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Hi all, Here is the link to New Zealand’s most recent national survey: http://www.health.govt.nz/publication/maternity-consumer-survey-2014 I think that it is not only the language used in a survey but the context of care and the meaning of the questions to the women in that context that needs to be considered in interpreting and comparing responses to these surveys. The organisation of the particular maternity system is fundamental to the way women experience their care and their maternity journey. For example, in New Zealand continuity of care means something different to a woman in England; it does not mean ‘a midwife known to the woman’ (who the woman has met once or maybe twice, but the midwife doesn’t ‘know’ the woman). Most women have their own midwife (Lead Maternity Carer) who provides their primary maternity care throughout their pregnancy, labour and birth (wherever that is planned or actually takes place) and up to 6 weeks postnatally (whether secondary medical input is required or not). Having come from the New Zealand context, I am learning a lot about maternity care experiences from women who have given birth recently in England, in my current research role. In further contrast I also have a daughter who has recently experienced the Dutch maternity care system twice (I also studied the Dutch maternity system on a small research fellowship many years ago). I think care must be taken with interpreting responses to ‘satisfaction’ surveys without understanding of their context. We know that women have a tendency to be satisfied with the unsatisfactory – look at the lives of women all around the world! Or, in terms of the provision of health care ‘what is must be best’. Also, once women’s expectations have been raised, they can be dissatisfied with their care or experience, even when it goes well beyond anything they could expect or experience anywhere else in the world. The responses to questions by the women in Aotearoa/New Zealand relate to what they have come to expect, including a required minimum of 7 postnatal visits from their midwife (5 of which are in the woman’s home) up to six weeks postpartum (midwives are only paid a supplement for more than 20 postnatal visits in their contract for the provision of maternity care: http://www.health.govt.nz/our-work/life-stages/maternity-services/primary-ma ternity-services-notice-section-88). A woman who has one or two postnatal visits from a midwife in the first week postpartum as their only (+/- midwifery) postnatal care would clearly be expressing ‘satisfaction’ about markedly different postnatal care. Another example might be women’s ‘satisfaction’ with their experience of postnatal care in a hospital or primary maternity unit/birth centre, this experience may have lasted 2–6 hours in some settings and 48 or more hours in others. I hope those comparing national surveys consider these issues. Best wishes Celia. From: A forum for discussion on midwifery and reproductive health research. [mailto:[log in to unmask]] On Behalf Of Macfarlane, Alison Sent: Friday, 3 February 2017 11:50 p.m. To: [log in to unmask] Subject: Re: National surveys of women's experience of maternity care Great to see that there are so many surveys now. When Euro-Peristat looked at this about ten years ago, there were far fewer. Issues we flagged up at the time were: Were comparable questions being asked? Even if questions appeared to be the same, did they mean the same when translated into different languages? I hope that, with all this survey activity, there are people looking into this. Best wishes, Alison Macfarlane From: Soo Downe [mailto:[log in to unmask]] Sent: 03 February 2017 09:36 To: [log in to unmask] Subject: Re: National surveys of women's experience of maternity care We should also mention the on-line Babies Born Better survey – around 40,000 responses so far from around Europe: http://www.babiesbornbetter.org/ We are looking for funding to re-launch the survey, so that it can be used around the world. We will let the lists know when we get to this point. All the best Soo From: A forum for discussion on midwifery and reproductive health research. [mailto:[log in to unmask]] On Behalf Of Barbara Hanrahan Sent: 03 February 2017 04:38 To: [log in to unmask] Subject: Re: National surveys of women's experience of maternity care My undergraduate students did a research report on a study of childbirth experience at 3 Midwives Obstetric units in the Johannesburg Metro Health district, South Africa. I am very interested in other studies and the tool that they each use. Regards Barbara Mrs. Barbara Hanrahan From: Ellen Blix [mailto:[log in to unmask]] Sent: 02 February 2017 05:23 PM To: [log in to unmask] Subject: Re: National surveys of women's experience of maternity care We are doing one in Norway, principle investigator is Stine Bernitz ( <mailto:stine.bernitz@hioa> stine.bernitz@hioa). We investigate childbirth experience and use the Childbirth Experience Questionnaire developed in Sweden by Anna Dencker and co-workers https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/1471-2393- 10-81 Ellen Blix Professor in Midwifery Sciences Oslo and Akershus University College Norway www.hioa.no From: A forum for discussion on midwifery and reproductive health research. [mailto:[log in to unmask]] On Behalf Of Emma Mills (Aneurin Bevan UHB - Maternity) Sent: Thursday, February 02, 2017 4:07 PM To: [log in to unmask] Subject: Re: National surveys of women's experience of maternity care Hi Jane, We are due to launch a large survey in Wales on February the 13th looking at Women’s experiences of being supported to birth outside of an Obstetric Unit. We are hoping to capture the views of at least 10% of all women who gave birth in Wales within the last 12 months. Very happy to talk and share any information. Also, the media launch and press releases go out next week so if any members are working within Wales we would be very grateful for help to share the survey link across social media platforms. My email is [log in to unmask] Kind regards Emma Mills Clinical Research Midwife Research and Development Delivery Team Bwrdd Iechyd Prifysgol Aneurin Bevan/Aneurin Bevan University Health Board Clinical Research and Innovation Centre St Woolos Hospital Block C Stow Hill Newport, South Wales NP20 4SZ E-bost/email: [log in to unmask] Ffôn/tel: 01633 2344427 Mobile: 07909937110 Twitter: @ABUHB_Research , From: A forum for discussion on midwifery and reproductive health research. [mailto:[log in to unmask]] On Behalf Of Jane Henderson Sent: 02 February 2017 14:13 To: [log in to unmask] Subject: National surveys of women's experience of maternity care Dear all, We have been working on national surveys of women’s experience of maternity care in England and wondered about other similar surveys that have been done outside England. Could you please get back to me if you know of any? Many thanks, Jane Jane Henderson MSc PhD Health Services Researcher National Perinatal Epidemiology Unit Nuffield Department of Population Health University of Oxford Old Road Campus Old Road Oxford OX3 7LF Tel: 01865 289758 AS_RGB_Silver-Award_sml This communication is intended for the addressee only. It is confidential. If you have received this communication in error, please notify us immediately and destroy the original message. You may not copy or disseminate this communication without the permission of the University. Only authorised signatories are competent to enter into agreements on behalf of the University and recipients are thus advised that the content of this message may not be legally binding on the University and may contain the personal views and opinions of the author, which are not necessarily the views and opinions of The University of the Witwatersrand, Johannesburg. 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