scholarly journals Predictors of low birth satisfaction among Iranian postpartum women: A cross‐sectional study

Nursing Open ◽  
2021 ◽  
Author(s):  
Forough Mortazavi ◽  
Maryam Mehrabadi
Keyword(s):  
Cross Sectional Study ◽  
Postpartum Women ◽  
Sectional Study ◽  
Cross Sectional ◽  
Birth Satisfaction

scholarly journals Predictors of birth satisfaction among Iranian postpartum women: a cross-sectional study

2021 ◽  
Author(s):  
Forough Mortazavi ◽  
Maryam Mehrabadi
Keyword(s):  
Well Being ◽  
Cross Sectional Study ◽  
Vaginal Birth ◽  
Postpartum Women ◽  
Sectional Study ◽  
Fear Of Childbirth ◽  
Cross Sectional ◽  
Birth Satisfaction ◽  
Emergency Cesarean ◽  
Elective Cesarean

Abstract Background: Childbirth dissatisfaction may reduce maternal tendency for subsequent pregnancies and increase maternal request for elective cesarean. This study aimed to investigate predictors of birth satisfaction in a sample of Iranian postpartum women. Methods: This cross-sectional study was conducted on 767 women in early postpartum using a convenience sampling method in 2019. Women’s demographic/obstetrical information were collected. Women completed three questionnaires including the World Health Organization-5 well-being Index (WHO-5 well-being Index), the Birth Satisfaction scale-R (BSS-R), and the Wijma Delivery-Expectancy/experience Questionnaire (W-DEQ) version B. We used univariate general linear model to investigate the relationships between independent variables and birth satisfaction scores. Multiple linear regression analysis was used to determine predictors of birth dissatisfaction. Results: The percentage of women who gave birth by elective cesarean, emergency cesarean, and vaginal birth were 13.2%, 19.06%, and 67.8%, respectively. Predictors of low birth satisfaction were primiparity, low level of well-being, low and moderate satisfaction with pregnancy, moderate satisfaction with spouse’s emotional/financial support, emergency cesarean, severe fear of childbirth, and long duration from admission to delivery. Women who had vaginal birth and were accompanied by a doula reported a higher level of birth satisfaction than those without a doula (p = 0.012). Women who had emergency cesarean accompanied by a doula reported a lower level of birth satisfaction than those without a doula (p = 0.045).Conclusions: Our results indicate that in order to promote birth satisfaction, specific interventions should be designed that enhance maternal well-being, reduce fear of childbirth, and promote spouse’s support. Also, revising and improving admission protocols in maternity hospitals and other measures that help women have a smooth and hassle-free pregnancy can promote birth satisfaction. Further studies should also be conducted in Iran to examine other significant social predictors of birth satisfaction such as interaction between midwives/physicians and patients and respectful attitude of staff members.

scholarly journals Factors associated with early resumption of sexual intercourse among women during extended postpartum period in Northwest Ethiopia: a cross sectional study

2020 ◽  
Vol 5 (1) ◽  
Author(s):  
Birye Dessalegn Mekonnen
Keyword(s):  
Sexual Health ◽  
Sexual Activity ◽  
Sexual Intercourse ◽  
Postnatal Care ◽  
Cross Sectional Study ◽  
Northwest Ethiopia ◽  
Postpartum Women ◽  
Care Providers ◽  
Sectional Study ◽  
Cross Sectional

Abstract Background Postpartum sexual health and practice need to be integrated in the current maternal healthcare services to address sexual health problems. However, postpartum sexual practice has received little attention, and was not often discussed by healthcare providers during prenatal and postnatal care. Thus, this study was aimed to assess early resumption of sexual intercourse and associated factors among postpartum women in Gondar city, Northwest Ethiopia. Methods A community based cross-sectional study was conducted from January 20 to February 20, 2020. A systematic random sampling technique was used to select 634 postpartum women. A pretested, structured and interviewer-administered questionnaire was used to collect data. Data were entered into Epi Info 7.2.2 and exported to SPSS version 20 for analysis. Bivariable and multivariable logistic regressions analysis were done. Variables with p- value of < 0.05 were considered as statistically significant. Results The magnitude of early resumption of sexual intercourse after childbirth was found to be 26.9% (95% CI: 23.2, 30.8). Urban resident (AOR = 6.12, 95% CI: 2.41, 15.66), parity of one (AOR = 2.26, 95% CI: 1.66, 7.78), husband demand (AOR = 2.66, 95% CI: 1.72, 4.11), postnatal care (AOR = 1.45, 95% CI: 1.06, 2.18) and use of family planning (AOR = 2.72, 95% CI: 1.51, 3.43) were factors significantly associated with early resumption of sexual intercourse. Conclusion The study found that more than one fourth of women had resumed sexual intercourse within six weeks of following childbirth. The finding of this study suggests the need of integrating discussions of postpartum sexual activity into routine prenatal, intrapartum and postnatal care with collaborative effort of policy makers, program planners, health care providers and other stakeholders. Moreover, spousal communication on postpartum sexual activity should be encouraged.

scholarly journals Assessment of maternal birth satisfaction and intra-partum experiences among the women of rural areas of Tamil Nadu- a cross sectional study

2021 ◽  
Vol 8 (12) ◽  
pp. 6006
Author(s):  
Janakiram Marimuthu ◽  
A. Arul Murugan
Keyword(s):  
Health Care ◽  
Rural Areas ◽  
Tamil Nadu ◽  
Post Partum ◽  
Cross Sectional Study ◽  
Maternal Satisfaction ◽  
Sectional Study ◽  
Cross Sectional ◽  
Birth Satisfaction ◽  
Set Up

Background: Childbirth, though a physiological process, has been associated with multiple risks and stress on the women, even before the time of conception till the post-partum. Every woman around the world has a right to receive respectful maternity care. Birth satisfaction and respectful maternal care has direct impact on percentage of institutional deliveries. There is paucity of studies conducted among the women of rural Tamil Nadu regarding birth satisfaction and intrapartum experiences.Methods: A cross-sectional study was conducted in primary health center area, red hills among the post-partum women attending the immunization OPD at 6, 10 and 14th week after delivery during the months of March to June 2018. By simple random sampling technique 195 subjects were included. A semi-structured questionnaire was administered to collect the data. Ethical clearance was obtained from our Institutional Ethics Committee. Data was entered in MS Excel and analysis was done using SPSS Software version 23.Results: The study shows the importance of maternal satisfaction and intrapartum experiences of women in rural areas. It concluded that the overall satisfaction was 85.5%. The transport facility available at the health care set up which satisfied the mothers was around 91.4%. The interaction of health care providers with mothers during delivery was around 64.5%. Cleanliness and comfort of the delivery area was around 64%. Equality of care provided at the health care set up was around 83%.Conclusions: Reasons for delivery visit, duration of labour, and mode of delivery are independent predictors of maternal satisfaction.

scholarly journals Psychometric properties of the Malay version Women’s Views of Birth Postnatal Satisfaction Questionnaire using the Rasch measurement model: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mohd Noor Norhayati ◽  
Adnan Fatin Imtithal ◽  
Yunus Nor Akma
Keyword(s):  
Psychometric Properties ◽  
Measurement Model ◽  
Cross Sectional Study ◽  
Scale Model ◽  
Parameter Estimates ◽  
Postpartum Women ◽  
Sectional Study ◽  
Cross Sectional ◽  
Satisfaction Questionnaire ◽  
Women’S Views

Abstract Background Maternal satisfaction must be assessed in order to reflect the quality of care, which is considered an outcome of healthcare services. It can also be used to contrast and compare satisfaction with various care models or service configuration or to assess overtime changes. The purpose of this study was to investigate the psychometric properties of the Malay version Women’s Views of Birth Postnatal Satisfaction Questionnaire (WOMBPNSQ) based on the Rasch scale model of labour satisfaction. Methods This is a cross-sectional study. Postpartum women were identified from a tertiary hospital and evaluated at 1-month postnatal period using WOMBLSQ. The Rasch model was used to investigate the reliability, unidimensionality, item and person misfits and distribution map. Results A total of 195 women were involved. The Rasch analysis revealed that the 30 items had a high level of reliability at 0.99 and item separation at 9.02. It has a low level of reliability at 0.45 and persons separation at 0.90. All the items are considered fit. Five people have most misfitting response strings based on item IPS_Q15, ‘I was given little advice on contraception following the birth of my baby’, but extremely trivial differences were found in the parameter estimates after refitting the model. The more difficult item to endorse satisfaction is item CA_Q17 ‘I was given little advice on contraception following the birth of my baby’. Conclusions The WOMBLSQ tested in postpartum women proved to have high item reliability index but with an adequate sample. The analysis shows that the 30 items target the right form of respondents, have similar latent characteristics of postpartum women and a shared sense of satisfaction. For future improvement, more difficult items endorsing satisfaction should be created, and the common items in which satisfaction is expected should be reduced.

scholarly journals Antenatal care in Mozambique: Number of visits and gestational age at the beginning of antenatal care

2021 ◽  
Vol 29 ◽  
Author(s):  
Belarmina Reis-Muleva ◽  
Luciane Simões Duarte ◽  
Carla Marins Silva ◽  
Luciana Magnoni Reberte Gouveia ◽  
Ana Luiza Vilela Borges
Keyword(s):  
Antenatal Care ◽  
Gestational Age ◽  
Cross Sectional Study ◽  
Easy Access ◽  
Postpartum Women ◽  
Sectional Study ◽  
Cross Sectional ◽  
Face To Face ◽  
Late Initiation ◽  
Antenatal Visits

Objective: 1)to assess the gestational age at the beginning of antenatal care and its covariates; 2)to assess the number of antenatal visits and its covariates; and 3)to identify the reasons for the late initiation of antenatal care and for attending less than four visits among postpartum women living in Nampula, Mozambique. Method: cross-sectional study conducted with 393 mothers who answered a structured instrument in face-to-face interviews. Logistic regression was used to analyze the covariates of having initiated antenatal care up to the 16thgestational week, having attended four or more antenatal visits, and reporting both situations simultaneously. Results: all postpartum women underwent antenatal care, but only 39.9% started it until the 16thgestational week, 49.1% attended four or more visits, and 34.1% reported both events. Having concluded high school (ORadj=1.99; 95%CI=1.19-3.31) or college (ORadj=3.87; 95%CI=1.47-10.18) were aspects associated with reporting both situations. The reasons for the late initiation of antenatal care and attending less than four visits were as follows: not finding it important to attend several visits, not having easy access to the health facility, not being aware about pregnancy, and not having a companion for the visits. Conclusion: the gestational age at the beginning of antenatal care and the number of antenatal visits are lower than the current recommendations in the country.

scholarly journals Maternal and partner’s level of satisfaction on the delivery room service in University of Gondar Referral Hospital, Northwest, Ethiopia: A comparative cross-sectional study.

2019 ◽  
Author(s):  
Asefa Adimasu Taddese ◽  
Kiros Terefe Gashaye ◽  
Henok Dagne ◽  
Zewudu Andualem
Keyword(s):  
Waiting Time ◽  
Cross Sectional Study ◽  
Referral Hospital ◽  
Delivery Room ◽  
Sectional Study ◽  
Satisfaction Scale ◽  
Cross Sectional ◽  
Birth Satisfaction ◽  
Level Of Satisfaction ◽  
Room Service

Abstract Abstract Background: Asking patients/clients what they perceive about the care and treatment they have received is one of the important steps towards improving the quality of health care. However, little is known about the birth experiences of partners in Ethiopia, particularly in the study area. Therefore, this study was conducted to evaluate and compare the birth satisfaction of mothers and partners and its determinant factors in the study area. Methods: A comparative cross-sectional study was conducted from Dec 2018 to January 2019 in University of Gondar referral hospital. The birth satisfaction scale is used for the mother, and it was adapted to the partners’ perspective. Paired-samples t tests were used for comparing mothers and partners for the birth satisfaction scales global and thematic scores. A binary logistic regression model was fitted to identify predicting factors for mothers’ and partners satisfaction. Results: The overall satisfaction of mothers in this study was 47.6 % whereas 41.2% of partners were satisfied by delivery room services. There were mean difference between mothers and partners’ birth satisfaction scale (p=0.02). Maternal satisfaction scale was affected by age [OR = 0.36, 95%CI (0.18, 0.73 )], perception [OR =0.02, 95%CI (0.00,0.09)], waiting time [OR = 0.11 , 95%CI (0.00, 0.09)],visiting mode [OR = 0.01 , 95%CI (0.00,0.08)], pregnancy status [OR = 0.04, 95%CI (0.01 ,0.33)] and fatal outcome [OR=0.00, 95%CI (0.00,0.018)] .whereas, partners satisfaction was associated with age [OR=0.16,95%CI (0.05 0.49)], occupational status [OR = 0.02, 95%CI (0.00, 0.24), amount of money to pay for service [OR = 2.87, 95%CI (1.07, 7.71), visiting mode of his wife [OR = 0.08, 95%CI (0.01, 0.35)], waiting time [OR = 0.12, 95%CI (0.04, 0.33)], privacy [OR = 10.61, 95%CI (3.00, 37.52)], mode of delivery of his wife [OR = 7.69, 95%CI (3.00, 19.69)]. Conclusion : This study indicated that overall level of satisfaction of mothers and their partners is very low compared to other similar hospitals in the country and mothers were more satisfied than partners’ by delivery room service.

scholarly journals Long Acting Reversible Contraception use among postpartum women in Hossana Town, Southern Ethiopia: cross sectional study

2020 ◽  
Author(s):  
Biruktawit Fekade Woldu ◽  
Tadesse Lelago Ermolo ◽  
Lidiya Gutema Lemu ◽  
Negeso Gebeyehu Gejo
Keyword(s):  
Postpartum Period ◽  
Multivariate Logistic Regression Analysis ◽  
Cross Sectional Study ◽  
Southern Ethiopia ◽  
Postpartum Women ◽  
Sectional Study ◽  
Cross Sectional ◽  
Immunization Service ◽  
Contraception Use ◽  
Long Acting

Abstract Background: In low and middle-income countries, 95% of postpartum women want to avoid a pregnancy for 2 years, but 70% are not using contraception. Delay in use of contraception by couples during postpartum period can result in many unwanted pregnancies. Long-acting reversible contraception (LARC) is ideal for postpartum women. Therefore this study aimed at assessing the prevalence and factors associated with LARC use among postpartum women.Methods: Facility based cross sectional study was conducted among 381 women in extended postpartum period visiting Child Immunization service in hosanna health institutions. Pretested structured questionnaire was used for data collection. Data was analyzed by SPSS version 20. Binary and multivariate logistic regression analysis was done. The presence and strength of association was determined using AOR with its 95% CI. Variables with P value less than 0.05 were considered as statistical significant. Results: Less than one fifth (18.1%) of participants intend to give birth within 2 years. The prevalence of LARC use was 36.5% (95%CI (33.05-39.95)). The main reason for not using was fear of side effect and false information. Previous use of LARC n (AOR=3.3, 95%CI (1.7-6.5)) and have ever discussed with health providers on LARC (AOR=2.5, 95%CI (1.1-5.74)) were found to be significantly associated with LARC use. Conclusions: Despite their lesser intention to give birth within 2 years, the utilization of LARC among postpartum women was found to be low in this study. Provision of health education and expanding access should be emphasized to enhance its utilization.

scholarly journals Predictors of Fear of Childbirth and Normal Delivery Among Iranian Postpartum Women: A Cross-Sectional Study

2021 ◽  
Author(s):  
Forough Mortazavi ◽  
Maryam Mehrabadi
Keyword(s):  
Marital Satisfaction ◽  
Cross Sectional Study ◽  
Normal Vaginal Delivery ◽  
Postpartum Women ◽  
Sectional Study ◽  
Fear Of Childbirth ◽  
Cross Sectional ◽  
Normal Delivery ◽  
Low Level ◽  
Level Of Satisfaction

Abstract Background: Fear of childbirth (FOC) may contribute to postpartum depression, impaired maternal-infant relation, and preference for cesarean in future pregnancies. The mode of delivery may have a role in postpartum FOC. We aimed to investigate predictors of FOC and normal vaginal delivery (NVD) among postpartum women who had planned for NVD. Methods: This cross-sectional study was conducted in 2019 on postpartum women during the first 24 hours after the delivery. A sample of 662 women, selected using convenient sampling method, filled out the questionnaire composed of socio-demographic and obstetric questions and the Wijma Delivery-Expectancy Questionnaire (W-DEQ). We used univariate and multivariate logistic regression analyses to determine predictors of FOC and NVD.Results: The percentage of women with mild (scores ≤ 37), moderate (38-65), high (66-84), severe (scores 85-99) and intense (scores ≥ 100) FOC were 7.9%, 19.5%, 40.9%, 21.1%, and 10.6% respectively. Predictors of severe FOC were a low level of satisfaction with husband’s support and a low level of satisfaction with pregnancy. Predictors of intense FOC were age < 30, primiparity, low maternal satisfaction with pregnancy, and a low level of perceived marital satisfaction. Overall, 21.8% of women gave birth by cesarean. Predictors of NVD were birth weight < 4kg, spontaneous labor pain, mother’s age < 30, term pregnancy, having a doula, multiparity, satisfaction with husband's support, and satisfaction with pregnancy. FOC was not a predictor of NVD. Conclusions: The rate of severe and intense FOC among this group of postpartum women is high. Our findings highlight modifiable factors for reducing FOC and increasing NVD. In designing programs to increase the rate of NVD, the following factors should be considered: limiting induced labor, encouraging women to recruit a doula to help them at labor, facilitate husband’s attendance throughout antenatal/intrapartum and postnatal care to support his wife, consultation with couples to increase husband’s support, and other steps to make pregnancy pleasant and memorable. According to our findings, factors that can contribute to the reduction of the rate of FOC were consultation with couples to increase husband support and marital satisfaction and also finding ways to make pregnancy a pleasant experience.

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