Client satisfaction with existing labor and delivery care and associated factors among mothers who gave birth in university of Gondar teaching hospital; Northwest Ethiopia: Institution based cross-sectional study

Abstract

BackgroundThere are many reasons for mothers not receiving modern obstetric care, being dissatisfied by health care deliveries is one of the major factors. There are limited studies about maternal satisfaction with labor and delivery care services in Ethiopia and particularly in the study area. Therefore, the aim of this study was to better understand client satisfaction on existing labor and delivery care service and associated factors among mothers who gave birth in the University of Gondar Teaching Hospital, Ethiopia.MethodsThis institution based cross-sectional study was conducted at the University of Gondar Referral Hospital. 593 mothers who gave birth between July and September 2016 were enrolled. Study participants were selected by systematic random sampling. A standardized, interviewer-administered questionnaire was used to collect data. Descriptive and summary statistics were performed. A linear regression model was fitted and variables having a P value of ≤0.05 in the multivariable model were considered statistically significant.ResultOverall, 31.3% of mothers were satisfied by the existing labor and delivery care. Living in rural areas (-2.9%; 95% CI: -5.75,-0.12) and the presence of a co-morbidity (-3.2%; 95%CI:-5.70, -0.72) were the factor which have a negative influence on maternal satisfaction. On the other hand, travel time to reach to the hospital (hours) (0.79%; 95% CI: 0.07, 1.52), birth by episiotomy or assisted vaginal delivery (6.3%; 95%CI: 1.56, 11.04), and receiving cost-free maternal health services (6.66%; 95%CI: 3.31, 10.01) were the factors that had positive influence.ConclusionThe level of satisfaction of laboring mothers with the labor and delivery care services was poor. Rural residency and chronic medical co-morbidity were negatively associated with level of satisfaction while travel time, mode of delivery, and payment free delivery service had a statistically significant positive influence on satisfaction.

Associated factors of labor satisfaction and predictor of postnatal satisfaction in the north-east of Peninsular Malaysia

“…One study found that vaginal delivery offered more satisfaction based on WOMBLSQ than instrumental or cesarean delivery [12]. Similar findings have been reported by other studies [69,72,73,76]. In contrast, one study found that delivery via cesarean section offered higher labor satisfaction [77].…”

“…One study found that comorbidities like HIV, hypertension, and diabetes mellitus are associated with a 3.1% decrease in labor satisfaction [69]. The absence of comorbidity has a positive influence on maternal satisfaction [70]. This information will help in planning and implementing patient-centered care during labor and postnatal to improve maternal satisfaction.…”

Women’s satisfaction with existing labour and delivery services in Ethiopia: a systematic review and meta-analysis

“…Concerning sample size, the sample size of the individual studies ranged from 256 to 736. The highest and lowest prevalence (95%) and (19%) of women satisfaction towards existing labour and delivery services were reported in studies conducted in Wolaitta Soddo Town, Southern Nations, Nationalities, and Peoples Region and Addis Ababa, respectively [25][26][27][28][29][30][31][32][33][34][35][36][37][38][39][40][41][42][43] (table 2).…”

Client perceived quality of postnatal care following a normal delivery provided by public sector specialized care institutions in Sri Lanka: A cross sectional study

“…A recent review of literature on women's' satisfaction with maternal care in developing countries has observed that majority of studies have reported a high level of satisfaction (22). However, in several studies, clients have rated the quality of institutional maternal care as poor (24,25) which have been attributed by some authors to poor quality of health delivery systems, client characteristics such as literacy level, cultural diversity, and techniques of assessment of satisfaction.…”