Predictors of prenatal care satisfaction among pregnant women in American Samoa

Abstract

BackgroundPregnant women in American Samoa have a high risk of complications due to overweight and obesity. Prenatal care can mitigate the risk, however many women do not seek adequate care during pregnancy. Low utilization of prenatal care may stem from low levels of satisfaction with services offered. Our objective was to identify predictors of prenatal care satisfaction in American Samoa.MethodsA structured survey was distributed to 165 pregnant women receiving prenatal care at the Lyndon B Johnson Tropical Medical Center, Pago Pago. Women self-reported demographic characteristics, pregnancy history, and satisfaction with prenatal care. Domains of satisfaction were extracted using principal components analysis. Scores were summed across each domain. Linear regression was used to examine associations between maternal characteristics and the summed scores within individual domains and for overall satisfaction.ResultThree domains of satisfaction were identified: satisfaction with clinic services, clinic accessibility, and physician interactions. Waiting ≥ 2 h to see the doctor negatively impacted satisfaction with clinic services, clinic accessibility, and overall satisfaction. Living > 20 min from the clinic was associated with lower clinic accessibility, physician interactions, and overall satisfaction. Women who were employed/on maternity leave had lower scores for physician interactions compared with unemployed women/students. Women who did not attend all their appointments had lower overall satisfaction scores.ConclusionsSatisfaction with clinic services, clinic accessibility and physician interactions are important contributors to prenatal care satisfaction. To improve patient satisfaction prenatal care clinics should focus on making it easier for women to reach clinics, improving waiting times, and increasing time with providers.Electronic supplementary materialThe online version of this article (10.1186/s12884-017-1563-6) contains supplementary material, which is available to authorized users.

Faktor Ketidakpuasan Ibu Hamil dalam Pelayanan Asuhan Kehamilan

“…terhadap kualitas pelayanan asuhan kehamilan di fasilitas kesehatan yaitu layanan klinik, aksesibilitas klinik dan interaksi dokter yang merupakan kontributor penting untuk kepuasan perawatan prenatal. (Adeyinka et al, 2017;Chemir et al, 2014;Ejigu et al, 2013;Nwaeze et al, 2013;Onyeajam et al, 2018).…”

“…wanita membutuhkan dukungan selama kehamilan, informasi mengenai kehamilan, jalur perawatan kehamilan dan skrining (Hatherall et al, 2016) Menurut penelitian ditemukan bahwa kepuasan keseluruhan dengan layanan perawatan antenatal pada populasi penelitian adalah 60,4% (Ejigu et al, 2013) didukung dengan temuan sebuah penelitian yang dilakukan di Nigeria (90%) ibu puas dengan layanan perawatan. Sebagian besar wanita merasa puas dengan kualitas pelayanan antenatal yang mereka terima dan akan direkomendasikan (Adeyinka et al, 2017;Chemir et al, 2014;Nwaeze et al, 2013) dan kemungkinan lebih besar menerima cukup prenatal care (Liu, Chao, Jostad-laswell, & Duncan, 2017) Berbeda hal nya dengan penelitian di Ethiopia hampir setengah (47,7%) ibu hamil tidak puas dengan pelayanan yang diberikan (Ejigu et al, 2013) . Perbedaan bisa disebabkan oleh sifat subjektif dari materi pelajaran karena ukuran kepuasan kebutuhan standar dan alat untuk pengukuran yang akurat tetapi sebagian literatur mengukur kepuasan dengan sederhana ya/tidak kategori respon, ibu hamil enggan untuk mengkritik (Hildingsson et al, 2013).…”

“…Tekanan darah dan berat badan seorang ibu hamil harus diukur dalam kunjungan ANC dalam rekomendasi WHO (Adeyinka et al, 2017) Penelitian menunjukan bahwa tekanan darah dan berat tidak diukur, hal ini membuat identifikasi wanita hamil yang membutuhkan perawatan khusus untuk ditindaklanjuti sesuai dengan manajemen pelayanan Lebih dari setengah tidak memberikan test Skrining (N.N.A. et al, 2012).…”

“…Bukan penduduk kepuasan 11,7% dibandingkan dengan penduduk asli. Waktu yang diperlukan untuk menghadiri pemeriksaan kehamilan menjadi kunci penentu kepuasan antara peserta dalam penelitian seperti waktu yang dihabiskan bepergian ke klinik, waktu tunggu diklinik,jumlah waktu yang dihabiskan dengan dokter mencerminkan kepuasan dengan lokasi klinik, waktu tunggu dan jam buka menjadi skor kepuasan bagi klien (Adeyinka et al, 2017). pengguna fasilitas kesehatan swasta puas dengan aksesibilitas dan kondisi fasilitas (Tenkorang, 2016).…”

Maternal characteristics and risk factors for preeclampsia in pregnant women

“…Although pregnancy is a natural physiological state, it is a period marked by physical and mental changes that must be treated in a unique way and, as such, receive care and support from qualified professionals. In this context, prenatal care aims to ensure that women receive quality care to promote the development of a pregnancy without complications, and to protect against and prevent adverse events related to obstetric health (1) .…”