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Measuring experiences of facility-based care for pregnant women and newborns

A scoping review

Bibliographic Data

ID21880969
AuthorsE Larson (0000-0002-4099-536X, Beth Israel Deaconess Medical Center, corresponding author), Jigyasa Sharma (0000-0001-8860-0710, Harvard Global Health Institute), Khalidha Nasiri (0000-0003-0753-1085, Western University), Meghan A Bohren (0000-0002-4179-4682, The University of Melbourne), Özge Tunçalp (0000-0002-5370-682X, World Health Organization)
Year2020
Volume5
Issue11
Pagese003368
Publication date2020-11-01
Open AccessYes
TypeARTICLE
VenueBMJ Global Health (JOURNAL)
Journal identifiersISSN: 2059-7908 • E-ISSN: 2059-7908
PublisherBMJ (PUBLISHER • GB)
DOI10.1136/bmjgh-2020-003368
PMID33219000
OpenAlexW3101322463
LanguageEN
Citations received15
References cited30

BACKGROUND: Access to high-quality, person-centred care during pregnancy and childbirth is a global priority. Positive experience of care is key in particular, because it is both a fundamental right and can influence health outcomes and future healthcare utilisation. Despite its importance for accountability and action, systematic guidance on measuring experience of care is limited. METHODS: We conducted a scoping review of published literature to identify measures/instruments for experience of facility-based pregnancy and childbirth (abortion, antenatal, intrapartum, postnatal and newborn) care. We systematically searched five bibliographic databases from 1 January 2007 through 1 February 2019. Using a predefined evidence template, we extracted data on study design, data collection method, study population and care type as reported in primary quantitative articles. We report results narratively. RESULTS: We retrieved 16 528 unique citations, including 171 eligible articles representing, 157 unique instruments and 144 unique parent instruments across 56 countries. Half of the articles (90/171) did not use a validated instrument. While 82% (n=141) of articles reported on labour and childbirth care, only one reported on early pregnancy/abortion care. The most commonly reported sub-domains of user experience were communication (84%, 132/157) and respect and dignity (71%, 111/157). The primary purpose of most papers was measurement (70%, 119/171), largely through cross-sectional surveys. CONCLUSION: There are alarming gaps in measurement of user experience for abortion, antenatal, postnatal and newborn care, including lack of validated instruments to measure the effects of interventions and policies on user experience. PROTOCOL REGISTRATION DETAILS: This review was registered and published on PROSPERO (CRD42017070867). PROSPERO is an international database of prospectively registered systematic reviews in health and social care

Abortion · Accountability · Alternative medicine · Childbirth · Data collection · Dignity · Environmental health · Family medicine · Health care · Population · Pregnancy · Psychological intervention · Global Maternal and Child Health · Maternal and Perinatal Health Interventions · Maternal Mental Health During Pregnancy and Postpartum · Medicine · Nursing

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Citations per year3
Citation span2021 - 2026 (6)
Highly citedNo

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