ABSTRACT
Introduction: Paternal involvement (PI) has been recognized to have an impact on pregnancy and in-fant outcomes. The mother抯 satisfaction during the birthing process is the most frequently reported in-dicator in the evaluation of the quality of maternity services. The aim of the study is to assess the effec-tiveness of self-instructional module on paternal attitude towards perinatal outcome and maternal satis-faction on paternal attitude. Methodology: A cross-sectional study was conducted on 320 expectant fathers attending antenatal clin-ic. A five-point rating scale was used to assess the attitude of paternal on pregnancy and labour outcome and check list to assess the postnatal mother satisfaction. Results: The scores improved significantly after intervention, in experiment group, the pre-test, mean score was 78.61 and the post-test mean score was 120.56, whereas in the control group, the pre-test mean score of 79.43 and the post-test mean score was 80.25. In the experimental group, 81.88% of mothers were satisfied whereas 18.12% were not satisfied. In control group, 48.75% were satisfied, while 51.25% were not satisfied. Conclusion: Most fathers were very positive about their partner抯 pregnancy. They, however, need to be motivated to use that knowledge into practice.
ABSTRACT
@#Introduction: The World Health Organization recommends evaluation of maternal satisfaction to improve quality of health care during childbirth. Dissatisfaction may lead to undesired outcomes such as unassisted homebirth and delay in seeking treatment. Determining the maternal satisfaction level and its associated factors may help to improve health care services and prevent negative implications to both mothers and infants. This study aimed to determine the maternal satisfaction towards intrapartum care of designated healthcare facilities and its associated factors among postnatal women. Methods: This was a cross-sectional study of postnatal women attended Klinik Kesihatan Salak from December 2017 to February 2018. Systematic random sampling with the ratio of 1:3 was applied to the eligible respondents. A self-administered questionnaire that include respondent’s socio-demographic characteristics and a validated 14-items Maternal Satisfaction with Hospital-based Intrapartum Care Scale was used. Data was analyzed using SPSS 23. Results: 274 respondents were recruited in this study. Overall, only 21.2% of respondents were satisfied with the intrapartum care given. The level of satisfaction was highest in interpersonal care domain (36.1%), followed by physical birth environment (34.3%) and the least satisfied was information and decision making domain (27.7%). Binary logistic regression showed that maternal satisfaction was significantly associated with place of birth (AOR (95% CI): 0.046 (0.183, 0.984)) and labour complications (AOR (95% CI): 3.387 (1.345, 8.528)). Conclusion: The overall maternal satisfaction towards intrapartum care was low and the information and decision-making domain appeared to be the least satisfied. Maternal satisfaction was associated with place of birth and labour complications. Therefore, health care providers should emphasize and improve the quality of services especially for this domain and to consider factor that contribute to dissatisfaction towards the intrapartum care.
ABSTRACT
Context: Birth and immediate postpartum period pose many challenges for the newborn. The neonatal mortality rates are high in India, whereas the breastfeeding rates are still low. Hence, need exists for a simple and easily applicable intervention, which may counter these challenges. Aims: The present study was undertaken to evaluate the effects of very early skin-to-skin contact (SSC), in term babies with their mothers, on success of breastfeeding and neonatal well-being. Settings and Design: Randomized control trial conducted over 2 years’ period in a tertiary care hospital. Materials and Methods: Healthy babies delivered normally were included. Very early SSC between mothers and their newborns was initiated in the study group. We studied effective suckling (using modifi ed infant breastfeeding assessment tool [IBFAT]), breastfeeding status at 6 weeks, maternal satisfaction, thermal regulation, baby’s weight and morbidity. Statistical Analysis: T-test, Pearson Chi-square test and non-parametric Mann-Whitney test were used through relevant Windows SPSS software version 16.0. Results: We observed that SSC contributed to better suckling competence as measured by IBFAT score (P < 0.0001). More babies in the SSC group were exclusively breastfed at fi rst follow-up visit (P = 0.002) and at 6 weeks (P < 0.0001). SSC led to higher maternal satisfaction rates, better temperature gain in immediate post-partum period, lesser weight loss was at discharge and at fi rst follow-up (all P < 0.0001) and lesser morbidity than the study group (P = 0.006). Conclusion: Very early SSC is an effective intervention that improves baby’s suckling competence, maternal satisfaction, breastfeeding rates and temperature control and weight patterns.
ABSTRACT
La satisfacción de la paciente en analgesia del parto es uno de los objetivos más importantes que perseguimos y es también una medida de resultado y calidad. Los factores asociados a la satisfacción materna resultan aún desconocidos. Objetivos: Nuestro objetivo es medir la satisfacción de las pacientes asociada a la analgesia del parto y analizar las características demográficas de nuestra población obstétrica. Métodos: Realizamos un estudio descriptivo prospectivo a las parturientas, mediante una encuesta a cada paciente. La satisfacción materna fue medida en forma cualitativa y el dolor mediante la escala visual análoga, al inicio y luego de la analgesia para medir la eficacia de la misma. Resultados: Se recogieron un total de 151 encuestas. De estas 151 pacientes, un altísimo porcentaje estuvieron satisfechas y calmadas, 98.01% recomendarían la técnica y 93.37% volverían a solicitarla en un futuro parto. Conclusiones: La satisfacción materna está fuertemente determinada por la efectividad de la técnica (alivio del dolor), no dependiendo solo de éste sino también de otros factores como son el apoyo percibido durante el trabajo de parto y experiencias previas...