 11.2 21.6 29.0 26.1
The doctors were sensitive (865/760) 4.7 4.2 7.3 22.9 18.2 19.5 23.2 1.08 0.91, 1.29 0.36
5.0 4.3 6.8 21.3 21.8 22.9 17.8
The midwives were encouraging (971/817) 0.4 1.3 2.7 5.7 13.9 25.8 50.3 2.04 1.71, 2.42 < 0.001
1.5 2.7 4.2 10.7 18.6 30.0 32.4
The doctors were encouraging (859/756) 4.3 4.8 6.8 20.8 18.5 20.7 24.1 1.06 0.89, 1.26 0.52
4.1 5.2 5.4 21.4 20.2 23.8 19.8
The midwives often seemed rushed (968/820) 25.6 18.4 14.1 10.7 11.3 12.2 7.8 0.32 0.27, 0.37 < 0.001
9.5 11.5 8.2 13.2 15.1 18.5 24.0
The doctors often seemed rushed (873/759) 13.3 10.3 11.0 21.0 15.1 16.4 12.9 0.69 0.58, 0.82 < 0.001
7.5 8.6 9.9 21.0 19.0 15.6 18.6
Care in hospital after the birth was provided in a competent way (967/815) 1.7 1.5 3.8 8.8 17.0 27.1 40.2 1.36 1.15, 1.61 < 0.001
2.7 3.3 4.1 10.6 17.1 30.1 32.3
I was happy with the emotional aspects of care by midwives (967/811) 1.6 2.1 2.9 9.6 13.4 23.7 46.7 2.05 1.73, 2.43 < 0.001
3.6 4.4 5.8 11.5 19.0 27.5 28.2
I was happy with the emotional aspects of care by doctors (857/747) 4.8 6.0 8.5 25.3 19.5 15.8 20.2 0.95 0.80, 1.13 0.53
5.8 5.6 7.4 22.1 21.3 19.3 18.6
Overall, how would you describe the care you received in hospital after the birth? (1 = very poor; 7 = very good) (970/813) 1.7 2.3 4.4 8.3 16.3 30.7 36.4 1.56 1.32, 1.85 < 0.001
3.4 3.4 7.5 10.6 19.1 27.7 28.3  
Overall, how would you describe the care your baby received in hospital after the birth? (1 = very poor; 7 = very good) (969/814) 1.0 1.1 2.4 6.3 14.0 28.9 46.2 1.30 1.10–1.55 0.002
1.6 1.8 3.9 6.4 15.0 32.1 39.2  
Care at home 1 2 3 4 5 6 7    
Very poor Very good
Overall, how would you describe the care you and your baby received from hospital staff at home after the birth? (957/768) 0.5 0.4 1.2 2.3 8.6 18.9 68.1 3.19 2.64, 3.85 < 0.001
1.3 2.7 3.8 10.8 13.7 26.7 41.0  
  1. aOR is proportional odds ratio derived from ordinal logistic regression
  2. bItalicised figures on second rows are Standard Care results