Women's Perceptions of Communication in Pregnancy and Childbirth: Influences on Participation and Satisfaction with Care

Michelle L. Heatley, Bernadette Maria Watson, Cindy Gallois, Yvette D. Miller

Research output: Journal article publicationJournal articleAcademic researchpeer-review

15 Citations (Scopus)


In this study, 3,531 Queensland women, who had recently given birth, completed a questionnaire that included questions about their participation in decision making during pregnancy, their ratings of client-centered care, and perceived quality of care. These data tested a version of the Linguistic Model of Patient Participation in Care, adapted to the maternity context. The authors investigated how age and education influenced women's perceptions of their participation and quality of care. Hierarchical multiple regressions revealed that women's perceived ability to make decisions, and the extent of client-centered communication with maternity care providers, were the most influential predictors of participation and perceived quality of care. Participation in care predicted perceived quality of care, but the influence of client-centered communication by a care provider and a woman's confidence in decision making were stronger predictors of perceived quality of care. Age and education level were not important predictors. These findings extend and support the use of Linguistic Model of Patient Participation in Care in the maternity context.
Original languageEnglish
Pages (from-to)827-834
Number of pages8
JournalJournal of Health Communication
Issue number7
Publication statusPublished - 1 Jan 2015
Externally publishedYes

ASJC Scopus subject areas

  • Health(social science)
  • Communication
  • Public Health, Environmental and Occupational Health
  • Library and Information Sciences

Cite this