Maternal Satisfaction on Delivery Service among Postnatal Mothers in a Government Hospital, Mid-Western Nepal.

Asha Panth,Praveena Kafle

doi:10.1155/2018/4530161

Abstract

Background Maternal satisfaction is one of the most frequently reported outcome measures for quality of care, and it needs to be addressed to improve the quality and efficiency of health care during pregnancy, childbirth, and puerperium to provide quality maternal-friendly services. Objective To find out the maternal satisfaction on delivery service among postnatal mothers in a government hospital, Mid-Western Nepal. Method A descriptive, cross-sectional study was conducted in maternity ward of Bheri Zonal Hospital, Nepal. A total of 178 purposively selected postnatal mothers were interviewed face-to-face using semistructured interview schedules. Analysis and interpretation of the findings were done with the help of descriptive and inferential statistics. Results The study shows that majority (89.88%) of the mothers were satisfied with the delivery service. The level of satisfaction was higher in interpersonal and technical aspects (93.82%) of care than in informative aspects (91.57%) and health facility-related statements (91.01%). There was no statistically significant association between sociodemographic and obstetric characteristics and maternal satisfaction. Although insignificant, postnatal mothers who were illiterate were 2.710 times more likely to be satisfied than who were literate (p=0.475; OR = 2.710; CI = 0.343–21.4), also postnatal mothers up to primary level were 2.850 times more likely to be satisfied than secondary level and above (p=0.241; OR-2.850; CI 0.622–13.056). Also, in this study, postnatal mothers who were multiparous were 2.352 times more likely to be satisfied with the delivery service than primiparous (p=0.111; OR = 2.352; CI = 0.801–6.907). Majority (87.1%) of the mothers would like to receive delivery service next time in the same hospital. Conclusion Majority of mothers were satisfied by the delivery service. Care givers need to fully understand the expectations the mothers have and provide care that is consistent with those expectations. The health system should be devised to increase maternal satisfaction in the health institution and provide maternal-friendly service.

Highlights

Quality of care is the degree to which maternal health services for individuals and populations increase the likelihood of timely and appropriate treatment for the purpose of achieving desired outcomes. e use of services and outcomes are the result of the provision of care and of women’s experience of that care. e quality of care received by mothers and babies in developing countries is often reported as poor [1]
No statistically significant association was found between the obstetric characteristics and maternal satisfaction. Those postnatal mothers who were multiparous were 2.352 times more likely to be satisfied with delivery service than primiparous (p 0.111; OR 2.352; CI 0.801–6.907)
Postnatal mothers whose age was 25 and above were more likely to be satisfied with delivery service than below 25, and homemakers were more likely to be satisfied than other occupations. is finding is consistent with the study done in Lebanon, which showed that patients who are older are more satisfied with the childbirth experience and unemployed mothers were more satisfied with the childbirth experience than employed mothers [2]

Summary

Introduction

Quality of care is the degree to which maternal health services for individuals and populations increase the likelihood of timely and appropriate treatment for the purpose of achieving desired outcomes. e use of services and outcomes are the result of the provision of care and of women’s experience of that care. e quality of care received by mothers and babies in developing countries is often reported as poor [1]. A positive experience in childbirth is important to the woman, infant’s health and well-being, and mother-infant relationship. It is useful for the care providers to guarantee the best preparation, health service, and support to childbearing women [6]. Maternal satisfaction is one of the most frequently reported outcome measures for quality of care, and it needs to be addressed to improve the quality and efficiency of health care during pregnancy, childbirth, and puerperium to provide quality maternal-friendly services. To find out the maternal satisfaction on delivery service among postnatal mothers in a government hospital, Mid-Western Nepal. Majority (87.1%) of the mothers would like to receive delivery service time in the same hospital. Care givers need to fully understand the expectations the mothers have and provide care that is consistent with those expectations. e health system should be devised to increase maternal satisfaction in the health institution and provide maternal-friendly service

Methods

Results

Discussion

Conclusion