86 Chapter 4 completely comfortable) and the care provider and location women considered most suitable for having an aCTG. Statistical Analyses The patient characteristics, details of the aCTG care process, and the satisfaction of pregnant women were analyzed with descriptive statistics. Frequencies and percentages were calculated for categorical variables and mean and standard deviation for continuous variables by using descriptive statistics. The CQ-I’s mean satisfaction scores on the four subscales were calculated. A sum score was calculated for each subscale and divided by the number of questions. On a scale of 1-10, pregnant women often report high satisfaction with their care, scoring a 9 or 10.17 For the analyses, the satisfaction regarding aCTG was therefore dichotomized into ≥9 or <9. Univariable and multivariable logistic regression analyses were performed to investigate factors associated with the satisfaction of women with an aCTG in primary midwife-led care, resulting in odds ratios (OR) with 95% confidence intervals (CI). The dichotomized general satisfaction score was used as the dependent variable for this analysis. The factors included were maternal age, gestational age, socioeconomic position, own care provider involved, additional examination by ultrasound, location, travel distance, waiting time, level of comfort during the aCTG, and time between first contact and the moment the aCTG was conducted. All analyses were performed using the Statistical Package for Social Sciences (SPSS) version 26.0 for Windows (SPSS Inc., Chicago, I1, USA). P-values < 0.05 were considered statistically significant. RESULTS During the period of data collection using the questionnaire in the three regions, 4550 aCTGs were performed in primary midwife-led care. The questionnaire was returned by 1303 women. Of these respondents, 5 (0.4%) were excluded because data on general satisfaction and CQ-I were missing, and 28 (2.1%) because they completed the questionnaire for a second time. Additionally, 43 respondents (3.3%) were excluded because they received an aCTG in obstetrician-led care, leaving 1227 respondents with relevant data for analyses (Figure 1).
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