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Abstract：
BACKGROUND: Skilled delivery has been a pronounced concern and has been investigated over the years in developing countries. An inclusive understanding of the satisfaction of postpartum mothers is vital in improving the quality of skilled delivery, which is beneath the standard in some parts of developing countries. This study assessed the association between pregnancy-related factors and health status before and after childbirth with satisfaction with skilled delivery in multiple dimensions among postpartum mothers in the Akatsi South District, Ghana.
METHODS: A community-based, cross-sectional study was conducted among 538 postpartum mothers who participated through the systematic sampling method. Data collection was performed through a pretested and structured questionnaire developed from the WHO responsiveness concept and other prior studies. Questions on satisfaction were categorized into six dimensions. The associations were determined using bivariable and multivariable logistic regression analyses.
RESULTS: The overall satisfaction of postpartum mothers with skilled delivery was 80.7%. The highest (89.6%) and the lowest (12.8%) satisfaction with skilled delivery were found in technical quality and financial dimensions. Analysis revealed that autonomously age and delivery procedure were significantly associated with the dimensions of communication and responsiveness. Postpartum mothers who delivered at private healthcare facilities [crude odds ratio (COR) = 1.70; (95% CI 1.00-2.90); p = 0.049] had preterm pregnancy before delivery [COR = 2.08; (95% CI 1.02-4.21); p = 0.043], had cesarean section [COR = 2.73; (95% CI 1.05-7.12); p = 0.040], and presented with complications after childbirth [COR = 2.63; (95% CI 1.09-6.35); p = 0.032] were more likely to be satisfied in the dimension of communication only compared to their counterparts. Regarding responsiveness, multiparous mothers [COR = 1.63; (95% CI 1.06-2.51); p = 0.007] were more likely to be satisfied than primiparous mothers. Overall satisfaction was significantly and positively correlated with the various dimensions of skilled delivery.
CONCLUSIONS: The majority were satisfied with five dimensions of satisfaction with skilled delivery except for the financial dimension. The District Health Directorate of Akatsi South should take into consideration these findings in their policy development for forward-looking skilled delivery.
METHODS: A community-based, cross-sectional study was conducted among 538 postpartum mothers who participated through the systematic sampling method. Data collection was performed through a pretested and structured questionnaire developed from the WHO responsiveness concept and other prior studies. Questions on satisfaction were categorized into six dimensions. The associations were determined using bivariable and multivariable logistic regression analyses.
RESULTS: The overall satisfaction of postpartum mothers with skilled delivery was 80.7%. The highest (89.6%) and the lowest (12.8%) satisfaction with skilled delivery were found in technical quality and financial dimensions. Analysis revealed that autonomously age and delivery procedure were significantly associated with the dimensions of communication and responsiveness. Postpartum mothers who delivered at private healthcare facilities [crude odds ratio (COR) = 1.70; (95% CI 1.00-2.90); p = 0.049] had preterm pregnancy before delivery [COR = 2.08; (95% CI 1.02-4.21); p = 0.043], had cesarean section [COR = 2.73; (95% CI 1.05-7.12); p = 0.040], and presented with complications after childbirth [COR = 2.63; (95% CI 1.09-6.35); p = 0.032] were more likely to be satisfied in the dimension of communication only compared to their counterparts. Regarding responsiveness, multiparous mothers [COR = 1.63; (95% CI 1.06-2.51); p = 0.007] were more likely to be satisfied than primiparous mothers. Overall satisfaction was significantly and positively correlated with the various dimensions of skilled delivery.
CONCLUSIONS: The majority were satisfied with five dimensions of satisfaction with skilled delivery except for the financial dimension. The District Health Directorate of Akatsi South should take into consideration these findings in their policy development for forward-looking skilled delivery.
摘要：
背景：技术交付一直是一个明显的问题，多年来一直在发展中国家进行调查。全面了解产后母亲的满意度对提高熟练分娩质量至关重要,这在发展中国家的某些地区低于标准。这项研究评估了Akatsi南区产后母亲在多个维度上对熟练分娩满意度的分娩前后妊娠相关因素与健康状况之间的关系，加纳。
方法：以社区为基础，通过系统抽样方法对538名产后母亲进行了横断面研究.数据收集是通过根据WHO响应性概念和其他先前研究开发的预先测试和结构化问卷进行的。满意度问题分为六个维度。使用双变量和多变量逻辑回归分析确定关联。
结果：熟练分娩产妇产后总满意度为80.7%。技术质量和财务方面对熟练交付的满意度最高（89.6％）和最低（12.8％）。分析显示，自主年龄和分娩程序与沟通和反应能力的维度显着相关。在私人医疗机构分娩的产后母亲[粗比值比（COR）=1.70；（95％CI1.00-2.90）；p=0.049]分娩前早产[COR=2.08；（95％CI1.02-4.21）；p=0.043]，剖宫产[COR=2.73；（95%CI1.05-7.12）；p=0.040]，并且在分娩后出现并发症[COR=2.63;(95%CI1.09-6.35);p=0.032]与同行相比,更有可能仅在沟通维度上感到满意.关于响应，经产母亲[COR=1.63；（95％CI1.06-2.51）；p=0.007]比初产母亲更容易满意。总体满意度与熟练交付的各个维度呈显著正相关。
结论：除财务方面外，大多数人对熟练交付满意度的五个方面感到满意。南部Akatsi地区卫生局应在其政策制定中考虑到这些发现，以提供前瞻性的技术服务。
方法：以社区为基础，通过系统抽样方法对538名产后母亲进行了横断面研究.数据收集是通过根据WHO响应性概念和其他先前研究开发的预先测试和结构化问卷进行的。满意度问题分为六个维度。使用双变量和多变量逻辑回归分析确定关联。
结果：熟练分娩产妇产后总满意度为80.7%。技术质量和财务方面对熟练交付的满意度最高（89.6％）和最低（12.8％）。分析显示，自主年龄和分娩程序与沟通和反应能力的维度显着相关。在私人医疗机构分娩的产后母亲[粗比值比（COR）=1.70；（95％CI1.00-2.90）；p=0.049]分娩前早产[COR=2.08；（95％CI1.02-4.21）；p=0.043]，剖宫产[COR=2.73；（95%CI1.05-7.12）；p=0.040]，并且在分娩后出现并发症[COR=2.63;(95%CI1.09-6.35);p=0.032]与同行相比,更有可能仅在沟通维度上感到满意.关于响应，经产母亲[COR=1.63；（95％CI1.06-2.51）；p=0.007]比初产母亲更容易满意。总体满意度与熟练交付的各个维度呈显著正相关。
结论：除财务方面外，大多数人对熟练交付满意度的五个方面感到满意。南部Akatsi地区卫生局应在其政策制定中考虑到这些发现，以提供前瞻性的技术服务。
