title: Social inequalities and women's satisfaction with childbirth care in Brazil: a national hospital-based survey.
abstract: The objective is to identify factors associated with women's satisfaction towards the care provided by the health professionals during hospital assisted delivery and identify how those factors influence their general levels of satisfaction. The cohort hospital based study was carried out in connection with the Birth in Brazil research. 15,688 women were included, interviewed at home, through the phone, from March 2011 to February 2012. All the variables that compose the professional/pregnant woman relationship (waiting time, respect, privacy, clarity of explanations, possibility of asking questions and participating in the decisions) and schooling remained independently associated with general satisfaction towards delivery care, in the adjusted model. The white women assisted in the southeastern and southern regions of the country, by the private sector and with a companion present gave a better evaluation of the care provided. Women value the way in which they are assisted by the health professionals, and there are inequalities in the way they are treated based on skin color, geographic region and financial situation.
authors.affiliation: Universidade Federal de Santa Catarina, Florianópolis, Brasil.
authors.forename: Eleonora
authors.initials: E
authors.lastname: d'Orsi
authors.affiliation: Universidade Federal de Santa Catarina, Florianópolis, Brasil.
authors.forename: Odaléa Maria
authors.initials: OM
authors.lastname: Brüggemann
authors.affiliation: Universidade de São Paulo, São Paulo, Brasil.
authors.forename: Carmen Simone Grilo
authors.initials: CS
authors.lastname: Diniz
authors.affiliation: Universidade Nove de Julho, São Paulo, Brasil.
authors.forename: Janaina Marques de
authors.initials: JM
authors.lastname: Aguiar
authors.affiliation: Universidade Federal do Tocantins, Palmas, Brasil.
authors.forename: Christine Ranier
authors.initials: CR
authors.lastname: Gusman
authors.affiliation: Agência Nacional de Saúde Suplementar, Rio de Janeiro, Brasil.
authors.forename: Jacqueline Alves
authors.initials: JA
authors.lastname: Torres
authors.affiliation: Universidade de Brasília, Brasília, Brasil.
authors.forename: Antonia
authors.initials: A
authors.lastname: Angulo-Tuesta
authors.affiliation: Universidade de Brasília, Brasília, Brasil.
authors.forename: Daphne
authors.initials: D
authors.lastname: Rattner
authors.affiliation: Instituto de Pesquisa Clínica Evandro Chagas, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil.
authors.forename: Rosa Maria Soares Madeira
authors.initials: RM
authors.lastname: Domingues
mesh_terms: D000328:Adult; D001938:Brazil; D015331:Cohort Studies; D004650:Employee Performance Appraisal; D005260:Female; D006306:Health Surveys; D006801:Humans; D036801:Parturition; D017060:Patient Satisfaction; D010549:Personal Satisfaction; D011247:Pregnancy; D011369:Professional-Patient Relations; D011787:Quality of Health Care; D012959:Socioeconomic Factors