Department of Midwifery, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.
Department of Midwifery, College Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.
Womens Health (Lond). 2023 Jan-Dec;19:17455057231183854. doi: 10.1177/17455057231183854.
In approximately 15% of all pregnancies, a potentially fatal complication that necessitates medical attention arises, requiring a significant obstetrical intervention for the pregnant women to survive. Between 70% and 80% of maternal life-threating complication have been treated through emergency obstetric and newborn services. This study investigates women's satisfaction with emergency obstetric and newborn care services in Ethiopia and factors associated with their satisfaction.
In this systematic review and meta-analysis, we searched electronic databases, such as PubMed, Google Scholar, HINARI, Scopus, and Web of Sciences for primary studies. A standardized data collection measurement tool was used to extract the data. STATA 11 statistical software was used to analyze the data, and I tests were used to evaluate heterogeneity. The pooled prevalence of maternal satisfaction was predicted using a random-effects model.
Eight studies were included. The pooled prevalence of maternal satisfaction with emergency obstetric and neonatal care services was 63.15% (95% confidence interval: 49.48-76.82). Age (odds ratio = 2.88, 95% confidence interval: 1.62-5.12), presence of birth companion (odds ratio = 2.66, 95% confidence interval: 1.34-5.29), satisfaction with health workers' attitudes (odds ratio = 4.02, 95% confidence interval: 2.91-5.55), educational status (odds ratio = 3.59, 95% confidence interval: 1.42-9.08), length of stay at health facility (odds ratio = 3.71, 95% confidence interval: 2.79-4.94), and antenatal care visits (odds ratio = 2.22, 95% confidence interval: 1.52-3.24) were associated with maternal satisfaction with emergency obstetric and neonatal care service.
This study found a low level of overall maternal satisfaction with emergency obstetric and neonatal care services. To increase maternal satisfaction and utilization, the government should focus on improving the standards of emergency maternal, obstetric, and newborn care by identifying gaps in maternal satisfaction regarding the services provided by healthcare professionals.
大约 15%的妊娠会出现危及生命的并发症，需要医疗干预才能确保孕妇存活。在危及生命的并发症中，有 70%-80%可以通过紧急产科和新生儿服务得到治疗。本研究旨在调查埃塞俄比亚女性对紧急产科和新生儿护理服务的满意度及其影响因素。
本系统综述和荟萃分析检索了电子数据库，如 PubMed、Google Scholar、HINARI、Scopus 和 Web of Sciences 中的原始研究。使用标准化的数据采集测量工具提取数据。采用 STATA 11 统计软件进行数据分析，采用 I 检验评估异质性。使用随机效应模型预测产妇满意度的汇总患病率。
纳入了 8 项研究。紧急产科和新生儿护理服务产妇满意度的汇总患病率为 63.15%（95%置信区间：49.48-76.82）。年龄（比值比=2.88，95%置信区间：1.62-5.12）、分娩陪伴者的存在（比值比=2.66，95%置信区间：1.34-5.29）、对卫生工作者态度的满意度（比值比=4.02，95%置信区间：2.91-5.55）、教育程度（比值比=3.59，95%置信区间：1.42-9.08）、在医疗机构的停留时间（比值比=3.71，95%置信区间：2.79-4.94）和产前护理就诊次数（比值比=2.22，95%置信区间：1.52-3.24）与产妇对紧急产科和新生儿护理服务的满意度相关。
本研究发现，产妇对紧急产科和新生儿护理服务的总体满意度较低。为了提高产妇的满意度和利用率，政府应重点关注提高紧急产妇、产科和新生儿护理的标准，通过确定医护人员提供的服务方面的差距来解决产妇满意度的问题。
