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A large community-based prospective cohort study of maternity service utilisation was recently conducted between 1 December 2011 and 30 October 2012.
A study of maternity staff knowledge in two south-western states of Nigeria showed many maternity unit operatives lack knowledge and skills of emergency management [ 16].
In the study of maternity care, the preferences were dictated by a desire to minimise the number of handovers, enhancing longitudinal continuity of care.
A previous study of maternity waiting homes reported that in the early years after independence, the country had to relied on home delivery because suitable and accessible health facilities were lacking [ 10].
As Kruk and colleagues noted in their study of maternity services in rural Tanzania, "The fact that at least some women in this population were willing to pay more than twice as much to deliver in mission facilities rather than government facilities underlines the importance of quality of care to women in rural areas" [ 124].
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But in 2008, Childbirth Connection, a nonprofit, maternal health research organization, co-authored a report based on hundreds of studies of maternity care in the United States.
Consistent with other studies of maternity satisfaction 24, 25 parents reported that they were very satisfied with the care.
Hundreds of studies of maternity care interventions have been published, too many for most people involved in providing maternity care to identify and consider when making decisions.
We would recommend that the MGI is tested further in future controlled studies of maternity care, and that the Patient-Generated Index is also considered for use in controlled trials in studies of health care in general.
3 The burden on staff is demonstrated internationally in studies of maternity professionals who report that caring for families experiencing a stillbirth is a stressful aspect of their work.
Because women often have strong preferences for obstetric care, and the importance of those preferences in decision making, the DCE approach has been successfully used in previous studies of maternity care [ 19] including intrapatum care [ 20- 22].
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