Current Status and Availability of Specialized Maternity Non-Standard Room for Delivering Mothers

Jung Won Yoon; Sang Won Han; San Hui Lee; Yeon Soo Jung; Ji Man Kim; Eui Hyeok Kim

doi:10.14734/kjp.2014.25.3.159

Journal List > Korean J Perinatol > v.25(3) > 1013712

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Yoon, Han, Lee, Jung, Kim, and Kim: Current Status and Availability of Specialized Maternity Non-Standard Room for Delivering Mothers

Original Article

Korean J Perinatol 2014;25(3):159-165.

Published online: 21 June 2014

DOI: https://doi.org/10.14734/kjp.2014.25.3.159

Current Status and Availability of Specialized Maternity Non-Standard Room for Delivering Mothers

Jung Won Yoon, M.D.¹, Sang Won Han, M.D.², San Hui Lee, M.D.², Yeon Soo Jung, M.D.², Ji Man Kim, M.D.², Eui Hyeok Kim, M.D.²

¹Department of Obstetrics and Gynecology, Yonsei University College of Medicine, Seoul, Korea

²Department of Obstetrics and Gynecology, National Health Insurance Corporation Ilsan Hospital, Goyang, Korea

Received 8 August 201410 September 2014 Accepted 29 September 2014

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

Demand of specialized maternity ward is increasing as national income level rises. However, the National Health Insurance limits the number of hospital’s non-standard room to less than 50% of total hospital beds. Therefore, this research was performed to investigate the utilization rate of non-standard room among the Korean women who recently delivered baby in medical facilities in order to examine the factors affecting their selection.

Methods

One hundred sixty six medical facilities which deliver a minimum of ten cases in 2011 were selected and categorized by type, region, and size. A cross-sectional survey was done in November 2012 by a professional research survey company. Eight hundred and two pregnant women answered the questionnaire through a face-to-face interview.

Results

Of the 802 expecting mothers, 690 (86%) occupied non-standard room and 684 (85.2%) preferred non-standard room to the standard room. Satisfaction levels were significantly higher in mothers occupying non-standard room [5.9±1.0 vs. 5.4±1.2 (0-7 scale), P<0.01] and high-income families used non-standard room more often. Reasons for using non-standard room included adequate convalescence (78%), separate place for breastfeeding (6.1%), and convenience on receiving visitors (5.4%). Preference for non-standard room on next visit was higher in case of delivery compared to other cause of hospitalization (81.8% vs. 44.9%, P<0.001).

Conclusions

Preference and actual use of non-standard room after delivery were significant. In spite of concrete preference, there was certain barrier in use of non-standard room according to the income and types of hospitals. Therefore, changes of policy such as insurance support for room charge may be needed in case of delivery.

Keywords: Patients' rooms, Maternal health service, Availability, Delivery, Postpartum

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Table 1.

General characteristics of study subjects I

	Total (n)	Nonstandard room n (%)	Standard room n (%)	P-value
Age (years)
≤ 24	20	18 (90)	2 (10)	0.112^*
25-29	229	200 (87.3)	29 (12.7)
30-34	406	354 (87.2)	52 (12.8)
35 ≤	147	118 (80.3)	29 (19.7)
Rooming-in
No	542	441 (81.4)	101 (18.6)	<0.001^†
Yes	260	249 (95.8)	11 (4.2)
Insurance type
Public medical aid	4	3 (75)	1 (25)	0.453^†
Health insurance	798	687 (86.1)	111 (13.9)
Private medical insurance
Yes	237	208 (87.8)	29 (12.2)	0.653^†
No	565	482 (85.3)	83 (14.7)
Total	802	690 (86)	112 (14)

^* Mantel-Haenszel χ² test,

^† χ test

Table 2.

General characteristics of study subjects II

	Total, n	Non-standard room n (%)	Standard room n (%)	P-value
Monthly income (ten thousand won)				< 0.001^*
<220	153	116 (75.8)	37 (24.2)
220≤,<300	160	142 (88.8)	18 (11.3)
300≤,<400	246	220 (89.4)	26 (10.6)
400≤	243	212 (87.2)	31 (12.8)
Type of hospital				< 0.001^†
Clinic	250	237 (94.8)	13 (5.2)
Hospital	387	345 (89.1)	42 (10.9)
General hospital	98	72 (73.5)	26 (26.5)
Specialized general hospital	67	36 (53.7)	31 (46.3)
Parity				0.074^‡
Primipara	479	403 (84.2)	76 (15.9)
Multipara	323	287 (88.9)	36 (11.1)
Method of delivery				0.404^*
Vaginal	394	336 (85.3)	58 (14.7)
Elective cesarean	228	202 (88.6)	26 (11.4)
Emergency cesarean	180	152 (84.4)	28 (15.6)

^* Mantel-Haenszel χ² test,

^† χ² test for trend,

^‡ χ² test

Table 3.

Satisfaction scale for current room according to type of room

	Non-standard room (n=690)	Standard room (n=112)	P-value
Monthly income (Ten thousand won), mean ± SD	337±143	303±303	0.02^*
Satisfaction (0-7 scale), mean±SD	5.9±1.0	5.4±1.2	<0.001^*
Willing to change the room, n (%)	15 (2.2)	9 (8.0)	0.003^†

^* t-test,

^† χ² test

Table 4.

Reasons for using non-standard room

	n	Percent	Valid percent
For a sufficient rest	538	67.1	78
For comfortable breastfeeding	42	5.2	6.1
To accommodate many guests	37	4.6	5.4
For a happy and respectful birth	36	4.5	5.2
No standard room available	30	3.7	4.3
For rooming-in	3	0.4	0.4
Others	4	0.4	0.4
Missing values	112	14
Total	690	86	100

Table 5.

Preference of room according to the cause of admission

Preferred room at next	Preferred room at next admission except delivery		Total
Preferred room at next	Standard room	Non-standard room	Total
Standard room	137	9	146
Non-standard room	305	351	656
Total	442	360	802

McNemar test, P< 0.001

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