- 學位論文
Women’s satisfaction with maternity care at a regional hospital in Swaziland
Women’s satisfaction with maternity care at a regional hospital in Swaziland
摘要
Swaziland government has implemented several programs aimed at improving maternal and child health. Despite wide spread messages to promote utilization of health facilities for maternity care, some women continue to engage in risky practices during pregnancy, child birth and postnatal period. A significant amount of mothers still give birth at home without assistance of a health professional; hence the need to determine women’s satisfaction with maternity services provided in public hospitals. Purpose The aim of the study was to assess women’s satisfaction with maternity care during labour and childbirth, and postnatal care at a regional public hospital. It also identified maternity care experiences and demographic characteristics that influence overall satisfaction with childbirth in hospital. Methods A cross sectional survey using structured interview questionnaire was used to obtain data from a sample of 198 women during their postnatal hospital stay. Descriptive statistics were computed for the demographic characteristics, intrapartum and postpartum care responses. Pearson correlations, one-way ANOVA and t-test were used to examine association between variables. Finally, multiple linear regression analysis using stepwise method was conducted to identify predictors of satisfaction using demographic variables, intrapartum care and postpartum care experiences. An alpha level of .05 was used to all statistical tests. Results Participants were generally more satisfied with postnatal care compared to labour and delivery care. Respecting women description of discomfort or pain and staff kindness during labour were the strongest predictors of satisfaction with maternity care. Other predictors were; level of education, gender of birth assistant and being left alone during labour and birth. Together these variables explained 44.6% of variation in maternity satisfaction, (F = 30.932, p <.001). Conclusion Intrapartum care experience is very important in women satisfaction with maternity care specifically patient/provider interaction during labour and childbirth. Maternity care providers should be sensitized on the findings that showing an uncaring attitude is associated with lower satisfaction. As a result maternal health programs should foster provider empathy and good communication skills in childbirth.
並列摘要
Swaziland government has implemented several programs aimed at improving maternal and child health. Despite wide spread messages to promote utilization of health facilities for maternity care, some women continue to engage in risky practices during pregnancy, child birth and postnatal period. A significant amount of mothers still give birth at home without assistance of a health professional; hence the need to determine women’s satisfaction with maternity services provided in public hospitals. Purpose The aim of the study was to assess women’s satisfaction with maternity care during labour and childbirth, and postnatal care at a regional public hospital. It also identified maternity care experiences and demographic characteristics that influence overall satisfaction with childbirth in hospital. Methods A cross sectional survey using structured interview questionnaire was used to obtain data from a sample of 198 women during their postnatal hospital stay. Descriptive statistics were computed for the demographic characteristics, intrapartum and postpartum care responses. Pearson correlations, one-way ANOVA and t-test were used to examine association between variables. Finally, multiple linear regression analysis using stepwise method was conducted to identify predictors of satisfaction using demographic variables, intrapartum care and postpartum care experiences. An alpha level of .05 was used to all statistical tests. Results Participants were generally more satisfied with postnatal care compared to labour and delivery care. Respecting women description of discomfort or pain and staff kindness during labour were the strongest predictors of satisfaction with maternity care. Other predictors were; level of education, gender of birth assistant and being left alone during labour and birth. Together these variables explained 44.6% of variation in maternity satisfaction, (F = 30.932, p <.001). Conclusion Intrapartum care experience is very important in women satisfaction with maternity care specifically patient/provider interaction during labour and childbirth. Maternity care providers should be sensitized on the findings that showing an uncaring attitude is associated with lower satisfaction. As a result maternal health programs should foster provider empathy and good communication skills in childbirth.