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http://dx.doi.org/10.4069/kjwhn.2018.24.1.24

Length of Stay, Health Care Cost, Postpartum Discomfort, and Satisfaction with Medical Service in Puerperas Giving Birth in Midwifery Clinic and Hospitals  

Park, Mi-Ran (College of Nursing, The Catholic University of Korea)
Lee, Ju-Young (College of Nursing, The Catholic University of Korea)
Publication Information
Women's Health Nursing / v.24, no.1, 2018 , pp. 24-32 More about this Journal
Abstract
Purpose: To determine traits related to pregnancy and delivery, length of stay, health care cost, postpartum discomfort, and satisfaction with medical service of puerperas giving birth in midwifery clinic and hospitals. Methods: This study used a comparative survey design. Data were collected from a total of 140 postpartum mothers composed of 70 mothers who gave births in two hospitals and another 70 mothers who delivered in one midwifery clinic. Results: Delivery in midwifery clinic had higher Apgar score at 1 minute and 5 minutes after birth than hospital. Those who delivered in midwifery clinic had shorter stay in the clinic, fewer health care cost, less postpartum discomfort in physical, environmental, social, and cultural areas, higher satisfaction with medical services than those who delivered in hospitals. Conclusion: Results of this study can be used as a basis for studies on giving birth in midwifery clinic and hospitals. They might increase the autonomy of women in giving birth with positive effect on the delivery experience of the mother and her spouse.
Keywords
Midwifery; Parturition; Length of stay; Health care costs; Personal satisfaction;
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Times Cited By KSCI : 4  (Citation Analysis)
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1 Park MK. Effects of postpartum care program for primiparous women and care-givers on the knowledge and behavior of postpartum care and postpartum recovery in primiparous women [dissertation]. Gwangju: Chonnam National University; 2003.
2 Rubin HR, Ware JE Jr, Nelson EC, Meterko M. The patient judgments of hospital quality (PJHQ) questionnaire. Medical Care. 1990;28(9):S17-S18.   DOI
3 Kim MN. A survey study to find out the level of satisfaction of the medical service of Busan Veterans Hospital [masters thesis]. Busan: Dona-A University; 2001.
4 Kim KH, Hwang RI, Yoon JW, Kim JS. Prenatal care utilization and expenditure among pregnant women. Korean Journal of Health Policy and Administration. 2009;19(4):53-65. https://doi.org/10.4332/KJHPA.2009.19.4.053   DOI
5 Oh JH, Lee HJ, Kim YK, Min J, Park KO. The effect of childbirth education and family participated delivery in a Labor-Delivery-Recovery room on primiparas' anxiety, labor pain and perception of childbirth experience. Journal of Korean Clinical Nursing Research. 2006;12(2):145-156.
6 Seong MH, Ju MS, Ju GS. Effects of a prepared childbirth education on the knowledge and delivery participation levels of the spouses of primiparas. Korean Journal of Women Health Nursing. 2003;9(3):213-223.
7 Philpott LF, Leahy-Warren P, FitzGerald S, Savage E. Stress in fathers in the perinatal period: A systematic review. Midwifery. 2017;55:113-127. https://doi.org/10.1016/j.midw.2017.09.016   DOI
8 Laws PJ, Tracy SK, Sullivan EA. Perinatal outcomes of women intending to give birth in birth centers in Australia. Birth. 2010;37(1):28-36. https://doi.org/10.1111/j.1523-536X.2009.00375.x   DOI
9 Korean Statistical Information Service. Review records of delivery by provider type, Seoul 2012 [Internet]. Seoul: Author; 2013 [cited 2014 August 31]. Available from: http://kosis.kr/statHtml/statHtml.do?orgId=354&tblId=DT_LEE_54&conn_path=I3
10 Cho YM. The medicalization of childbirth in Korea (1960-2000). Korean Academic Society of Womens Health. 2006;7(1):29-52.
11 Korean Statistical Information Service. Infant/Maternal mortality, Seoul 2014 [Internet]. Seoul: Author; 2015 [cited 2017 August 31]. Available from: http://www.index.go.kr/potal/main/EachDtlPageDetail.do?idx_cd=2769
12 Lee KH. Midwife's role for mother and infant wellbeing. Korean Parent-Child Health Journal. 2000;3(2):67-80.
13 Jang SB, Choi YS, Kim HS, Cho YS, Lee HW. Study on the families' participation need for labour women. The Korean Nurse. 1992;31(3):62-75.
14 Lee EJ, Park YS. Meaning of "Natural Childbirth" and experiences of women giving birth using midwifery-a feminist approach. Korean Journal of Women Health Nursing. 2012;18 (2):135-148. https://doi.org/10.4069/kjwhn.2012.18.2.135   DOI
15 Kim JH. Experiences of self-directed birth: the birth of new self. Journal of Nursing Query. 2003;12(1):161-185.
16 Hutton EK, Reitsma AH, Kaufman K. Outcomes associated with planned home and planned hospital births in low-risk women attended by midwives in Ontario, Canada, 2003-2006: a retrospective cohort study. Birth. 2009;36(3):180-189. https://doi.org/10.1111/j.1523-536X.2009.00322.x   DOI
17 Davis D, Baddock S, Pairman S, Hunter M, Benn C, Wilson D, et al. Planned place of birth in New Zealand: does it affect mode of birth and intervention rates among low-risk women? Birth. 2011;38(2):111-119. https://doi.org/10.1111/j.1523-536X.2010.00458.x   DOI
18 O'Brien B, Chalmers B, Fell D, Heaman M, Darling EK, Herbert P. The experience of pregnancy and birth with midwives: results from the Canadian maternity experiences survey. Birth. 2011;38(3):207-215. https://doi.org/10.1111/j.1523-536X.2011.00482.x   DOI
19 Janssen PA, Ryan EM, Etches DJ, Klein MC, Reime B. Outcomes of planned hospital birth attended by midwives compared with physicians in British Columbia. Birth. 2007;34(2): 140-147. https://doi.org/10.1111/j.1523-536X.2007.00160.x   DOI
20 Lee SH, Lee MO. Characteristics, motivation of choice and childbirth experience of women who selected delivery at midwifery clinic. Korean Parent-Child Health Journal. 2013;16(1):1-10.
21 Kang MJ. A study on the childbirth experience at maternity clinic. Journal Issue. 1995;19:7-20.
22 Ku JS. A study on the wholistic nursing needs of early postpartum mothers [masters thesis]. Seoul: Hanyang University;2008.
23 Kang ML, Kim SK, Bang JM, Ahn JE, Youn Y, Lee SH, et al. The comparison of perception of birth experience to women who had a hospital delivery and those who a maternity hospital delivery. Journal of the Nursing Academic Association of Ewha Womans University. 2005;(39):119-141.
24 Kim JH, Park EC, Kim TH, Lee KS, Kim YH, Lee SG. The impact of hospital specialization on length of stay per case and hospital charge per case. Korean Journal of Health Policy and Management. 2016;26(2):107-114. https://doi.org/10.4332/KJHPA.2016.26.2.107   DOI
25 Cha SK, Kim SS. The determinant of the length of stay in hospital for schizophrenic patients: Using data from the in-depth injury patient surveillance system. Journal of Digital Convergence. 2013;11(4):351-359.   DOI
26 Kim JH, Park MK, Park MH. Effects of a postpartum care program for postpartum women on postpartum activity and postpartum discomfort in primiparous women. Korean Journal of Women Health Nursing. 2008;14(1):36-43.
27 Janssen PA, Saxell L, Page LA, Klein MC, Liston RM, Lee SK. Outcomes of planned home birth with registered midwife versus planned hospital birth with midwife or physician. Canadian Medical Association Journal. 2009;181(6-7):377-383. https://doi.org/10.1503/cmaj.081869   DOI
28 Bonder-Adler B, Kimberger O, Griebaum J, Husslein P, Bodner K. A ten-year study of midwife-led care at an Austrian tertiary care center: A retrospective analysis with special consideration of perineal trauma. BMC Pregnancy Childbirth. 2017; 17(1):357-363. https://doi.org/10.1186/s12884-017-1544-9   DOI
29 Korea Statistical Information Service. Cesarean section indicators by type, 2012 [Internet]. Seoul: Author; 2013 [cited 2014 August 31]. Available from: http://kosis.kr/statHtml/statHtml.do?orgId=354&tblId=TX_354_2009_H1012&conn_path=I2
30 Lee SH. Women's experiences on spontaneous delivery with midwives. Korean Journal of Women Health Nursing. 2014;20 (1):1-13. https://doi.org/10.4069/kjwhn.2014.20.1.1   DOI