Elena SKOKO , Claudia RAVALDI , Alfredo VANNACCI Antonella NESPOLI , Naseerah AKOOJI, Marie-Clare BALAAM , Alessandra BATTISTI , Michela CERICCO , Laura IANNUZZI , Sandra MORANO , Soo DOWNE Findings from the Italian Babies Born Better Survey Minerva Ginecologica 2018 December;70(6):663-75DOI: 10.23736/S0026-4784.18.04296-X
BACKGROUND: The most recent WHO recommendations “Intrapartum care for a positive childbirth experience” highlight the need to identify women-centered interventions and outcomes for intrapartum care, and to include service users’ experiences and qualitative research into the assessment of maternity care. Babies Born Better (B3) is a trans-European survey designed to capture service user views and experiences of maternity care provision. Italian service users contributed to the survey.
METHODS: The B3 Survey is an anonymous, mixed-method online survey, translated into 22 languages. We separated out the Italian responses and analyzed them using computer-assisted qualitative software (MAXQDA) and SPSS and STATA for quantitative data analysis. Simple descriptives were used for the numeric data, and content analysis for the qualitative responses. Geomapping was based on the coded qualitative data and postcodes (using Tableau Public).
RESULTS: There were 1000 respondents from every region of Italy, using a range of places of birth (hospital, birth center, home) and experiencing care with both midwives and obstetricians. Most identified positive experiences of care, as well as some practices they would like to change. Both positive and critical comments included provision of care based on the type of providers, clinical procedures, the birth environment, and breastfeeding support. There were clear differences in the geomapped data across Italian regions.
CONCLUSIONS: Mothers highly value respectful, skilled and loving care that gives them a strong sense of personal achievement and confidence, and birth environments that support this. There was distinct variation in the percentage of positive comments made across Italian regions.
Elena Skoko firstname.lastname@example.org
Dr. Elena SKOKO is a mother, birth activist and independent researcher.
Alessandra Battisti email@example.com
Dr. Alessandra BATTISTI is a mother, lawyer and birth activist. She has been collaborating with professor Salvatore Bonfiglio, at University Roma TRE, since 2006.
Alessandra and Elena are members of the Steering Committee and Country Representatives of Babies Born Better Survey. They are founders of the research unit “Human Rights in Maternity and Childbirth” at the University Roma TRE. At the national level, they are members of CoRDiN Committee and of the Editorial Board of D&D Magazine for Midwives in Italy. They are founders of the Obstetric Violence Observatory Italia (OVOItalia) and coordinators of the national social media campaign against obstetric violence “#bastatacere: le madri hanno voce“. They have translated the official Italian version of the WHO statement on “Prevention and elimination of abuse and disrespect during facility based childbirth”, the statement on “Caesarean section rates”, and the International Mother-Baby Childbirth Initiative’s 10 steps. They are Country Representatives for IMBCO. They are members of COST Action BIRTH and Midwifery Unit Network (MUNet).