Dr Nurunnahar Afrin, Assistant Professor, Department of Community Medicine and Public Health, President Abdul Hamid Medical College (PAHMC), Kishoreganj, Bangladesh; E-mail:
Mymensingh Med J. 2024 Jan;33(1):39-44.
Women's satisfaction with care in labour is a positive indicator for the woman herself, as well as healthcare organization as a whole. This study was aimed to find out the women's satisfaction with their childbirth. It also tried to identify significant differences across various mode of delivery and satisfaction related to women's childbirth experience. It was a descriptive type of cross-sectional study conducted among 278 post-natal mother who give live birth at government tertiary hospital namely Mymensingh Medical College Hospital, Bangladesh. The study was conducted in the department of Obstetrics and Gynaecology during the period of January 2020 to December 2020. Data were collected from the respondents by face to face interview using a self-administered semi-structured questionnaire including Salmon's Item List. Level of overall satisfaction with childbirth was assessed by Salomon's Item List. Data analysis was carried out by SPSS version 25.0. The dimension of physical discomfort, emotional distress and fulfilment had a Cronbach's alpha of 0.746, 0.966 and 0.982 respectively. The internal consistency of each dimension was found to be acceptable and reliable. The mean scores of the dimensions in Salmon's Item List for Fulfilment, Emotional distress and Physical discomfort was found to be 69.20, 50.85 and 50.40 respectively. Higher total scores indicate a more positive evaluation of the childbirth experience and lower scores indicate a more negative evaluation. In this study the Overall mean scores of the three dimensions was 50.75. The mean scores of 'fulfillment' was higher in normal vaginal delivery (NVD) and scores of both "emotional distress" and "physical discomfort" were higher in lower uterine cesarean section (LUCS). Among all the three dimensions, mean scores of 'fulfillment' was higher in NVD indicating more satisfaction with NVD than LUCS and instrumental delivery. On the other hand, scores of "physical discomfort" and "emotional distress" were lower in NVD indicating less satisfaction with NVD than LUCS.
妇女对分娩护理的满意度是其自身以及整个医疗保健组织的积极指标。本研究旨在了解妇女对分娩的满意度。它还试图确定各种分娩方式之间的显著差异以及与妇女分娩经历相关的满意度。这是一项在孟加拉国政府的一家三级医院即迈门辛医学院医院进行的 278 名产后母亲的横断面描述性研究。该研究于 2020 年 1 月至 12 月在妇产科进行。通过面对面访谈使用自我管理的半结构式问卷收集来自受访者的数据，其中包括 Salmon 的项目清单。使用 Salmon 的项目清单评估对分娩的总体满意度。使用 SPSS 版本 25.0 进行数据分析。身体不适、情绪困扰和满足感的维度的 Cronbach 的 alpha 值分别为 0.746、0.966 和 0.982。每个维度的内部一致性被认为是可以接受和可靠的。Salmon 的项目清单中满足感、情绪困扰和身体不适维度的平均得分分别为 69.20、50.85 和 50.40。较高的总分表示对分娩经历的评价更积极，较低的分数表示评价更消极。在这项研究中，三个维度的总体平均得分是 50.75。在正常阴道分娩（NVD）中，“满足感”的平均得分更高，而在低位子宫剖宫产术（LUCS）中，“情绪困扰”和“身体不适”的得分都更高。在所有三个维度中，NVD 的“满足感”的平均得分更高，这表明与 LUCS 和器械分娩相比，NVD 更满意。另一方面，NVD 的“身体不适”和“情绪困扰”得分较低，这表明与 LUCS 相比，NVD 的满意度较低。
