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dc.contributor.authorCorscadden, L
dc.contributor.authorCallander, EJ
dc.contributor.authorTopp, SM
dc.contributor.authorWatson, DE
dc.date.accessioned2020-05-20T03:56:36Z
dc.date.available2020-05-20T03:56:36Z
dc.date.issued2020
dc.identifier.issn1471-2393
dc.identifier.doi10.1186/s12884-020-02972-2
dc.identifier.urihttp://hdl.handle.net/10072/394058
dc.description.abstractBackground: High quality maternity care is increasingly understood to represent a continuum of care. As well as ensuring a positive experience for mothers and families, integrated maternity care is responsive to mental health needs of mothers. The aim of this paper is to summarize differences in women’s experiences of maternity care between women with and without a self-reported mental health condition. Methods: Secondary analyses of a randomized, stratified sample patient experience survey of 4787 women who gave birth in a New South Wales public hospital in 2017. We focused on 64 measures of experiences of antenatal care, hospital care during and following birth and follow up at home. Experiences covered eight dimensions: overall impressions, emotional support, respect for preferences, information, involvement, physical comfort and continuity. Multivariable logistic regression was used to compare experiences of women with and without a self-reported longstanding mental health condition. Results: Compared to women without a condition, women with a longstanding mental health condition (n = 353) reported significantly less positive experiences by eight percentage points on average, with significant differences on 41 out of 64 measures after adjusting for age, education, language, parity, type of birth and region. Disparities were pronounced for key measures of emotional support (discussion of worries and fears, trust in providers), physical comfort (assistance, pain management) and overall impressions of care. Most women with mental health conditions (75% or more) reported positive experiences for measures related to guidelines for maternity care for women with mental illness (discussion of emotional health, healthy behaviours, weight gain). Their experiences were not significantly different from those of women with no reported conditions. Conclusions: Women with a mental health condition had significantly less positive experiences of maternity care across all stages of care compared to women with no condition. However, for some measures, including those related to guidelines for maternity care for women with mental illness, there were highly positive ratings and no significant differences between groups. This suggests disparities in experiences of care for women with mental health conditions are not inevitable. More can be done to improve experiences of maternity care for women with mental health conditions.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherSpringer Science and Business Media LLC
dc.relation.ispartofpagefrom286:1
dc.relation.ispartofpageto286:13
dc.relation.ispartofissue1
dc.relation.ispartofjournalBMC Pregnancy and Childbirth
dc.relation.ispartofvolume20
dc.subject.fieldofresearchNursing
dc.subject.fieldofresearchHealth services and systems
dc.subject.fieldofresearchPublic health
dc.subject.fieldofresearchcode4205
dc.subject.fieldofresearchcode4203
dc.subject.fieldofresearchcode4206
dc.titleExperiences of maternity care in New South Wales among women with mental health conditions
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationCorscadden, L; Callander, EJ; Topp, SM; Watson, DE, Experiences of maternity care in New South Wales among women with mental health conditions, BMC Pregnancy and Childbirth, 2020, 20 (1)
dcterms.licensehttps://creativecommons.org/licenses/by/4.0/
dc.date.updated2020-05-20T03:13:53Z
dc.description.versionVersion of Record (VoR)
gro.rights.copyright© The Author(s). 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
gro.hasfulltextFull Text
gro.griffith.authorCallander, Emily J.


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