Abstract:
Background
There are many reasons for mothers not receiving modern obstetric care, being dissatisfied
by health care deliveries is one of the major factors. There are limited studies about maternal
satisfaction with labor and delivery care services in Ethiopia and particularly in the study
area. Therefore, the aim of this study was to better understand client satisfaction on existing
labor and delivery care service and associated factors among mothers who gave birth in the
University of Gondar Teaching Hospital, Ethiopia.
Methods
This institution based cross-sectional study was conducted at the University of Gondar
Referral Hospital. 593 mothers who gave birth between July and September 2016 were
enrolled. Study participants were selected by systematic random sampling. A standardized,
interviewer-administered questionnaire was used to collect data. Descriptive and summary
statistics were performed. A linear regression model was fitted and variables having a P
value of �0.05 in the multivariable model were considered statistically significant.
Result
Overall, 31.3% of mothers were satisfied by the existing labor and delivery care. Living in
rural areas (-2.9%; 95% CI: -5.75,-0.12) and the presence of a co-morbidity (-3.2%; 95%
CI:-5.70, -0.72) were the factor which have a negative influence on maternal satisfaction.
On the other hand, travel time to reach to the hospital (hours) (0.79%; 95% CI: 0.07, 1.52),
birth by episiotomy or assisted vaginal delivery (6.3%; 95%CI: 1.56, 11.04), and receiving
cost-free maternal health services (6.66%; 95%CI: 3.31, 10.01) were the factors that had
positive influence.
Conclusion
The level of satisfaction of laboring mothers with the labor and delivery care services was
poor. Rural residency and chronic medical co-morbidity were negatively associated with
level of satisfaction while travel time, mode of delivery, and payment free delivery service
had a statistically significant positive influence on satisfaction.
