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

Abstract

Background Maternal satisfaction is an essential indicator of the quality and the efficiency of the health care systems. At a time when efforts are being made globally to reduce maternal and neonatal mortality and morbidity, assessing maternal satisfaction is essential. There is a dearth of studies on maternal satisfaction with intrapartum care, particularly in the study area. This study aimed to assess maternal satisfaction with intrapartum care and associated factors among postpartum women at public hospitals of North Shoa Zone Ethiopia. Methods A facility-based cross-sectional study with a systematic random sampling technique was conducted from May1-30/ 2020. Data were entered into EpiData version 4.6 and analyzed using a statistical package for the social sciences version 25. Bivariate and multivariable logistic regression were employed. In multivariable logistic regression analysis, level of statistical significance was declared at variables with p < 0.05 and the strength of the association was measured by an adjusted odds ratio and 95% confidence interval. Result Of the total 394 participants, 111 (28.2%) [95% CI: 23.9, 32.5] of postpartum women were satisfied with the intrapartum care. Place of residence [AOR: 1.934; 95% CI (1.183, 3.162)], planned status of the pregnancy [AOR: 2.245; 95% CI, (1.212, 4.158)], number of antenatal care visit [AOR: 2.389; 95% (1.437, 3.974)] and duration of labour [AOR: 2.463; 95% (1.378, 4.402)] were factors significantly associated with maternal satisfaction with intrapartum care. Conclusion The proportion of maternal satisfaction with intrapartum care was low. Therefore, designing strategies to enhance maternal satisfaction by strengthening adherence to antenatal care visits, provision of family planning to prevent unplanned pregnancy, and strict utilization of partograph to prevent prolonged labour and childbirth-related complications are crucial.

Factors associated with quality of intrapartum care in Kenya: a complex samples analysis of the 2022 Kenya demographic and health survey

“…This study nding is consistent with a study by [59] that found that educated women have better birth preparedness practices as compared to their counterparts and are therefore more likely to receive quality intrapartum care. Literature suggests that educated women are likely to have optimal antenatal care utilization and make informed decisions about maternal healthcare utilization [29,60,61]. Mothers who have adequate antenatal care visits receive information and sensitization about preparedness and expectations during labor [62].…”

“…Some of the associated factors to this suboptimal care include the lack of knowledge and skills to recognize and address emerging intrapartum complications [26,27], negative attitudes towards care among health care providers, low sta ng levels and demotivation among health care providers, and poor adherence to patient management guidelines [28]. Socio-demographic factors associated with quality of intrapartum care include planned status of pregnancy, number of antenatal visits attended, duration of labor, presence of quality services by region, advanced maternal age, education level and employment status [29][30][31]. Other factors include the type of facility, availability of routine supplies, distance to facility, in-service training, and supervision of health care providers [12,[32][33][34].…”

Exploring barrier of intrapartum care maternal satisfaction among mothers who gave birth in public hospitals, South-west Shoa Zone, Ethiopia, 2022, Pure qualitative study

“…Maternal satisfaction among women who gave birth in African nations was 78.54%, 94%, and 92.54% in Egypt, Ghana,and Mozambique respectively (10)(11)(12). However, in Ethiopia, the magnitude of moms who were happy with child bearing care ranged from 19% to 87.2% (13)(14)(15)(16)(17)(18).…”

Maternal satisfaction with intrapartum care and associated factors among mothers who gave birth in public hospitals of the South West Shewa Zone, Ethiopia, 2022

“…Maternal satisfaction among women who gave birth in African nations was 78.54%, 94%, and 92.54% in Egypt, Ghana, and Mozambique, respectively ( 13 – 15 ). However, in Ethiopia, the proportion of women who were satisfied with child bearing care ranged from 19% to 87.2% ( 16 – 21 ).…”