Women’s satisfaction with intrapartum care in St Paul’s Hospital Millennium Medical College Addis Ababa Ethiopia: a cross sectional study

Abstract

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.

Delivery service satisfaction and associated factors among mothers who gave birth at West Shewa Zone public hospitals, Ethiopia

“…This study revealed variables like: gestational age at birth, duration of stay, mode of transportation (use of free Ambulance), fetal outcome, status of pregnancy and pain managements were predictor's of delivery service satisfaction among study participants. This finding is consistent with other studies conducted at different part of Ethiopia [10,12,28,29]. Likewise, Mothers who gave birth at preterm and full term were less satisfied than those who gave birth at post term (AOR: 0.027, 95% CI: 0.003-0.25), AOR: 0.067, 95% CI: 0.01-0.40) respectively.…”

“…However, the findings of this study is higher than the studies done in western Nepal, Northern Jordan, Kenya, Felege Hiwot Referral hospital (Ethiopia) and St.paulose hospital (Ethiopia) which were 67.8%, 64%, 56%, 74.9% and 19% respectively [8,[10][11][12]18]. This variation may be due to difference back ground of the study participants, satisfaction measurement tools used, study time difference, method of analysis.…”

“…In this study variables like: income, residence, ethnicity, ANC follow up and Educational status of the respondents were not significantly associated with delivery service satisfaction as it was explained in previous studies [8,12,25,27].…”

“…Additionally duration of stay in hospital was other predictor of delivery service satisfaction. Mothers who stayed in hospitals for 48-72 hours were less satisfied compared to those who stayed >72 hours (AOR:0.107,95% CI: 0.01-0.93).This finding was in contrast with studies conducted at Nepal and St Paul's hospital [10,12]. The possible reason could be mother's perception of getting a better care through longer stay in hospitals.…”

“…in Nairobi (Kenya), 19% at Saint Paulos Hospital (Ethiopia), 80.7% at Asella Hospital (Ethiopia) [10][11][12][13] .…”