Measuring clients’ experiences with antenatal care before or after childbirth : It matters
            Background                When clients’ experiences with maternity care are measured for quality improvement, surveys are administered once, usually six weeks or more after childbirth. Most surveys conveniently cover pregnancy, childbirth and postnatal care all in one. However, the validity of measuring the experiences during pregnancy (antenatal experiences) after childbirth is unknown. We explored the relation between the measurement of antenatal experiences late in pregnancy but prior to childbirth (‘test’ or gold standard) and its retrospective measurement after childbirth (retrospective test). Additionally, we explored the role of modifying determinants that explained the gap between these two measurements.                                          Methods and Findings                Client’s experiences were measured by the ReproQuestionnaire that consists of an antenatal and postnatal version, and covers the eight WHO Responsiveness domains. 462 clients responded to the antenatal and postnatal questionnaire, and additionally filled out the repeated survey on antenatal experiences after childbirth. First, we determined the association between the test and retrospective test using three scoring models: mean score, equal or above the median score and having a negative experience. The association was moderate for having any negative experience (absolute agreement = 68%), for the median (absolute agreement = 69%) and for the mean score (ICC = 0.59). Multiple linear and logistic regression analysis for all three scoring models revealed systematic modifiers. The gap between antenatal and postnatal measurement was (partly) associated with clients’ experiences during childbirth and postnatal care and by professional discontinuity during childbirth but unrelated to the perceived health outcome.                                          Conclusions                The antenatal experiences should be measured before and not after childbirth, as the association between the antenatal experiences measured before and after childbirth is moderate.
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PID urn:URN:NBN:NL:UI:10-1874-377167
PID https://www.doi.org/10.7717/peerj.5851
PID pmc:PMC6266936
PID handle:1765/113033
PID urn:urn:NBN:nl:ui:15-1765/113033
URL https://academic.microsoft.com/#/detail/2902345816
URL https://www.narcis.nl/publication/RecordID/oai%3Adspace.library.uu.nl%3A1874%2F377167
URL https://repub.eur.nl/pub/113033/Repub-113033-OA.pdf
URL https://doaj.org/toc/2167-8359
URL http://dspace.library.uu.nl/handle/1874/377167
URL https://www.ncbi.nlm.nih.gov/pubmed/30515354
URL http://hdl.handle.net/1765/113033
URL https://repub.eur.nl/pub/113033
URL https://dspace.library.uu.nl/handle/1874/377167
URL http://dx.doi.org/10.7717/peerj.5851
URL https://peerj.com/articles/5851/
URL http://europepmc.org/articles/PMC6266936
URL https://peerj.com/articles/5851.pdf
URL https://peerj.com/articles/5851.html
URL https://peerj.com/articles/5851.xml
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Access Right Open Access
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Author Scheerhagen, Marisja
Author Birnie, Erwin
Author Franx, Arie
Author Stel, Henk
Author Bonsel, Gouke
Contributor Department of Gynaecology & Obstetrics
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Collected From PubMed Central; UnpayWall; DOAJ-Articles; NARCIS; Crossref; Microsoft Academic Graph
Hosted By Europe PubMed Central; Erasmus University Institutional Repository; NARCIS; PeerJ
Journal PeerJ, 2018, 11
Publication Date 2018-11-01
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Country Netherlands
Format application/pdf; image/pdf
Language English
Resource Type Article
keyword Clients’experiences
keyword Biochemistry, Genetics and Molecular Biology_all_
keyword R
keyword Women’s Health
keyword Clients’ experiences
system:type publication
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Source https://science-innovation-policy.openaire.eu/search/publication?articleId=dedup_wf_001::dfd02ef26e2037fcb874623334cc76fc
Author jsonws_user
Last Updated 22 December 2020, 19:32 (CET)
Created 22 December 2020, 19:32 (CET)