Assessment of women’s satisfaction with labor and childbirth at a teaching hospital

Ramos, Thais Marquezoni; Carmona, Elenice Valentim; Balaminut, Talita; Sanfelice, Clara Fróes de Oliveira

doi:10.1590/1983-1447.2022.20210286.en

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Original Article • Rev. Gaúcha Enferm. 43 • 2022 • https://doi.org/10.1590/1983-1447.2022.20210286.en copy

Assessment of women’s satisfaction with labor and childbirth at a teaching hospital

Evaluación de la satisfacción de las mujeres con el trabajo y el nacimiento en hospital de enseñanza

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective:

To assess the satisfaction of puerperal women regarding labor and childbirth.

Method:

Analytical and cross-sectional research carried out with puerperal women at a teaching hospital. Data were collected from October to December 2020 by a sociodemographic and obstetric questionnaire and the Mackey Childbirth Satisfaction Rating Scale. The scale has 34 items divided into six domains, with a minimum score of 34 and a maximum of 170 points.

Results:

The mean score was 141 points in a sample of 243 puerperal women, with a standard deviation of 16.8. There was high satisfaction among women in all domains of the scale and low adherence to the best practices in labor and childbirth care currently recommended.

Conclusion:

The women were satisfied upon the experience. The limitation of the health education process during prenatal care may reduce the parturient’ discernment and critical judgment.

Keywords:
Women’s health; Parturition; Patient satisfaction

Variable	N	%
Color
White	124	51.0
Brown	88	36.2
Black	31	12.8
Marital status
Single	74	30.4
Married	164	67.5
Widowed	1	0.4
Divorced	4	1.6
Religion
Evangelical	110	45.3
Catholic	77	31.7
Spiritist	2	0.8
Umbandista	1	0.4
Buddhist	1	0.4
Other	2	0.8
No religion	50	20.6
Schooling
Incomplete elementary school	23	9.5
Complete elementary school	15	6.2
Incomplete high school	30	12.3
Complete high school	155	63.8
Incomplete higher education	7	2.9
Complete higher education	13	5.3
Parity
First pregnancy	90	37.0
Second pregnancy	77	31.7
Third pregnancy	50	20.6
Four or more pregnancies	26	10.7
Gestational risk stratification
Usual risk	159	65.4
High risk	84	34.6
Prenatal follow-up
Yes	241	99.2
No	2	0.8

Variable	N	%
Was your experience in labor as you expected?
Nothing to do with what I expected	46	18.9
Very little to do with what I expected	24	9.9
Somewhat to do with what I expected	68	28.0
It was as I expected	105	43.2
Was your experience in delivery (vaginal) as you expected?
Nothing to do with what I expected	26	10.7
Very little to do with what I expected	9	3.7
Somewhat to do with what I expected	42	17.3
It was as I expected	62	25.5
Does not apply	104	42.8
Assessment of labor
It was very negative	7	2.9
It was a little negative	28	11.5
It was a little positive	62	25.5
It was very positive	146	60.1
Assessment of delivery (vaginal or cesarean)
It was very negative	7	2.9
It was a little negative	24	9.9
It was a little positive	67	27.6
It was very positive	145	59.6

Variable	N	%
Your participation in decisions during labor
Very dissatisfied	10	4.1
Dissatisfied	15	6.2
Neither satisfied nor dissatisfied	24	10.0
Satisfied	131	54.4
Very satisfied	61	25.3
No information = 2
The time it took to hold your baby for the first time
Very dissatisfied	8	3.5
Dissatisfied	13	5.6
Neither satisfied nor dissatisfied	17	7.4
Satisfied	140	60.6
Very satisfied	53	22.9
No information = 12
The care for your body that you received from the nursing team during labor and childbirth
Very dissatisfied	1	0.4
Dissatisfied	1	0.4
Neither satisfied nor dissatisfied	9	3.7
Satisfied	136	56.0
Very satisfied	96	39.5
The care for your body that you received from the medical team during labor and childbirth
Very dissatisfied	2	0.8
Dissatisfied	4	1.6
Neither satisfied nor dissatisfied	11	4.5
Satisfied	132	54.5
Very satisfied	93	38.4
No information = 1
The technical knowledge, skill, and competence of the nursing team during labor and childbirth
Very dissatisfied	1	0.4
Dissatisfied	1	0.4
Neither satisfied nor dissatisfied	4	1.6
Satisfied	140	57.6
Very satisfied	97	40.0
The amount of explanations or information that you received from the nursing team during labor and childbirth
Very dissatisfied	5	2.1
Dissatisfied	3	1.2
Neither satisfied nor dissatisfied	15	6.2
Satisfied	137	56.4
Very satisfied	83	34.2
The time nurses spent with you during labor
Very dissatisfied	3	1.2
Dissatisfied	9	3.7
Neither satisfied nor dissatisfied	12	4.9
Satisfied	141	58.0
Very satisfied	78	32.1

Universidade Federal do Rio Grande do Sul. Escola de Enfermagem Rua São Manoel, 963 -Campus da Saúde , 90.620-110 - Porto Alegre - RS - Brasil, Fone: (55 51) 3308-5242 / Fax: (55 51) 3308-5436 - Porto Alegre - RS - Brazil
E-mail: revista@enf.ufrgs.br

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[1] Corresponding author:
Clara Fróes de Oliveira Sanfelice E-mail: csanfelice@fenf.unicamp.br