Determinants of Maternal Satisfaction with Existing Delivery Care at Wolaita Sodo University Teaching and Referral Hospital, Ethiopia

Abstract

Background. Assessing maternal satisfaction on delivery service has significant public health importance to measure the quality of maternal and child care services in a country. Therefore, the objective of this study was to further investigate the determinants of maternal satisfaction on delivery service provided at the Woliata Sodo University Teaching and Referral Hospital, Ethiopia. Methods. An institutionally based cross-sectional study was employed at the Wolaita Sodo University Hospital, Ethiopia. All mothers who gave birth between March and May 2018 were included in the study. Data were collected through using a pretested and structured interviewer-administered questionnaire. Both bivariate and multivariable logistic regression analyses were performed. A P value of <0.05 was used to declare statistical significance. Result. A total of 398 delivered mothers were included in the study. The rate of maternal satisfaction on existing delivery care was found to be 67.3%. Being less educated (AOR=5.06, [2.22-11.53]), primigravida (AOR=3.59, [1.17-11.04]), planned and wanted pregnancy (AOR=2.74, [1.21-6.18]), having antenatal care follow-up for current pregnancy (AOR=4.48, [2.04-9.83]), ever used family planning service (AOR=3.83, [1.95-67.52]), labor duration of less than 6 hours (AOR=5.96, [2.61-13.57]), and spontaneous vaginal delivery (AOR=2.82, [1.07-7.42]) were factors significantly associated with maternal satisfaction. Conclusion. In this study setting, maternal satisfaction was lower compared to other studies. Unreserved effort should be considered for future interventions.

Maternal satisfaction with intrapartum care and associated factors among postpartum women at public hospitals of North Shoa Zone Ethiopia

“…Maternal satisfaction was 2.4 times higher among mothers whose labour lasted ≤ 12 hours than women whose labour lasted more than 12 hours. This finding was in line with studies conducted in Nekemte [ 44 ], Debre-Markos [ 45 ], Wolaita zone [ 18 ], and Wolaita-Sodo [ 33 ]. This could be due to suffering from labor pain and childbirth-related complication less likely if the women stayed in labour for short duration.…”

“…The odds of maternal satisfaction with intrapartum care was two times higher among women who had four and above ANC visits compared to those women who had less than four visits. A similar finding was presented by another studies conducted in Ethiopia [ 29 , 33 , 34 ]. Women who had ANC follow-ups were two times more likely to be satisfied with intrapartum care as compared to women who had no ANC follow-up [ 43 ].…”

“…The odds of maternal satisfaction with delivery services were lower among women who reside in rural area and had no formal education [ 28 , 34 ]. On the other hand, it was lower than studies conducted in Mid-Western Nepal (89.88%) [ 38 ], Iraq (40.3%) [ 39 ], Saudi Arabia (89.5%) [ 40 ], Mozambique (92.5%) [ 4 ], Kenya (54.5%) [ 41 ], and Ethiopia (47.6% - 88%) [ 33 – 35 , 42 – 46 ]. The possible variation might be due to the difference in quality of service provided at health facilities and satisfaction measurement tool used.…”

“…Data were collected using a structured interviewer-administered questionnaire which was composed of three sections; sociodemographic and economic characteristics, and obstetric and maternal health service-related characteristics, and maternal satisfaction with intrapartum care [ 30 , 31 , 33 – 35 ] ( S1 File ). The maternal satisfaction with intrapartum care assessment framework was adopted from women’s satisfaction with hospital-based intrapartum care: a Jordanian study with the Cronbach’s alpha value of 0.88 and 0.76–0.90 for the satisfaction with intrapartum care scale and each sub-scales respectively [ 31 ].…”

Assessing Maternal Satisfaction with Cesarean Delivery at Zagazig University Hospital in Egypt

“…When compared to educated mothers, less educated mothers were more satisfied. This finding is consistent with that of Ethiopia (29) as well as research from Pakistan (11) , western Nepal (30) and a systematic review carried out by Srivastava et al (8) indicating that educational level negatively affects satisfaction.…”