Satisfaction regarding Antenatal Services among Pregnant Women attending Midwife-Led Antenatal Clinic in Tertiary Level Hospital : A Descriptive Cross-sectional Study

Abstract

Introduction: Satisfaction is a rationale outcome measure of quality of health care service. Results from satisfaction appraisals reflect the patients’ views and expectations of services received. The antenatal clinic may be the first contact for the mother and baby with a formal health care setting. The present study aimed to find out satisfaction of pregnant women on antenatal services attending midwife led antenatal clinic in  tertiary level hospital.

Methods: A descriptive cross-sectional research design was used. Non-probability purposive sampling technique was used for the selection of sample of 115 pregnant women attending Midwife led antenatal clinic in Paropakar Maternity and Women’s hospital. Self developed validated structured interview scale for satisfaction regarding antenatal services was used to collect data. Data was entered into the computer and statistical package for social science version 20 was used for analysis. Descriptive statistics (frequency, percentage, mean, median and standard deviation) and inferential statistics (Kruskal Wallis test and Mann-Whitney test) were used for data analysis.

Results: Overall, all respondents had high (Score > 75%) level of satisfaction across all aspects of antenatal services. Highest mean scores (3.71±0.36 and 3.70±0.28) was on Information Sharing and Midwives Services respectively. However, the Physical Facilities and Accessibility had the lowest (3.03±0.29) mean score. The statistically significant difference in satisfaction levels was revealed  based on the status of the current pregnancy with unplanned pregnancies showing higher satisfaction (p = 0.003).

Conclusions: Based on findings, Pregnant women had high satisfaction level. To increase satisfaction equally in all components, it is integral to effectively implement actions on physical facilities and accessibility and improve the health education on component especially on family planning and breastfeeding.

Keywords: Antenatal Care Services, Midwife, Pregnant Women, Satisfaction