Midwives’ Professional Satisfaction and the Quality of Obstetric Care in Developing Country

Abstract

Introduction: In Africa, poor working conditions affect the motivation of health care providers. The objective is to study midwives' professional satisfaction on the technical quality of emergency obstetric care in Senegal. Material and Methods: This was a prospective study of 16 hospitals in Senegal. The job satisfaction of midwives was measured during a personal interview. The instrument used was validated in Senegal and Mali. Other data collected relate to professional and institutional characteristics. A treatment observation grid was used to measure the quality of obstetric care in labour wards. Mixed-model linear regression was used to estimate the effect of satisfaction on the quality of obstetric care. Results: A total of 65 midwives were interviewed and 325 patients observed. The average quality score was 8.7 ± 1.7. The satisfaction scores ranged from 42.2 ± 17.4 (salary) to 76.7 ± 12.1 (morale satisfaction). A positive and significant correlation was found between quality of care and management (cc = 0.56), remuneration (cc = 0.40), task (cc = 0.32), workload (cc = 0.24) and training (cc = 0.29). The linear mixed model shows that salary (β = 0.40), continuing education (β = 0.17) and management style (β = 0.42) improved the quality of care. Association between moral satisfaction and quality care was negative (β = −0.53). Conclusion: The satisfaction of health professionals is a major determinant of the quality of obstetric care. Its inclusion in the fight against mortality has become imperative in developing.

Factors hindering midwives’ utilisation of alternative birth positions during labour in a selected public hospital

“…Studies indicate that the existence of the language barrier has shown to be a threat to the quality of hospital care. 28,29 The non-English speaking population utilises a growing volume of healthcare services and thus comes into contact with nurses daily. Literature alluded to that some of the adverse events that occur within the maternity units, may be related to the language barrier as a result of communication difficulty between midwife and patient, adverse events reported were associated with language barriers.…”

Identifying clinical and educational difficulties of midwives in an Indonesian government hospital maternity ward: Towards improving childbirth care

“…Sometimes, we collect money ourselves and fix it using our money." (23) "Due to the hospital designated as the main referral center [of the province], many patients come in the worst condition, but (maternity) ICU are very limited. Sometimes, the patients are told that the (maternity) ICU are full, but the patients Published by Sciedu Press still want to be here even though they have to sign the consent that they accept any situation as the impact of not being in the (maternity) ICU ."…”

“…(23) "Educational background of the patients and their family is too low; even if we have explained [something] very clearly, they still don't understand and ask again and again." (34) 3.2.5 Challenges teaching students Indonesian midwives faced two main challenges in teaching students.…”

“…First, the government, midwifery organizations, and the hospitals must first sanction the knowledge, skills, and procedures that midwives should learn through continuing education; otherwise, midwives cannot apply the new procedure in their practice. Faye [23] reported that satisfaction with salary and management as well as continuing education improves the quality of care. Consequently, it is necessary to develop a midwifery management system that enhances midwives' expertise.…”