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Article

Maternal Satisfaction with Healthcare after Perinatal Loss in Monochorionic Twin Pregnancy

1
Quantitative Psychology Unit, Faculty of Psychology, University of Barcelona, 08007 Barcelona, Spain
2
Clinical Institute of Neuroscience (ICN), Hospital Clinic, 08036 Barcelona, Spain
3
Maternal-Fetal Medicine Unit, Department of Obstetrics, Hospital Universitari Vall d’Hebron, Universitat Autònoma de Barcelona, 08035 Barcelona, Spain
4
Group on Measurement Invariance and Analysis of Change (GEIMAC), Institute of Neurosciences, University of Barcelona, 08007 Barcelona, Spain
*
Authors to whom correspondence should be addressed.
J. Clin. Med. 2019, 8(8), 1213; https://doi.org/10.3390/jcm8081213
Received: 29 June 2019 / Revised: 30 July 2019 / Accepted: 13 August 2019 / Published: 14 August 2019
(This article belongs to the Special Issue Diagnosis, Treatment and Outcome in Complicated Monochorionic Twins)
Introduction: The analysis of patients’ satisfaction with healthcare is recognised as being useful in the evaluation of health outcomes and perceived quality of care. Little is known, however, about how the psychological status of women who experience perinatal complications may affect their perceived satisfaction with care. Methods: We assessed healthcare satisfaction in 52 women who had undergone intrauterine surgery during a complicated monochorionic twin pregnancy and examined the influence that fetal loss and sociodemographic, clinical, and psychological factors had on the degree of satisfaction. Data were gathered in an individual interview and through the administration of the Medical Patient Satisfaction Questionnaire, Beck Depression Inventory, and State–Trait Anxiety Inventory. Relationships between variables were analysed using a chi-square test, Spearman’s rho, Student’s t test, and the Mann–Whitney U test, in accordance with the metric nature of the variables and the assumptions fulfilled. Results: Age and level of education were not associated with the degree of healthcare satisfaction. Negative but non-significant correlations were observed between the level of satisfaction and symptoms of anxiety and depression. Satisfaction with healthcare was high in the sample as a whole, although it was significantly higher among women who had not experienced fetal loss. There were no differences in satisfaction with services involving direct contact with medical staff, whereas satisfaction with indirect services was lower among women who had experienced perinatal loss. Conclusions: Due to the unique characteristics of this population, specialised care teams of both professional healthcare and indirect services are needed. Although administrative aspects of healthcare are regarded as being of secondary importance, this may not be the case with more vulnerable populations. View Full-Text
Keywords: maternal satisfaction; professional care; fetal surgery; perinatal loss; grief; monochorionic pregnancy; psychological difficulties maternal satisfaction; professional care; fetal surgery; perinatal loss; grief; monochorionic pregnancy; psychological difficulties
MDPI and ACS Style

Druguet, M.; Nuño, L.; Rodó, C.; Arévalo, S.; Carreras, E.; Gómez-Benito, J. Maternal Satisfaction with Healthcare after Perinatal Loss in Monochorionic Twin Pregnancy. J. Clin. Med. 2019, 8, 1213. https://doi.org/10.3390/jcm8081213

AMA Style

Druguet M, Nuño L, Rodó C, Arévalo S, Carreras E, Gómez-Benito J. Maternal Satisfaction with Healthcare after Perinatal Loss in Monochorionic Twin Pregnancy. Journal of Clinical Medicine. 2019; 8(8):1213. https://doi.org/10.3390/jcm8081213

Chicago/Turabian Style

Druguet, Mònica, Laura Nuño, Carlota Rodó, Silvia Arévalo, Elena Carreras, and Juana Gómez-Benito. 2019. "Maternal Satisfaction with Healthcare after Perinatal Loss in Monochorionic Twin Pregnancy" Journal of Clinical Medicine 8, no. 8: 1213. https://doi.org/10.3390/jcm8081213

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