[Satisfaction rate of normal vaginal delivery and its relative factors among childbearing women in [Mahdiye, Tehran] and [Shaheed Chamran, Boroujerd] Hospitals, 1385]

ABSTRACT

Patient's satisfaction is one of the most important health indicators in health care system which is used for care qualification and providing health services. Hence, a descriptive correlative study is carried out to determine the satisfaction degree of normal delivery and its relative factors in childbearing women at [Shaheed Chamran, Borujerd] and [Madiye, Tehran] Hospitals in 1385. In this study, 360 literate Iranian childbearing mothers were chosen via a non-probable quar to sampling. Data gathered by a questionnaire consisting of 4 parts [pain severity, personal control, environmental satisfaction, childbirth satisfaction] and two checklists of demographic features and past obstetric records. Respectively, the pain ruler was used to estimate the pain severity, the questionnaire of labors Agentry Scale to personal control, 17-question Likert scale to environmental contentment and 18 questions derived from 34-item questionnaire of Mackey Childbirth satisfaction to childbirth content. Using SPSS 13, Mann-Whitney and Cruskal- Wallis non-parametric tests, Spearman's Correlation coefficiency, one-way Anova [variance Analysis] and regression test were applied to analyze the information. Among the studied women, 72.2% were contented with their childbirth, whereas 8.4% of them were unsatisfied with their childbirth. There was a meaningful relationship among pain severity, environmental satisfaction, personal control, childbirth factor, reserved length of the first phase of labor, pregnancy age, the conformity of newborn's gender with father's and with mother's will [P<0.001], lack of problem in their second and third delivery [P=0.01],mother's degree of education [P=0.009], economical situation [P=0.02], and spouse's occupation [P=0.03] with childbirth gratification in [Shaheed Chamran] hospital. There was a significant relationship between pain severity, personal control, the reserved length of the first and second phase[P<0.001] in [Mahdiye] hospital. Based on regression test, the personal control variables [P<0.001] and environmental content [P=0.005] were achieved to be the predictors of childbirth gratification. It is outstanding that the contentment with childbirth is multi-dimensinal issue and in order to increase the mothers' positive experiences and prevent them from side-effects of their negative experiences, all the espects must be comprehensively, simultaneously, considered.