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Original Research| Volume 33, ISSUE 5, e447-e454, September 2020

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Measuring respect and autonomy in Dutch maternity care: Applicability of two measures

  • E.I. Feijen-de Jong
    Correspondence
    Corresponding author at: University of Groningen, University Medical Center Groningen Department of General Practice & Elderly Medicine Antonius Deusinglaan 1, Groningen, 9713 AV, The Netherlands.
    Affiliations
    Amsterdam University Medical Centers (location Vumc), Department of Midwifery Science, Amsterdam Public Health Research Institute, Van de Boechorstraat 7, Amsterdam, 1081 BT, The Netherlands

    University of Groningen, University Medical Center Groningen, Department of General Practice & Elderly Medicine, Antonius Deusinglaan 1, Groningen, 9713 AV, The Netherlands

    AVAG (Academy Midwifery Amsterdam and Groningen), Dirk Huizingastraat 3-5, Groningen, 9713GL The Netherlands
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  • M. van der Pijl
    Affiliations
    Amsterdam University Medical Centers (location Vumc), Department of Midwifery Science, Amsterdam Public Health Research Institute, Van de Boechorstraat 7, Amsterdam, 1081 BT, The Netherlands

    AVAG (Academy Midwifery Amsterdam and Groningen), Dirk Huizingastraat 3-5, Groningen, 9713GL The Netherlands
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  • S. Vedam
    Affiliations
    Birth Place Research Lab, Division of Midwifery, University of British Columbia, 5950 University Boulevard, V6T 1Z3 Vancouver, BC, Canada
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  • D.E.M.C. Jansen
    Affiliations
    Amsterdam University Medical Centers (location Vumc), Department of Midwifery Science, Amsterdam Public Health Research Institute, Van de Boechorstraat 7, Amsterdam, 1081 BT, The Netherlands

    University of Groningen, University Medical Center Groningen, Department of General Practice & Elderly Medicine, Antonius Deusinglaan 1, Groningen, 9713 AV, The Netherlands

    AVAG (Academy Midwifery Amsterdam and Groningen), Dirk Huizingastraat 3-5, Groningen, 9713GL The Netherlands
    Search for articles by this author
  • L.L. Peters
    Affiliations
    Amsterdam University Medical Centers (location Vumc), Department of Midwifery Science, Amsterdam Public Health Research Institute, Van de Boechorstraat 7, Amsterdam, 1081 BT, The Netherlands

    University of Groningen, University Medical Center Groningen, Department of General Practice & Elderly Medicine, Antonius Deusinglaan 1, Groningen, 9713 AV, The Netherlands

    AVAG (Academy Midwifery Amsterdam and Groningen), Dirk Huizingastraat 3-5, Groningen, 9713GL The Netherlands
    Search for articles by this author
Published:November 30, 2019DOI:https://doi.org/10.1016/j.wombi.2019.10.008

      Abstract

      Problem

      In the Netherlands there are no valid measurement tools available to measure respectful maternity care and women’s autonomy.

      Background

      Respectful maternity care including women’s autonomy during childbirth are key components of high quality care.

      Aim

      This study aims to evaluate the applicability of the Canadian measures; the Mothers Autonomy in Decision Making (MADM) scale and the Mothers on Respect index (MORi) measures among pregnant women in the Netherlands.

      Methods

      We translated the measures MORi and MADM according to the WHO guidelines, adapted them to the Dutch health care system, evaluated their psychometric properties, and pilot tested before administration through an online cross-sectional survey. We assessed feasibility by calculating descriptive statistics on scores, and reliability by calculating Cronbach’s alpha. The construct validity was measured by hypotheses on differences between subgroups based on maternal characteristics, pregnancy characteristics and healthcare provision.

      Findings

      Of 557 women included in the study, 83% experienced high respect and 62% experienced high autonomy. Both the MORi and MADM showed feasibility, internal consistency, and with respect to construct validity, both measures discriminated between type of care provision. Compared to women with pregnancy complications, those with a healthy pregnancy reported statistically higher MORi-scores. No differences were observed on MADM-scores.

      Discussion

      Both instruments can be used as quality of care measures aiming to improve care and thus experiences of women.

      Conclusion

      The results of this study support the feasibility, reliability, and to a certain extent known group validity of the Dutch MORi and MADM measures in pregnant women.

      Keywords

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      References

        • World Health Organization
        Standards for Improving Quality of Maternal and Newborn Care in Health Facilities.
        2016
      1. World Health Organization. Respectful maternity care during labour and childbirth. https://extranet.who.int/rhl/topics/preconception-pregnancy-childbirth-and-postpartum-care/care-during-childbirth/who-recommendation-respectful-maternity-care-during-labour-and-childbirth. (Accessed 10 December 2018).

        • National Institute for Health and, Clinical Excellence
        Routine Care for the Healthy Pregnant Woman. Antenatal Care.
        2011
        • Vedam S.
        • Stoll K.
        • Rubashkin N.
        • et al.
        The mothers on respect (MOR) index: measuring quality, safety, and human rights in childbirth.
        SSM-Popul. Health. 2017; 3: 201-210
        • Vedam S.
        • Stoll K.
        • Martin K.
        • et al.
        The mother’s autonomy in decision making (MADM) scale: patient-led development and psychometric testing of a new instrument to evaluate experience of maternity care.
        PLoS One. 2017; 12e0171804
        • Vedam S.
        • Stoll K.
        • McRae D.N.
        • et al.
        Patient-led decision making: measuring autonomy and respect in canadian maternity care.
        Patient Educ. Couns. 2019; 102: 586-594
        • De Geus M.
        Midwifery in the Netherlands.
        2012
      2. Rijksoverheid. Rights of patients when a medical treatment is needed. https://www.rijksoverheid.nl/onderwerpen/rechten-van-patient-en-privacy/rechten-bij-een-medische-behandeling/informatie-arts--voor-medische-behandeling. (Accessed 14 December 201) 8.

        • Anthoine E.
        • Moret L.
        • Regnault A.
        • Sébille V.
        • Hardouin J.
        Sample size used to validate a scale: a review of publications on newly-developed patient reported outcomes measures.
        Health Qual. Life Outcomes. 2014; 12: 2
        • Comrey A.L.
        • Lee H.B.
        A First Course in Factor Analysis.
        Psychology Press, 2013
      3. World Health Organization. Process of translation and adaptation of instruments. http://www.who.int/substance_abuse/research_tools/translation/en/. (Accessed 10 December 2018).

        • Nunnally J.
        Psychometric Theory.
        2nd edit. Mcgraw-hill, Hillsdale, NJ1978
        • Streiner D.L.
        • Norman G.R.
        • Cairney J.
        Health Measurement Scales: a Practical Guide to Their Development and Use.
        Oxford University Press, USA2015
        • Forster D.A.
        • McLachlan H.L.
        • Davey M.
        • et al.
        Continuity of care by a primary midwife (caseload midwifery) increases women’s satisfaction with antenatal, intrapartum and postpartum care: Results from the COSMOS randomised controlled trial.
        BMC Pregnancy and Childbirth. 2016; 16: 28
        • McLachlan H.
        • Forster D.
        • Davey M.
        • et al.
        The effect of primary midwife‐led care on women’s experience of childbirth: results from the COSMOS randomised controlled trial.
        BJOG Int. J. Obstet. Gynaecol. 2016; 123: 465-474
        • Birthplace lab
        MOR Guide: Tool, Scoring System and Instructions.
        2017
        • Birthplace lab
        MADM Guide: Tool, Scoring System and Instructions.
        2017
        • Keating A.
        • Fleming V.E.
        Midwives’ experiences of facilitating normal birth in an obstetric-led unit: a feminist perspective.
        Midwifery. 2009; 25: 518-527
        • Stewart S.D.
        Economic and personal factors affecting women’s use of nurse-midwives in michigan.
        Fam. Plann. Perspect. 1998; 30: 231-235
        • Perined
        Perinatal Care in the Netherlands, 2016.
        2018
        • Birthrights
        Dignity in Childbirth: the Dignity Survey 2013: Women’s and Midwives’ Experiences of Dignity in UK Maternity Care.
        2013
        • Vedam S.
        • Stoll K.
        • Taiwo T.K.
        • et al.
        The giving voice to mothers study: inequity and mistreatment during pregnancy and childbirth in the united states.
        Reprod. Health. 2019; 16: 77
        • Dahlberg U.
        • Aune I.
        The woman’s birth experience — the effect of interpersonal relationships and continuity of care.
        Midwifery. 2013; 29: 407-415
        • Karlström A.
        • Nystedt A.
        • Hildingsson I.
        The meaning of a very positive birth experience: focus groups discussions with women.
        BMC Pregnancy Childbirth. 2015; 15: 251
        • Baas C.I.
        • Erwich J.J.H.
        • Wiegers T.A.
        • de Cock T.P.
        • Hutton E.K.
        Women’s suggestions for improving midwifery care in the netherlands.
        Birth. 2015; 42: 369-378
        • Rijnders M.
        • Baston H.
        • Schönbeck Y.
        • et al.
        Perinatal factors related to negative or positive recall of birth experience in women 3 years postpartum in the netherlands.
        Birth. 2008; 35: 107-116
        • Baas C.I.
        • Wiegers T.A.
        • de Cock T.P.
        • et al.
        Client‐Related factors associated with a “Less than good” experience of midwifery care during childbirth in the netherlands.
        Birth. 2017; 44: 58-67
        • Bosch E.
        Informed Consent in De Geboortezorg–een Kwalitatief Onderzoek.
        2019 (Updated 2016. (Accessed 14 June 2019))
        • O’Cathain A.
        • Thomas K.
        • Walters S.J.
        • Nicholl J.
        • Kirkham M.
        Women’s perceptions of informed choice in maternity care.
        Midwifery. 2002; 18: 136-144
        • Ryan G.S.
        Online social networks for patient involvement and recruitment in clinical research.
        Nurse Res. 2013; 21: 35-39