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Making the best of the worst: Care quality during emergency cesarean sections

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Listed:
  • Betina Ristorp Andersen
  • Maria Birkvad Rasmussen
  • Karl Bang Christensen
  • Kirsten G Engel
  • Charlotte Ringsted
  • Ellen Løkkegaard
  • Martin G Tolsgaard

Abstract

Objective: This study aimed to identify factors influencing mothers’ and their partners’ perceptions of care quality, and to identify associated clinical factors. Methods: Questionnaires were developed based on eight interviews with couples after emergency Cesarean Sections (ECS). The internal structure of the questionnaires was examined using Rasch analysis. Cronbach’s alpha was calculated to evaluate internal consistency of questionnaire items. Finally, associations between questionnaire scores and ECS characteristics were determined. Results: Thematic analysis of interview data demonstrated that team-dynamics, professionalism, information, safety, leadership and mother-child continuity of care are important to patient- perceived quality of care. Questionnaire responses from 119 women and 95 partners were included in the validation and demonstrated satisfying fit to the Rasch model. The questionnaires had acceptable internal consistency with Cronbach’s alpha 0.8 and 0.7 for mothers and partners, respectively. Perceived quality of care was negatively associated with increasing urgency of the CS. Spearman rank correlation coefficients were -0.34 (p

Suggested Citation

  • Betina Ristorp Andersen & Maria Birkvad Rasmussen & Karl Bang Christensen & Kirsten G Engel & Charlotte Ringsted & Ellen Løkkegaard & Martin G Tolsgaard, 2020. "Making the best of the worst: Care quality during emergency cesarean sections," PLOS ONE, Public Library of Science, vol. 15(2), pages 1-13, February.
    • Handle: RePEc:plo:pone00:0227988
    DOI: 10.1371/journal.pone.0227988
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    References listed on IDEAS

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    1. Jonathan E Handelzalts & Avigail Waldman Peyser & Haim Krissi & Sigal Levy & Arnon Wiznitzer & Yoav Peled, 2017. "Indications for Emergency Intervention, Mode of Delivery, and the Childbirth Experience," PLOS ONE, Public Library of Science, vol. 12(1), pages 1-8, January.
    2. Paul T E Cusack, 2020. "On Pain," Biomedical Journal of Scientific & Technical Research, Biomedical Research Network+, LLC, vol. 31(3), pages 24253-24254, October.
    3. Hendrikus Kelderman, 1984. "Loglinear Rasch model tests," Psychometrika, Springer;The Psychometric Society, vol. 49(2), pages 223-245, June.
    4. Erling Andersen, 1973. "A goodness of fit test for the rasch model," Psychometrika, Springer;The Psychometric Society, vol. 38(1), pages 123-140, March.
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