Associated factors of labor satisfaction and predictor of postnatal satisfaction in the north-east of Peninsular Malaysia

Abstract

Introduction Identifying the factors contributing to maternal satisfaction is a proxy measure to improve the quality of care. It evaluates the health service provision by understanding maternal perceptions and expectations and promoting adherence to health services. This study aimed to identify the sociodemographic, obstetric, and medical factors contributing to labor satisfaction among postpartum women and examine the association between labor and postnatal satisfaction. Methodology A cross-sectional study using systematic random sampling in a ratio of 1:5 based on the delivery list in a labor room in a tertiary hospital was applied. Information was obtained from medical records for sociodemographic characteristics and obstetric and medical histories. Faceto-face interviews were performed to obtain responses for Malay versions of the Women's Views of Birth Labour Satisfaction Questionnaire and the Women's Views of Birth Postnatal Satisfaction Questionnaire. Simple and general linear regression analyses were performed. Results A total of 110 participants responded, accounting for a response rate of 100%. High-risk color codes, the period of gestation, household income, and were significantly associated with maternal satisfaction during labor. The association between labor and postnatal satisfaction was significant. Conclusion Identifying these associated factors and differences may lead to understanding and contributing to specific and targeted strategies for tackling issues related to maternal satisfaction.

Immediate Postnatal Care Satisfaction and Associated Factors Among Postnatal Women in Public Health Facilities at Debre Markos Town, Northwest Ethiopia, 2021

“…Women who were satisfied with delivery care services were 2.05 times more likely to be satisfied with immediate PNC than women who were not satisfied with delivery care services. This study finding was supported by the studies done in West Shewa, Ethiopia 14 and Malaysia 22 The possible explanation for this finding could be that satisfaction is influenced by previous experiences. Thus, a good experience contributes to building confidence and trust toward health services in general.…”

“…This finding was consistent with studies done in Nepal 28 and Malaysia. 22 This may be explained by multiparous women who may reflect their expectations based on prior experiences compared to primiparous women. Conversely, primiparous women may have a higher expectation and perceive that transition to motherhood was fearful and they need more time to be with the health-care provider to get more information, support, care, and assistance with baby care, breastfeeding, and their postnatal care, 33 which may lead them to be less satisfied with immediate PNC than multiparous women in immediate PNC.…”

“…Thus, a good experience contributes to building confidence and trust toward health services in general. 22 Satisfaction during labor and delivery enhances a good perception and a positive attitude, 36 which may affect women’s immediate postnatal care satisfaction. Once women are satisfied with their delivery care services, they become confident to take up all the challenges of motherhood in the immediate postpartum, 37 which may lead them to be satisfied in immediate PNC.…”

“…The presence of at least one of the maternal morbidity conditions (hemorrhagic, hypertensive, uterine rupture, genital tract tear, and severe management-blood transfusion, hysterectomy) is considered as facing complication, otherwise considered as normal maternal condition after delivery. 22,23 Advised About Postnatal Danger Signs…”

Psychometric Evaluation of the Malay Version of the Childbirth Experience Questionnaire (CEQ-My)

“…Women allocated continuous labour support were less likely to report negative feelings about their childbirth experience (RR 0.69, 95% CI 0.59 to 0.79) [32]. A recent local study by Adnan et al, demonstrated that women whose pregnancies were labelled as at-risk and required more attention by health workers reported greater levels of labour satisfaction than their low-risk counterparts [33]. Factors that influence maternal satisfaction toward the quality of nursing care during birth include caregiver and woman interaction, as well as woman's involvement in the caring process [34].…”