90

The objective of our study was to analyze the experience of childbirth care in the delivery room of unsatisfied mothers by comparing it to that of satisfied mothers. The data was collected using the hierarchical evocation method from the EVA study (Étude du Vécu de l’Accouchement (Study of the Experience of Childbirth)). It was a comparative qualitative study carried out in twenty-five French maternity hospitals (Réseau AURORE). The words collected using the hierarchical evocation method, called verbatim, have been regrouped into subthemes, themes, and metathemes. The primary outcome was the percentage of mothers who quoted at least one word belonging to a subtheme. Six hundred and forty-two mothers were included in the EVA study. Seventy-one mothers reported dissatisfaction and they were included in our study. A control group was formed with 144 satisfied mothers selected on a propensity score. The contextual element that emerges as significantly associated with the declaration of dissatisfaction is the fear expressed by 42 percent of the mothers declaring themselves dissatisfied, compared to 22 percent of those declaring themselves satisfied with childbirth care (p = 0.02). Regarding the subtheme of pain, there was no significant difference between the two samples (45 percent versus 33 percent, p = 0.09). The results suggest that more attention should be paid to preparing and reassuring mothers in the delivery room. The identification of fear during pregnancy and childbirth should be a priority for caregivers.