A systematic review and meta-analysis of women’s satisfaction with skilled delivery care and the associated factors in Ethiopia

Abstract

Evidence of variation in maternity health service practices has increased the government’s interest in quantifying and advancing the quality of institutional delivery care in the developing world, including Ethiopia. Therefore, we conducted a systematic review and meta-analysis to update and provide more representative data on women’s satisfaction with skilled delivery care and the associated factors in Ethiopia. This systematic review and meta-analysis followed the Preferred Reporting Items 2015 guideline. We searched PubMed/Medline, SCOPUS, Embase, Web of Science, and Google Scholar electronic databases for all 36 included studies. The pooled prevalence of women’s satisfaction with skilled delivery care and the associated factors were estimated using a random-effects model. Subgroup analysis and meta-regression were performed to identify the source of heterogeneity. Furthermore, publication bias was checked using eggers and funnel plots. All statistical analyses were performed using STATA version 14.0 software. The pooled prevalence of women’s satisfaction with skilled delivery care was 67.31 with 95% confidence interval (60.18–74.44). Wanted pregnancy (adjusted odds ratio = 2.86, 95% confidence interval: (2.24–3.64)), having a plan to deliver at a health facility (adjusted odds ratio = 2.09, 95% confidence interval: (1.42–3.09)), access to ambulance service (adjusted odds ratio = 1.52, 95% confidence interval: (1.00–2.31)), waiting time < 15 min (adjusted odds ratio = 3.66, 95% confidence interval: (2.51–5.33)), privacy assured (adjusted odds ratio = 3.94, 95% confidence interval: (2.23–6.94)), short duration of labour < 12 hr (adjusted odds ratio = 2.55, 95% confidence interval: (1.58–4.12)), proper labour pain management (adjusted odds ratio = 3.01, 95% confidence interval: (1.46–6.22)), and normal newborn outcome (adjusted odds ratio = 3.94, 95% confidence interval: (2.17–7.15)) were associated with women’s satisfaction. Almost two-thirds of women were satisfied with skilled delivery care. In comparison, the remaining one-third were not satisfied with the care. The quality of intrapartum care, unwanted pregnancy, lack of ambulance services, prolonged duration of labour, poor labour pain management, and complicated newborn outcome were factors affecting women’s satisfaction with skilled delivery care in Ethiopia. Therefore, strategies need to be developed to increase the satisfaction level by considering the abovementioned factors during routine delivery care.

Maternal satisfaction with delivery service and associated factors among women who gave birth at public hospitals in Guji Zone, Southern Ethiopia

“…This might be because women with prolonged waiting times might perceive that healthcare providers ignored them to provide appropriate and timely services which leads to dissatisfaction with the service provided. Moreover, women who waited for a longer period to receive services offered had a high probability of facing poor fetal outcomes such as stillbirth, and newborn complications which can also lead to clients’ discontent [ 53 ]. Fetal outcomes have also shown a significant association with women’s satisfaction with delivery services.…”

Standards of care and determinants of women’s satisfaction with delivery services in Nepal: a multi-perspective analysis using data from a health facility-based survey

“…This is consistent with studies carried out in other LMICs. A systematic review from 2015 shows that women treated with dignity, respect, and courtesy were more satisfied [ 25 ], while another systematic review focused on Ethiopia reports that two-thirds of Ethiopian women were satisfied with skilled delivery care, which was correlated with privacy and short waiting times [ 26 ]. Studies show notable differences in the factors influencing satisfaction among Asian and African women, where Asian women preferred providers’ behavior over their technical competence, but African women preferred providers’ confidence and competence over their behavior [ 25 ].…”

Cultural adaptation and psychometric evaluation of Childbirth Experience Questionnaire 2 in Karnataka state, India

“…A positive birth experience can be empowering and facilitate the transition to motherhood [ 2 ], whereas a negative birth experience can cause fear of birth [ 3 , 4 ] and postpartum depression [ 5 , 6 ], and it can diminish maternal-neonatal bonding [ 7 ] and stunt the growth and development of a neonate [ 8 ]. Poor quality of childbirth-related care is one of the most common reasons behind negative birth experience [ 9 ]. Examples of such experiences include malpractice or negligence, lack of respect from care providers, and poor hands-on care given to women during labour and birth [ 10 ].…”