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CONFERENCE PROCEEDING
Implementing changes based on results of the national cross-sectional study, “Czech women's satisfaction with early maternity care”
Lukáš Hruban
1,2
1
Department of Health Sciences, Faculty of Medicine, Masaryk University, Brno, Czech Republic
2
Department of Gynecology and Obstetrics, University Hospital Brno, Faculty of Medicine, Masaryk University, Brno, Czech Republic
Publication date: 2025-10-24
Eur J Midwifery 2025;9(Supplement 1):A34
ABSTRACT
Abstract Overview:
Women's satisfaction with early maternity care is an important quality indicator. A cross- sectional Czech national study in 2021-2024 focused on this area (using standardized tool). Implementing changes in midwifery practice is being piloted at the Maternity Hospital (Brno, Czech Republic).
Aims and Objectives:
To formulate proposals for changes implementation in perinatal care, develop educational materials, and validate them in midwifery practice.
Methods:
The quantitative and qualitative results of the first phase of data collection (2022) have enabled the formulation of specific measures to increase women's satisfaction; their verification in practice is underway.
Results:
Higher satisfaction among women (N=1944) was found overall in large maternity facilities and women who used care in their social setting. First-time mothers reported lower levels of satisfaction. There was low satisfaction with the information given to women throughout perinatal care. One of the stated problems is difficulty accessing a selected midwife's continuous individualised care. Women want respect for their needs and more time to create relationships with caregivers and care-promoting maternal competencies. These findings are being addressed by the ongoing implementation of changes in perinatal practice: antenatal care provided by a midwife; antenatal and postnatal consultations with a midwife, including lactation counselling; individual accompaniment of women by a selected midwife before and during labour; closer collaboration with community midwives, etc. Attention should also be focused on the care of health care providers, and all measures should be gradually introduced.
Conclusion:
In the Czech Republic, there is high biomedical quality care. However, it is necessary to focus on person-centred care. Steps have been initiated to implement changes in practice that have already contributed and will contribute in the long term to the promotion of quality, respectful care for women and their children in early motherhood and to the possibility of a unified national assessment of women's satisfaction with care.
Women's satisfaction with early maternity care is an important quality indicator. A cross- sectional Czech national study in 2021-2024 focused on this area (using standardized tool). Implementing changes in midwifery practice is being piloted at the Maternity Hospital (Brno, Czech Republic).
Aims and Objectives:
To formulate proposals for changes implementation in perinatal care, develop educational materials, and validate them in midwifery practice.
Methods:
The quantitative and qualitative results of the first phase of data collection (2022) have enabled the formulation of specific measures to increase women's satisfaction; their verification in practice is underway.
Results:
Higher satisfaction among women (N=1944) was found overall in large maternity facilities and women who used care in their social setting. First-time mothers reported lower levels of satisfaction. There was low satisfaction with the information given to women throughout perinatal care. One of the stated problems is difficulty accessing a selected midwife's continuous individualised care. Women want respect for their needs and more time to create relationships with caregivers and care-promoting maternal competencies. These findings are being addressed by the ongoing implementation of changes in perinatal practice: antenatal care provided by a midwife; antenatal and postnatal consultations with a midwife, including lactation counselling; individual accompaniment of women by a selected midwife before and during labour; closer collaboration with community midwives, etc. Attention should also be focused on the care of health care providers, and all measures should be gradually introduced.
Conclusion:
In the Czech Republic, there is high biomedical quality care. However, it is necessary to focus on person-centred care. Steps have been initiated to implement changes in practice that have already contributed and will contribute in the long term to the promotion of quality, respectful care for women and their children in early motherhood and to the possibility of a unified national assessment of women's satisfaction with care.
| eISSN: | 2585-2906 |
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