Maternal Satisfaction and Factors Associated with Institutional Delivery Care in Central Ethiopia: a Mixed Study

Debela, Ayinalem Berhanu; Mekuria, Mulugeta; Kolola, Tufa; Bala, Elias Teferi; Deriba, Berhanu Senbeta

doi:10.2147/ppa.s297662

Cited by 18 publications

(32 citation statements)

References 18 publications

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“…94.1% were satisfied with the availability of medicine, which was in line with a study conducted in central Ethiopia (95.3%) (4) and another study done in Nigeria (92.9%) (9) . But, it is higher than other studies conducted in Ethiopia (87.3% and 60% respectively) (13,16) and a study conducted in Nepal (72.46%) (20) .…”

Section: Discussionsupporting

confidence: 86%

“…The World Health Organization (WHO) advocates assessing women's satisfaction in order to improve the quality of health care, as well as promoting competent attendance at every birth in order to reduce maternal mortality (4,5) . According to the findings of the literature review, maternal satisfaction should be viewed as a predictor of future use of healthcare services and desire to suggest these services to others, as well as a factor influencing treatment compliance and success (6) .…”

Section: Introductionmentioning

confidence: 99%

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

Sarhan

Zaitoun

Atia

2022

The Egyptian Journal of Hospital Medicine

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Background: Cesarean Delivery is the most common method of delivery in Egypt. It is applied in more than 60% of all deliveries. Women for whom it is indicated must accept the procedure and be satisfied with it. Satisfied mothers are found to be more positive about their condition and more likely to actively participate in their treatment regimens and hence, better maternal and neonatal outcomes. Objective: The study aimed to improve the quality of perinatal care by assessing the level of satisfaction after cesarean delivery and determining the reasons for maternal satisfaction and dissatisfaction. Methods: This was a cross-sectional study conducted from June to December 2021 at Zagazig University Hospital, Egypt. A total of 221 women who delivered by Cesarean were enrolled and interviewed using a simple structured researcher-administered questionnaire for data collection. Results: The mean age was 27.83 ± 5.24 years, and the median parity was 1. The overall satisfaction with hospital delivery services was high (93.7%). Women's satisfaction was associated with birth outcomes, nurses' concern and attitude, time spent with the doctor during the examination, care providers' measures taken to assure privacy during examination and availability of medicines. Facility cleanliness gained the least satisfaction. Conclusion:The study found that most women were satisfied with the care received during Cesarean delivery. In-depth studies are needed to assess satisfaction with many aspects of the Cesarean birth experience.

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Section: Discussionsupporting

confidence: 86%

Section: Introductionmentioning

confidence: 99%

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

Sarhan

Zaitoun

Atia

2022

The Egyptian Journal of Hospital Medicine

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“…All the included studies were cross-sectional. From these, three were mixed, 32 , 34 , 35 while one was a comparative cross-sectional. 41 More than 90% 33 were health institution-based studies.…”

Section: Resultsmentioning

confidence: 99%

A systematic review and meta-analysis of women’s satisfaction with skilled delivery care and the associated factors in Ethiopia

et al. 2022

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Evidence of variation in maternity health service practices has increased the government’s interest in quantifying and advancing the quality of institutional delivery care in the developing world, including Ethiopia. Therefore, we conducted a systematic review and meta-analysis to update and provide more representative data on women’s satisfaction with skilled delivery care and the associated factors in Ethiopia. This systematic review and meta-analysis followed the Preferred Reporting Items 2015 guideline. We searched PubMed/Medline, SCOPUS, Embase, Web of Science, and Google Scholar electronic databases for all 36 included studies. The pooled prevalence of women’s satisfaction with skilled delivery care and the associated factors were estimated using a random-effects model. Subgroup analysis and meta-regression were performed to identify the source of heterogeneity. Furthermore, publication bias was checked using eggers and funnel plots. All statistical analyses were performed using STATA version 14.0 software. The pooled prevalence of women’s satisfaction with skilled delivery care was 67.31 with 95% confidence interval (60.18–74.44). Wanted pregnancy (adjusted odds ratio = 2.86, 95% confidence interval: (2.24–3.64)), having a plan to deliver at a health facility (adjusted odds ratio = 2.09, 95% confidence interval: (1.42–3.09)), access to ambulance service (adjusted odds ratio = 1.52, 95% confidence interval: (1.00–2.31)), waiting time < 15 min (adjusted odds ratio = 3.66, 95% confidence interval: (2.51–5.33)), privacy assured (adjusted odds ratio = 3.94, 95% confidence interval: (2.23–6.94)), short duration of labour < 12 hr (adjusted odds ratio = 2.55, 95% confidence interval: (1.58–4.12)), proper labour pain management (adjusted odds ratio = 3.01, 95% confidence interval: (1.46–6.22)), and normal newborn outcome (adjusted odds ratio = 3.94, 95% confidence interval: (2.17–7.15)) were associated with women’s satisfaction. Almost two-thirds of women were satisfied with skilled delivery care. In comparison, the remaining one-third were not satisfied with the care. The quality of intrapartum care, unwanted pregnancy, lack of ambulance services, prolonged duration of labour, poor labour pain management, and complicated newborn outcome were factors affecting women’s satisfaction with skilled delivery care in Ethiopia. Therefore, strategies need to be developed to increase the satisfaction level by considering the abovementioned factors during routine delivery care.

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“…They treated me with respect because they took good care of me until I delivered and did everything well. After delivery they gave me water for bathing, later I was taken to the bed and they gave me the baby to breastfeed (22) Women in LLMICs, however, experienced a lack of timely assessment and delays while using health services (21,22,24,27,28,35,(40)(41)(42)47). In addition, women gave birth unattended by HCPs at health facilities due to unavailable, busy or unresponsive staff (21,24,25,29,34).…”

Section: Pain Managementmentioning

confidence: 99%

Quality intrapartum care expectations and experiences of women in sub- Saharan African Low and Low Middle-Income Countries: A qualitative meta- synthesis

Ahmed

Mahimbo

Dawson

2022

Preprint

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Background: Women-centred maternity care is respectful and responsive to women’s needs, values, and preferences. Women’s views and expectations regarding the quality of health services during pregnancy and childbirth vary across settings. Despite the need for context-relevant evidence, to our knowledge, no reviews focus on what women in sub-Saharan African Low and Low Middle-Income Countries (LLMICs) regard as quality intrapartum care that can inform quality guidelines in countries. Methods: We undertook a qualitative meta-synthesis using a two-stage thematic synthesis to identify the experiences and expectations of women in sub-Saharan African LLMICs with quality intrapartum care. Following a priori protocol, we searched eight databases for primary articles using keywords. We used Covidence to collate citations, remove duplicates, and screen articles using a priori set inclusion and exclusion criteria. Two authors independently screened first the title and abstracts, and the full texts of the papers. Using a data extraction excel sheet, we extracted first-order constructs and second-order relevant to review objectives. The WHO framework for a positive childbirth experience underpinned data analysis. Results Of the 7197 identified citations, 30 articles were included in this review. Women’s needs during the intrapartum period resonate with what women want globally, however, priorities regarding the components of quality care for women and the urgency to intervene differed in this context given the socio-cultural norms and available resources. Women received sub-quality intrapartum care and global standards for women-centred care were often compromised. They were mistreated verbally and physically. Women experienced poor communication with their care providers and non-consensual care and were rarely involved in decisions concerning their care. Women were denied the companion of choice due to cultural and structural factors. Conclusion To improve care seeking and satisfaction with health services, women-centred care is necessary for a positive childbirth experience. Women must be meaningfully engaged in the design of health services, accountability frameworks, and evaluation of maternal services. Research is needed to set minimum indicators for women-centred outcomes for low-resource settings along with actionable strategies to enhance the quality of maternity care based on women’s needs and preferences.

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Maternal Satisfaction and Factors Associated with Institutional Delivery Care in Central Ethiopia: a Mixed Study

Cited by 18 publications

References 18 publications

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

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

A systematic review and meta-analysis of women’s satisfaction with skilled delivery care and the associated factors in Ethiopia

Quality intrapartum care expectations and experiences of women in sub- Saharan African Low and Low Middle-Income Countries: A qualitative meta- synthesis

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