Abstract
Background: keeping an eye on and assessing maternal satisfaction enhances the effectiveness and quality of care during the intrapartum period and if not regularly accessed, could lead to detrimental effects on maternal and newborn outcomes following intrapartum. Therefore this study aimed at assessing maternal satisfaction with intrapartum care services and its associated factors among mothers who delivered from health facilities within Soroti City
Methods: Background characteristics of participants were collected using an interviewer-administered questionnaire was used. Data entry and analysis were performed using Statistical Package for the Social Sciences (SPSS) version 27.0 software. A crude and adjusted odds ratio with a 95% confidence interval (CI) was computed to identify associated factors.
Results: 86.5% gave birth from government facilities while 13.5 % delivered from private facilities. Overall 70.4% of mothers were satisfied with the intrapartum care services received from health facilities in Soroti City. Mothers who gave birth in private facilities were more satisfied (95.2%) compared to those in public facilities (66.5%). Type of the healthcare facility AOR(95%CI) 7.504(1.573-35.787),duration of hospital stay before delivery AOR(95% CI)2.674(1.300-5.502),periodic updates AOR (95% CI) 0.247(0.116-0.530),plan to have the pregnancy AOR(95%CI),2.483(1.280-4.814)overall cleanness AOR(95%CI) 0.07(0.013-0.378),delivery position of patient choice AOR(95% CI) 0.228(0.069-0.754),privacy AOR(95% CI) 0.102(0.050-0.209), and Pain management AOR (95% CI) 0.334(0.152-0.738) were significantly associated with satisfaction.
Conclusion: The overall satisfaction of mothers with intrapartum care services provided was relatively high. Majority of the mothers gave birth from government facilities however a higher percentage of satisfaction was reported in private facilities. Therefore, all stakeholders have to emphatically work on those identified factors to improve maternal satisfaction with intrapartum care services
Keywords: Intrapartum care services, maternal outcome, satisfaction.
References
- World Health Statistics 2023: Monitoring Health for the SDGs, Sustainable Development Goals [Internet]. 1st ed. Geneva: World Health Organization; 2023. 1 p. Available from: https://cdn.who.int/media/docs/default-source/gho-documents/world-health-statistic-reports/2023/world-health-statistics-2023_20230519_.pdf
- Magunda A, Ononge S, Balaba D, Waiswa P, Okello D, Kaula H, et al. Maternal and newborn healthcare utilization in Kampala urban slums: perspectives of women, their spouses, and healthcare providers. BMC Pregnancy Childbirth. 2023 May 5;23(1):321.
- Ahmed SAE, Mahimbo A, Dawson A. Quality intrapartum care expectations and experiences of women in sub-Saharan African Low and Low Middle-Income Countries: a qualitative meta-synthesis. BMC Pregnancy Childbirth. 2023 Jan 14;23(1):27.
- Hulsbergen M, Van Der Kwaak A. The influence of quality and respectful care on the uptake of skilled birth attendance in Tanzania. BMC Pregnancy Childbirth. 2020 Dec;20(1):681.
- Demas T, Getinet T, Bekele D, Gishu T, Birara M, Abeje Y. Women’s satisfaction with intrapartum care in St Paul’s Hospital Millennium Medical College Addis Ababa Ethiopia: a cross sectional study. BMC Pregnancy Childbirth. 2017 Dec;17(1):253.
- Esan DT, Sokan-Adeaga AA, Rasaq NO. Assessment of satisfaction with delivery care among mothers in selected health care facilities in Ekiti state, Nigeria. J Public Health Res. 2022 Oct;11(4):227990362211275.
- Bazant ES, Koenig MA. Women’s satisfaction with delivery care in Nairobi’s informal settlements. Int J Qual Health Care. 2009 Apr 1;21(2):79–86.
- Emily C, Mary K, Mable W, John A. MATERNAL SATISFACTION WITH INTRAPARTUM CARE IN HEALTHCARE FACILITIES IN KERICHO COUNTY, KENYA. 2021;6(2).
- Theophile N, Theogene N, Madeleine M, Xavier SF. Assessment of Maternal Satisfaction Levels During the Childbirth Process. 2020;(1).
- Kigenyi O, Tefera GB, Nabiwemba E, Orach CG. Quality of intrapartum care at Mulago national referral hospital, Uganda: clients’ perspective. BMC Pregnancy Childbirth. 2013 Dec;13(1):162.
- World Health Organization. WHO recommendations: intrapartum care for a positive childbirth experience [Internet]. Geneva: World Health Organization; 2018 [cited 2023 Nov 11]. Available from: https://iris.who.int/handle/10665/260178
- Essential Maternal and Newborn Clinical Care Guidelines for Uganda [Internet]. 2022. Available from: http://library.health.go.ug/sexual-and-reproductive-health/maternal-health/essential-maternal-and-newborn-clinical-care
- Srivastava A, Avan BI, Rajbangshi P, Bhattacharyya S. Determinants of women’s satisfaction with maternal health care: a review of literature from developing countries. BMC Pregnancy Childbirth. 2015 Dec;15(1):97.
- National Population and Housing Census 2014 Area Specific Profiles [Internet]. 2017. Available from: https://www.google.com/search?q=ubos+series+soroti+city2017
- Silesh M, Lemma T. Maternal satisfaction with intrapartum care and associated factors among postpartum women at public hospitals of North Shoa Zone Ethiopia. Spradley FT, editor. PLOS ONE. 2021 Dec 1;16(12):e0260710.
- Tolesa F, Alemu A, Beya M, Feyisa M, Gezahagn A, Negash A, et al. Maternal satisfaction with intrapartum care and associated factors among mothers who gave birth in public hospitals of the South West Shewa Zone, Ethiopia, 2022. Front Glob Womens Health. 2023 Oct 3;4:1203798.
- Bitew K, Ayichiluhm M, Yimam K. Maternal Satisfaction on Delivery Service and Its Associated Factors among Mothers Who Gave Birth in Public Health Facilities of Debre Markos Town, Northwest Ethiopia. BioMed Res Int. 2015;2015:1–6.
- Upadhyai R, Jain AK, Roy H, Pant V. A Review of Healthcare Service Quality Dimensions and their Measurement. J Health Manag. 2019 Mar;21(1):102–27.
- Kidane A, Getachew T, Mesfin F, Eyeberu A, Dheresa M. Maternal satisfaction on delivery care services and associated factors at public hospitals in eastern Ethiopia. Int Health. 2023 Mar 1;15(2):189–97.
- the CLIP working group, Mocumbi S, Högberg U, Lampa E, Sacoor C, Valá A, et al. Mothers’ satisfaction with care during facility-based childbirth: a cross-sectional survey in southern Mozambique. BMC Pregnancy Childbirth. 2019 Dec;19(1):303.
- Mohammad KI, Alafi KK, Mohammad AI, Gamble J, Creedy D. J ordanian women’s dissatisfaction with childbirth care. Int Nurs Rev. 2014 Jun;61(2):278–84.
- Khattak A, Alvi MI, Yousaf MA, Zain-ul S, Shah A, Turial D, et al. Patient Satisfaction – A Comparison between Public & Private Hospitals of Peshawar. Public Health. 2012;4(5).
- Kifle MM, Ghirmai FA, Berhe SA, Tesfay WS, Weldegebriel YT, Gebrehiwet ZT. Predictors of Women’s Satisfaction with Hospital-Based Intrapartum Care in Asmara Public Hospitals, Eritrea. Obstet Gynecol Int. 2017;2017:1–7.
- Ebu NI, Owusu M, Gross J. Exploring women’s satisfaction with intrapartum care at a teaching hospital in Ghana. Afr J Midwifery Womens Health. 2015 Apr 2;9(2):77–82.
- Bulto GA. Mother’s satisfaction with the existing labor and delivery care services at public health facilities in West Shewa zone, Oromia region, Ethiopia. 2020;
- Mehata S, Paudel YR, Dariang M, Aryal KK, Paudel S, Mehta R, et al. Factors determining satisfaction among facility-based maternity clients in Nepal. BMC Pregnancy Childbirth. 2017 Dec;17(1):319.
- Babure ZK, Assefa JF, Weldemarium TD. Maternal Satisfaction and Associated Factors towards Delivery Service among Mothers who gave Birth at Nekemte Specialized Hospital, Nekemte Town, East Wollega Zone, Oromia Regional State, Western Ethiopia, 2019: A Cross-sectional Study Design. (489).
- Mesfin Tafa RA. Maternal Satisfaction with the Delivery Services in Assela Hospital, Arsi Zone, Oromia Region, Ethiopia,2013. Gynecol Obstet [Internet]. 2014 [cited 2024 Dec 12];4(12). Available from: https://www.omicsonline.org/open-access/maternal-satisfaction-with-the-delivery-services-in-assela-hospital-arsi-zone-oromia-region-ethiopia-cas-2161-0932.1000257.php?aid=35831
- Asres GD. Satisfaction and Associated Factors among Mothers Delivered at Asrade Zewude Memorial Primary Hospital, Bure, West Gojjam, Amhara, Ethiopia: A Cross Sectional Study. J Public Manag Res. 2018 May 21;4(1):14.
- Kidane A, Getachew T, Mesfin F, Eyeberu A, Dheresa M. Maternal satisfaction on delivery care services and associated factors at public hospitals in eastern Ethiopia. Int Health. 2023 Mar 1;15(2):189–97.
- Mesfin Tafa RA. Maternal Satisfaction with the Delivery Services in Assela Hospital, Arsi Zone, Oromia Region, Ethiopia,2013. Gynecol Obstet [Internet]. 2014 [cited 2023 Nov 26];4(12). Available from: https://www.omicsonline.org/open-access/maternal-satisfaction-with-the-delivery-services-in-assela-hospital-arsi-zone-oromia-region-ethiopia-cas-2161-0932.1000257.php?aid=35831
- Shiferaw Z, Mahad A, Haile S. Maternal satisfaction and associated factors towards institutional delivery service at public hospitals in the Somali region, Eastern Ethiopia. Maung TM, editor. PLOS ONE. 2022 Nov 9;17(11):e0277224.
- Tadesse BH, Bayou NB, Nebeb GT. Mothers’ Satisfaction with Institutional Delivery Service in Public Health Facilities of Omo Nada District, Jimma Zone.
- Kifle MM, Ghirmai FA, Berhe SA, Tesfay WS, Weldegebriel YT, Gebrehiwet ZT. Predictors of Women’s Satisfaction with Hospital-Based Intrapartum Care in Asmara Public Hospitals, Eritrea. Obstet Gynecol Int. 2017;2017:1–7.
Corresponding Author
Ssekabira Abudu Rahuman
Kabwohe-Sheema Municipality