Abstract
Background: Maternal satisfaction towards care provided during pregnancy, childbirth and puerperium is one of the key outcome measures for quality of care. In order to provide satisfactory maternity services health workers should focus on mother-friendly care. Various factors may affect on mothers' satisfaction regarding maternity services.The objective of this study was to assess the factors affecting satisfaction regarding maternity services among postnatal mothers.
 Materials and Methods: A descriptive, cross-sectional study was conducted in postnatal ward of Kathmandu Medical College Teaching Hospital. A total of 180 postnatal mothers were purposively selected for the study. Ethical clearance was obtained from the institutional review committee of Kathmandu Medical College. Face to face interview technique was used to collect the data using pre – designed structured questionnaire. Data collection was done from June to July 2019. Data were analysed using Statistical Package for Social Science 20.0 version. Both descriptive and inferential statistics were used for data analysis.
 Results: Majority (83.9%) of the mothers were satisfied with overall maternity services. The level of satisfaction was higher in (82.8%) environmental factor, (80%) health care delivery system of hospital and (73.3%) communication. There was significant association between sexes of current child with maternal satisfaction. Mothers having current child male were more satisfied with maternity services provided by the hospital (COR: 4.90 with 95% CI: 1.97, 12.18).
 Conclusion: The study concluded that majority of postnatal mothers were satisfied with maternity services provided at hospital. Current child male was significantly associated with satisfaction level of mothers on maternity services.
Highlights
Quality maternal care is directly related to the possibility of mothers for timely and appropriate treatment in order to achieve desired outcomes
The study concluded that majority of postnatal mothers were satis ed with maternity services provided at hospital
Post-natal mothers who have a male baby in recent were4.901 times satis ed than those who have female baby as recent child which is statically signi cant at 5% level of signi cance(p= .001, OR 4.90, 95% CI = 1.97 – 12.18) Table 5
Summary
Quality maternal care is directly related to the possibility of mothers for timely and appropriate treatment in order to achieve desired outcomes. Providing high quality of care in maternity services involves giving mothers the best possible medical care and outcome during pregnancy, labor, and postnatal period [2]. Satisfaction is one of the most frequently reported outcome measures for quality of care so assessment of satisfaction with maternity services is crucial [3]. A pleasant experience during childbirth is important for both maternal and neonatal health and well-being It is essential for the health care providers to providing best support to childbearing women [5]. To bring about positive experience of women, maternity care in Nepal should focus on improvement in physical environment along with improving the attitude and communication skill of service providers [6]. Various factors may affect on mothers' satisfaction regarding maternity services.The objective of this study was to assess the factors affecting satisfaction regarding maternity services among postnatal mothers
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