Work

Socio-demographic factors, informal payments and satisfaction with childbirth in the Hungarian context

Year: 2025

Type: article

Abstract: OBJECTIVE: This study aims to investigate the impact of socio-demographic factors on childbirth satisfaction in Hungary, with a particular focus on the role of informal payments. While previous research has extensively examined maternal satisfaction, the specific influence of socio-demographic characteristics on childbirth experiences remains insufficiently explored, particularly in Hungary, where informal payments and a dual healthcare system coexist. By addressing this gap, the study seeks to provide a deeper understanding of the factors that shape birth satisfaction. METHODS: This study examines satisfaction with childbirth using a representative sample of the Hungarian adult population surveyed between February and April 2024. Descriptive statistics (chi-square test) and factor analysis were applied to understand perceptions of quality obstetric care, including responses from childless women and men on general attitudes towards obstetric services (N = 1360). Logistic regression examined socio-demographic predictors of satisfaction with obstetric care among mothers and fathers who evaluated their partners' experiences (N = 772). RESULTS: Findings underscore the significance of financial factors in childbirth care. Individuals with lower education levels often consider informal payments and private doctors essential for quality care (χ² = 18.0, p < 0.05). Factor analysis revealed two key dimensions: financial and competency. Emphasis on financial aspects correlated with dissatisfaction (Financial components, Factor 1: OR = 0.74, 95%, p < 0.05) while prioritizing competency was linked to higher satisfaction (Competence, Factor 2: OR = 1.54, 95%, p < 0.01). The percentage of women dissatisfied with their childbirth experience was 13.8%, compared to 6.1% of men. CONCLUSION: Efforts to reduce reliance on informal payments and enhance equitable access to high-quality obstetric care are critical for improving childbirth satisfaction in Hungary.

Source: BMC Pregnancy and Childbirth

DOI: 10.1186/s12884-025-07521-3

Authors: Orsolya Udvari, Ivett Szalma

Institutions: Corvinus University of Budapest, Hungarian Demographic Research Institute, Centre for Social Sciences, Hungarian Research Network

Language: English

Topic: Maternal and Perinatal Health Interventions

Subfield: Obstetrics and Gynecology

Field: Medicine

Domain: Health Sciences

SDGs: Reduced inequalities, Good health and well-being, Gender equality

Open Access status: gold

Estimated APC paid: $3,290