Satisfaction with perinatal care providers and the childbirth experience: the moderating role of body mass index

BMC Pregnancy Childbirth. 2024 Oct 9;24(1):656. doi: 10.1186/s12884-024-06866-5.

Abstract

Background: Satisfaction with birth and healthcare provider experiences have long-term effects for maternal health. Research has shown that mothers who report more trust, respect, and self-efficacy in their relationship with their healthcare providers are more likely to report positive birthing experiences. Further, individuals with obesity, including pregnant mothers, are more likely to experience weight-related stigma from healthcare providers which may negatively impact satisfaction with this relationship. Thus, the current study examines maternal pre-pregnancy body mass index (BMI) as a moderator between birth and provider satisfaction.

Methods: A sample of 94 women (ages 16-38) were recruited during pregnancy. Participants completed surveys about their satisfaction with their birth experience, provider satisfaction, height, weight, and demographics including age and education. A moderation analysis was used to examine pre-pregnancy BMI as a moderator between birth and provider satisfaction.

Results: Results show that provider satisfaction is positively associated with birth satisfaction among mothers with moderate (overweight) to high (obese) pre-pregnancy BMI scores in our sample.

Conclusions: Findings suggest that strengthening the patient-provider relationship may promote satisfaction with birth experiences.

Keywords: BMI; Birth; Perinatal; Pregnancy; Provider.

MeSH terms

  • Adolescent
  • Adult
  • Body Mass Index*
  • Female
  • Health Personnel / psychology
  • Humans
  • Obesity / psychology
  • Parturition* / psychology
  • Patient Satisfaction*
  • Perinatal Care*
  • Pregnancy
  • Professional-Patient Relations
  • Surveys and Questionnaires
  • Young Adult