What women want: qualitative analysis of consumer evaluations of maternity care in Queensland, Australia

McKinnon, Loretta C., Prosser, Samantha J. and Miller, Yvette D. (2014) What women want: qualitative analysis of consumer evaluations of maternity care in Queensland, Australia. BMC Pregnancy and Childbirth, 14 366: . doi:10.1186/s12884-014-0366-2

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Author McKinnon, Loretta C.
Prosser, Samantha J.
Miller, Yvette D.
Title What women want: qualitative analysis of consumer evaluations of maternity care in Queensland, Australia
Journal name BMC Pregnancy and Childbirth   Check publisher's open access policy
ISSN 1471-2393
Publication date 2014-10
Sub-type Article (original research)
DOI 10.1186/s12884-014-0366-2
Open Access Status DOI
Volume 14
Issue 366
Total pages 14
Place of publication London, United Kingdom
Publisher BioMed Central
Collection year 2015
Language eng
Formatted abstract
Maternity care reform plans have been proposed at state and national levels in Australia, but the extent to which these respond to maternity care consumers¿ expressed needs is unclear. This study examines open-text survey comments to identify women¿s unmet needs and priorities for maternity care. It is then considered whether these needs and priorities are addressed in current reform plans.

Women who had a live single or multiple birth in Queensland, Australia, in 2010 (n 3,635) were invited to complete a retrospective self-report survey. In addition to questions about clinical and interpersonal maternity care experiences from pregnancy to postpartum, women were asked an open-ended question ¿Is there anything else you¿d like to tell us about having your baby?¿ This paper describes a detailed thematic analysis of open-ended responses from a random selection of 150 women (10% of 1,510 who responded to the question).

Four broad themes emerged relevant to improving women¿s experiences of maternity care: quality of care (interpersonal and technical); access to choices and involvement in decision-making; unmet information needs; and dissatisfaction with the care environment. Some of these topics are reflected in current reform goals, while others provide evidence of the need for further reforms.

The findings reinforce the importance of some existing maternity reform objectives, and describe how these might best be met. Findings affirm the importance of information provision to enable informed choices; a goal of Queensland and national reform agendas. Improvement opportunities not currently specified in reform agendas were also identified, including the quality of interpersonal relationships between women and staff, particular unmet information needs (e.g., breastfeeding), and concerns regarding the care environment (e.g., crowding and long waiting times).
Keyword Hospitals
Consumer participation
Postnatal care
Service improvement
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2015 Collection
School of Psychology Publications
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Citation counts: TR Web of Science Citation Count  Cited 4 times in Thomson Reuters Web of Science Article | Citations
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Created: Thu, 26 Mar 2015, 18:43:35 EST by Mrs Alison Pike on behalf of School of Psychology