Satisfaction maternelle de la prise en charge anesthésique durant l’accouchement: une étude de cohorte rétrospective

Gil-Wey, Béatrice; Savoldelli, Georges Louis; Kern, Christian; Haller, Guy

doi:10.1007/s12630-011-9550-2

Cited by 12 publications

(3 citation statements)

References 26 publications

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“…is associated with a 3.1% decrease in satisfaction as compared to those who had no co-morbidity. This is consistent with a study done in Canada where having high-risk pregnancy was a negative predictor of satisfaction [46]. This may be because patients having co-morbidities might need special care and the underlying disease condition with labor pain may affect their level of satisfaction.…”

Section: Discussionsupporting

confidence: 90%

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

et al. 2019

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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.

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Section: Discussionsupporting

confidence: 90%

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

et al. 2019

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“…A new study by Xu et al revealed a significantly higher rate of maternal satisfaction in the pudendal group versus placebo in the presence of epidural analgesia [40]. Gil-Wey et al have identified other factors that may affect maternal satisfaction such as high-risk pregnancy, difficult delivery, overall negative experience, delay, poor care coordination and the presence of potential complications [41].…”

Section: F O R P U B L I C a T I O Nmentioning

confidence: 99%

Pudendal nerve block versus usual lidocaine infiltration for pain relief in episiotomy repair: a comparative prospective study

Yasmine¹,

Melek²,

Ali³

et al. 2024

Ital J Gynaecol Obstet

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Objective. we aimed to compare the anesthetic and analgesic effect of the pudendal nerve block (PNB) and of the local lidocaine infiltration during episiotomy repair and in the following 24 hours.Patients and Methods. 70 parturients undergoing natural birth requiring episiotomy and presenting contraindication or refusal of epidural analgesia were randomized to receive pudendal nerve block with ropivacaine or local lidocaine infiltration. The main endpoint was: evaluation of obstetric analgesia by visual analogical scale . The secondary judgment criteria were: hemodynamic parameters, suture duration, onset time of sensory block, time to first analgesic request, rehabilitation parameters, parturient and obstetrician satisfaction and pain intensifying factors.Results. Mean VAS pain score was significantly lower in pudendal group versus infiltration group at T10min(10 minutes after local anesthetic injection) (

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“…Although spinal anesthesia provides excellent anesthesia and analgesia that improve patients' satisfaction, fewer patients (18–20%) still experience some degree of pain and discomfort during the procedure [ 10 ], with possible cause of differences in patients' perception of pain, previous experience, race, ethnicity, and experience of the anesthetist [ 19 ].…”

Section: Introductionmentioning

confidence: 99%

Assessment of Maternal Satisfaction and Associated Factors among Parturients Who Underwent Cesarean Delivery under Spinal Anesthesia at University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia, 2019

Bayable

Ahmed

Lema

et al. 2020

Anesthesiology Research and Practice

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Background. Spinal anesthesia is the most common anesthetic technique for cesarean delivery. Patient satisfaction is a subjective and complicated concept, involving physical, emotional, psychological, social, and cultural factors. Regular evaluation of maternal satisfaction related to anesthesia service is an important parameter to the required changes and expansion of high-quality care services. We aimed to assess maternal satisfaction and associated factors among parturients who underwent cesarean delivery under spinal anesthesia. Methods. Institutional-based cross-sectional study was conducted from February to May 2019. A total of 383 parturients were enrolled to assess maternal satisfaction using a 5-point Likert scale. Both bivariable and multivariable logistic regression analyses were done. Variables of p value ≤0.2 in the bivariable analysis were a candidate for multivariable logistic regression. A p value <0.05 was considered as significantly associated with maternal satisfaction at 95% CI. Results. This study revealed that 315 (82.3%) of the parturients were satisfied. Single spinal prick attempts (AOR = 2.08, 95% CI = 1.05–4.11), successful spinal block (AOR = 7.17, 95% CI = 3.33–15.43), less incidence of postdural puncture headache (AOR = 2.36, 95% CI = 1.33–4.20), and prophylactic antiemetic use (AOR = 0.35, 95% CI = 0.19–0.66) were positively associated with maternal satisfaction. Conclusions. The overall maternal satisfaction receiving spinal anesthesia was considerably low. Single spinal prink attempts, successful spinal block, and less incidence of postural puncture headache can increase maternal satisfaction. Therefore, effective perioperative management, skillful techniques, and using the small-gauge Quincke spinal needle (25–27 gauge) may increase the maternal satisfaction and quality of spinal anesthesia management.

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Satisfaction maternelle de la prise en charge anesthésique durant l’accouchement: une étude de cohorte rétrospective

Cited by 12 publications

References 26 publications

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

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

Pudendal nerve block versus usual lidocaine infiltration for pain relief in episiotomy repair: a comparative prospective study

Assessment of Maternal Satisfaction and Associated Factors among Parturients Who Underwent Cesarean Delivery under Spinal Anesthesia at University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia, 2019

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