Patient satisfaction with peri-partum care at Bertha Gxowa district hospital, South Africa

Abstract

Background: Patient satisfaction is one of the key outcome measures of healthcare services.Aim and Setting: To explore factors that influence women’s satisfaction with peri-partum care at Bertha Gxowa district hospital, South African primary care.Methods: A cross-sectional study involving 260 women was conducted. A structured questionnaire collected information from participants on pain relief, health education provided by healthcare providers, privacy, cleanliness of the ward and their participation in decision-making about care received in the peri-partum period.Results: Most respondents were co-habiting with their partners (100, 38%) and had completed only secondary school education (119, 46%). The average participant age was 27 years, with an average parity of two children. Most participants were satisfied with the privacy (218, 84%) and the general cleanliness of the wards (233, 90%). However, large proportions of women were dissatisfied with the information given to them by doctors (104, 55%) and nurses (89, 37%), and the rest were unsure. About 189 (73%) participants were dissatisfied with the extent of their participation in decision-making about their own care. The study had a caesarean rate of 53 (20%). Compared to normal vaginal delivery, participants who had caesarean section were significantly more likely to report being satisfied with pain relief during labour (p 0.001).Conclusion: The study findings showed varying levels of satisfaction with different aspects of peri-partum care and suggested the need for better pain relief during vaginal delivery, information sharing by doctors and patient emancipation for decision-making about their own care.

Relationship pain management and women´s satisfaction during labour. A Randomized Controlled Trial

“…In totally the opposite way to our results, Khumalo & Rwakaikara [29], reported low satisfaction with overall care and dimensions of care. It could be related in part to cultural norms that dominate the medical model of maternity care and the lower status of women.…”

“…It also reveals a problem with the hospital staff in adjusting adapted information to the patient´s cultural level. On the other hand, Khumalao [29] did not nd these differences, even though they also obtained socio-demographic data similar to our own.…”

“…It could be related in part to cultural norms that dominate the medical model of maternity care and the lower status of women. Therefore, we can conclude that the reason for the differences were that our sample is not comparable with the Khumalo & Rwakaikara [29] ones, since our general results are similar to the rest of previous studies discussed.…”

Patients’ Satisfaction about Quality of Health Care Services Provided in Maternity Wards at Al-Najaf City

“…Also regarding responsiveness domain of the quality of health care services table (2), the study indicates that services are insufficient to meet the patients' requirements at all items Furthermore, the subjects' responses regarding empathy and assurance domains of the quality of health care services respectively, the subjects responses are insufficient to their requirements at all items. This result disagree with the result of the study done by (19) .who showed in his study that health care services that provided in public hospitals within acceptable and satisfying level. The researcher believe the reasoned is that most of nurses who work in maternity ward not graduated from institutes and with poor knowledge and experience to caring patients.…”

“…The researcher believe the reasoned is that most of nurses who work in maternity ward not graduated from institutes and with poor knowledge and experience to caring patients. The study shows that patients are unsatisfied with the quality of health care services provided at the wards table (2), tangibility, reliability, responsiveness, empathy and assurance dimensions of the health care services quality, this results disagree with the results of the study done by ( 19) they mentioned that the majority of the patients are satisfied with health care services, but this result in agreement with study done by (20) . they stated in their study that the quality of health services provided in health centers according to the dimensions of quality of health services (tangibility, reliability, power of responsiveness, empathy, trust and safety) are unsatisfied.…”