BackgroundSatisfaction during intrapartum care is the most influential attribute on maternal health service return behaviors and utilization. Measuring satisfaction of women with intrapartum care helps to address the problems and improves the quality of delivery services. The aim of this study is to assess women’s level of satisfaction during intrapartum care.MethodA hospital based, analytic, cross sectional study was conducted at St. Paul’s Hospital Millennium Medical College (SPHMMC), Addis Ababa Ethiopia, from May to June 2015. Data collectors administered a structured and pretested questionnaire to collect data and then analyzed it using SPSS version 20.0 software.Binary logistic regression was used to identify factors associated with women’s intrapartum care satisfaction.ResultA total of 394 women of mean age 25.98 years with a standard deviation of ±4.72were included in the study. Only 19% of the women were satisfied with the intrapartum care they received. The variables which were significantly associated with satisfaction of intrapartum care were; opportunity to talk Adjusted Odds Ratio (AOR) (95% CI) 2.44 (1.12, 5.29); Pain Management AOR (95% CI) 3.37 (1.83, 6.21); Short Length of Time Taken for Admission After Seen by Health Professionals AOR (95% CI)0 .97 (0.93, 0.99), and Short Length of Stay in the Hospital AOR (95% CI) 0.91 (0.87, 0.96).ConclusionsThe women’s overall satisfaction with intrapartum care was low. Multiple factors influence their satisfaction. Health professionals, policy makers and health administrators should give emphasis to factors that contribute to low satisfaction of women with intrapartum care. They should also strengthen their efforts to deliver quality and easily accessible maternal health service to improve women’s overall satisfaction with the maternal health service.Electronic supplementary materialThe online version of this article (doi:10.1186/s12884-017-1428-z) contains supplementary material, which is available to authorized users.

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BackgroundThe recent expansion of higher education institutions in Ethiopia provides an opportunity for many citizens who did not previously have access to higher or university level education. This opportunity, however, comes with its own challenges, such as ensuring that minimum standards are set and maintaining quality where pedagogical concerns are compromised. The aim of this study is to explore the effect of teaching without pedagogical training, in St. Paul’s Hospital Millennium Medical College (SPHMMC), Addis Ababa, Ethiopia.MethodsAn institutional-based qualitative phenomenological study was conducted through an in-depth interview, using purposive sampling techniques. Participants were instructors and students selected from SPHMMC who had participated in the teaching or learning process or at least 24 months. Owing to data saturation, only 16 instructors and seven students were interviewed, using open-ended and semi-structured questions. Tape recorders and field notes were used. Based on thematic aggregation, the content of the responses was analyzed.ResultsOnly one of the 16 instructors had received pedagogical training for more than one year. Twelve instructors had received 2 days to 2 weeks of training, and the rest were using a personal method of teaching. During the recruitment procedure, only one instructor had been asked to verify their pedagogical background. However, all respondents confirmed that pedagogical training is very important to facilitate the teaching-learning process. In this study, most of the instructors practiced their personal teaching methods, which resulted in no common delivery system of teaching content, which can be huge, no lesson plan, no clear objectives to courses, poor time management, different instructors having overlapping course content, no table of specifications, and no proper evaluation mechanisms for either the students’ or the teachers’ performance. On the students’ side, because of the vast and unplanned course content and poor time management, their participation in the learning process was insufficient, which could affect their learning.ConclusionBecause of the gap in pedagogical training, college teachers use personal teaching methods, and this negatively affects the standardization of delivery methods. To improve this drawback, proper pedagogical training should be provided for all teachers. This would help them to deliver quality education and to produce competent graduates from the institute to supply the workforce.

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Background: Worldwide, cardiovascular diseases are among the leading cause of death, representing about a third of all global deaths. Of these deaths, 85% were due to heart attack and stroke. While existing evidences reveal that pregnancy in women with cardiovascular disease is associated with a range of feto-maternal complications, corresponding studies among pregnant women in Ethiopian context are rather limited. Thus, the aim of this study was to assess pregnancy outcomes and associated factors in women with cardiovascular diseases.Methods: An institution-based cross-sectional study was conducted among 384 pregnant women with cardiovascular disease attending three selected public hospitals of Addis Ababa, Ethiopia. Women’s charts were selected with multi-stage sampling technique. The collected data was entered and analyzed using Statistical package for Social Science version 26. Descriptive and inferential statistics were used to analyze the data. A p value of <0.05 was predetermined to be statistically significant for multivariable logistic regression.Result: Two-thirds (255;66.4%) of the pregnant mothers were younger than 36 years. More than half (202;52.6%) had valvular heart disease and about a third (116;30.2%) had heart failure. There were 25.5% heart failure events and 18.7% life threatening arrhythmia episodes. Two hundred fifty-four (66.1%) of the cohort had poor pregnancy outcomes such as preterm delivery (39.6%), abortion (15.6%) and stillbirth (8.3%) of the pregnancies. 8.1% of the pregnancies ended with maternal death. Women with valvular heart disease (AOR=3.418, 95% CI =2.045-5.714) and heart failure (AOR =5.058, 95% CI=2.641-9.687) were more likely to have poor pregnancy outcome.Conclusion: Pregnancy in women with CVD is a serious cause of maternal mortality and morbidity in the study setting. These women should receive strict clinical attention by a multidisciplinary team both during preconception and prenatal period to improve feto-maternal outcomes.