The Association Between Pregnancy-Related Factors and Health Status Before and After Childbirth With Satisfaction With Skilled Delivery in Multiple Dimensions Among Postpartum Mothers in the Akatsi South District, Ghana
BackgroundSkilled delivery has been a pronounced concern and has been investigated over the years in developing countries. An inclusive understanding of the satisfaction of postpartum mothers is vital in improving the quality of skilled delivery, which is beneath the standard in some parts of develo...
| Main Authors: | , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2022-02-01
|
| Series: | Frontiers in Public Health |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2021.779404/full |
| _version_ | 1818055504356704256 |
|---|---|
| author | Lawrence Sena Tuglo Lawrence Sena Tuglo Lawrence Sena Tuglo Comfort Agbadja Cynthia Sekyere Bruku Cynthia Sekyere Bruku Vivian Kumordzi Vivian Kumordzi Jessica Dzigbordi Tuglo Jessica Dzigbordi Tuglo Leticia Atiah Asaaba Leticia Atiah Asaaba Mercy Agyei Mercy Agyei Cynthia Boakye Cynthia Boakye Sylvia Mawusinu Sakre Qingyun Lu |
| author_facet | Lawrence Sena Tuglo Lawrence Sena Tuglo Lawrence Sena Tuglo Comfort Agbadja Cynthia Sekyere Bruku Cynthia Sekyere Bruku Vivian Kumordzi Vivian Kumordzi Jessica Dzigbordi Tuglo Jessica Dzigbordi Tuglo Leticia Atiah Asaaba Leticia Atiah Asaaba Mercy Agyei Mercy Agyei Cynthia Boakye Cynthia Boakye Sylvia Mawusinu Sakre Qingyun Lu |
| author_sort | Lawrence Sena Tuglo |
| collection | DOAJ |
| description | BackgroundSkilled delivery has been a pronounced concern and has been investigated over the years in developing countries. An inclusive understanding of the satisfaction of postpartum mothers is vital in improving the quality of skilled delivery, which is beneath the standard in some parts of developing countries. This study assessed the association between pregnancy-related factors and health status before and after childbirth with satisfaction with skilled delivery in multiple dimensions among postpartum mothers in the Akatsi South District, Ghana.MethodsA community-based, cross-sectional study was conducted among 538 postpartum mothers who participated through the systematic sampling method. Data collection was performed through a pretested and structured questionnaire developed from the WHO responsiveness concept and other prior studies. Questions on satisfaction were categorized into six dimensions. The associations were determined using bivariable and multivariable logistic regression analyses.ResultsThe overall satisfaction of postpartum mothers with skilled delivery was 80.7%. The highest (89.6%) and the lowest (12.8%) satisfaction with skilled delivery were found in technical quality and financial dimensions. Analysis revealed that autonomously age and delivery procedure were significantly associated with the dimensions of communication and responsiveness. Postpartum mothers who delivered at private healthcare facilities [crude odds ratio (COR) = 1.70; (95% CI 1.00–2.90); p = 0.049] had preterm pregnancy before delivery [COR = 2.08; (95% CI 1.02–4.21); p = 0.043], had cesarean section [COR = 2.73; (95% CI 1.05–7.12); p = 0.040], and presented with complications after childbirth [COR = 2.63; (95% CI 1.09–6.35); p = 0.032] were more likely to be satisfied in the dimension of communication only compared to their counterparts. Regarding responsiveness, multiparous mothers [COR = 1.63; (95% CI 1.06–2.51); p = 0.007] were more likely to be satisfied than primiparous mothers. Overall satisfaction was significantly and positively correlated with the various dimensions of skilled delivery.ConclusionsThe majority were satisfied with five dimensions of satisfaction with skilled delivery except for the financial dimension. The District Health Directorate of Akatsi South should take into consideration these findings in their policy development for forward-looking skilled delivery. |
| first_indexed | 2024-12-10T12:14:00Z |
| format | Article |
| id | doaj.art-6eabddff2a0141d894381064656fe5db |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-12-10T12:14:00Z |
| publishDate | 2022-02-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj.art-6eabddff2a0141d894381064656fe5db2022-12-22T01:49:16ZengFrontiers Media S.A.Frontiers in Public Health2296-25652022-02-01910.3389/fpubh.2021.779404779404The Association Between Pregnancy-Related Factors and Health Status Before and After Childbirth With Satisfaction With Skilled Delivery in Multiple Dimensions Among Postpartum Mothers in the Akatsi South District, GhanaLawrence Sena Tuglo0Lawrence Sena Tuglo1Lawrence Sena Tuglo2Comfort Agbadja3Cynthia Sekyere Bruku4Cynthia Sekyere Bruku5Vivian Kumordzi6Vivian Kumordzi7Jessica Dzigbordi Tuglo8Jessica Dzigbordi Tuglo9Leticia Atiah Asaaba10Leticia Atiah Asaaba11Mercy Agyei12Mercy Agyei13Cynthia Boakye14Cynthia Boakye15Sylvia Mawusinu Sakre16Qingyun Lu17Department of Epidemiology, School of Public Health, Nantong University, Nantong, ChinaDepartment of Nutrition and Dietetics, School of Allied Health Sciences, University of Health and Allied Sciences, Ho, GhanaDiettherapy Department, Ho Teaching Hospital, Ho, GhanaDepartment of Midwifery, School of Nursing and Midwifery, University of Health and Allied Sciences, Ho, GhanaDepartment of Midwifery, School of Nursing and Midwifery, University of Health and Allied Sciences, Ho, GhanaObstetrics and Gynaecology Department, Saint (ST) Dominic Hospital, Akwatia, GhanaDepartment of Midwifery, School of Nursing and Midwifery, University of Health and Allied Sciences, Ho, GhanaAshaiman Municipal Health Directorate, Ashaiman, GhanaDepartment of Midwifery, School of Nursing and Midwifery, University of Health and Allied Sciences, Ho, GhanaCommunity Health Department, Evangelical Presbyterian Mimi Clinic, Adaklu, GhanaDepartment of Midwifery, School of Nursing and Midwifery, University of Health and Allied Sciences, Ho, GhanaMaternity Department, Madina Polyclinic Kekele, Madina, GhanaDepartment of Midwifery, School of Nursing and Midwifery, University of Health and Allied Sciences, Ho, GhanaMaternity Department, Ga South Municipal Hospital, Waija, GhanaDepartment of Midwifery, School of Nursing and Midwifery, University of Health and Allied Sciences, Ho, Ghana0Maternity Department, Eastern Regional Hospital, Koforidua, Ghana1Department of Community Health Nursing, Nurses Training College, Ho, GhanaDepartment of Epidemiology, School of Public Health, Nantong University, Nantong, ChinaBackgroundSkilled delivery has been a pronounced concern and has been investigated over the years in developing countries. An inclusive understanding of the satisfaction of postpartum mothers is vital in improving the quality of skilled delivery, which is beneath the standard in some parts of developing countries. This study assessed the association between pregnancy-related factors and health status before and after childbirth with satisfaction with skilled delivery in multiple dimensions among postpartum mothers in the Akatsi South District, Ghana.MethodsA community-based, cross-sectional study was conducted among 538 postpartum mothers who participated through the systematic sampling method. Data collection was performed through a pretested and structured questionnaire developed from the WHO responsiveness concept and other prior studies. Questions on satisfaction were categorized into six dimensions. The associations were determined using bivariable and multivariable logistic regression analyses.ResultsThe overall satisfaction of postpartum mothers with skilled delivery was 80.7%. The highest (89.6%) and the lowest (12.8%) satisfaction with skilled delivery were found in technical quality and financial dimensions. Analysis revealed that autonomously age and delivery procedure were significantly associated with the dimensions of communication and responsiveness. Postpartum mothers who delivered at private healthcare facilities [crude odds ratio (COR) = 1.70; (95% CI 1.00–2.90); p = 0.049] had preterm pregnancy before delivery [COR = 2.08; (95% CI 1.02–4.21); p = 0.043], had cesarean section [COR = 2.73; (95% CI 1.05–7.12); p = 0.040], and presented with complications after childbirth [COR = 2.63; (95% CI 1.09–6.35); p = 0.032] were more likely to be satisfied in the dimension of communication only compared to their counterparts. Regarding responsiveness, multiparous mothers [COR = 1.63; (95% CI 1.06–2.51); p = 0.007] were more likely to be satisfied than primiparous mothers. Overall satisfaction was significantly and positively correlated with the various dimensions of skilled delivery.ConclusionsThe majority were satisfied with five dimensions of satisfaction with skilled delivery except for the financial dimension. The District Health Directorate of Akatsi South should take into consideration these findings in their policy development for forward-looking skilled delivery.https://www.frontiersin.org/articles/10.3389/fpubh.2021.779404/fullpregnancy-related factorshealth status before and after childbirthsatisfactionskilled deliverymultiple dimensionspostpartum mothers |
| spellingShingle | Lawrence Sena Tuglo Lawrence Sena Tuglo Lawrence Sena Tuglo Comfort Agbadja Cynthia Sekyere Bruku Cynthia Sekyere Bruku Vivian Kumordzi Vivian Kumordzi Jessica Dzigbordi Tuglo Jessica Dzigbordi Tuglo Leticia Atiah Asaaba Leticia Atiah Asaaba Mercy Agyei Mercy Agyei Cynthia Boakye Cynthia Boakye Sylvia Mawusinu Sakre Qingyun Lu The Association Between Pregnancy-Related Factors and Health Status Before and After Childbirth With Satisfaction With Skilled Delivery in Multiple Dimensions Among Postpartum Mothers in the Akatsi South District, Ghana Frontiers in Public Health pregnancy-related factors health status before and after childbirth satisfaction skilled delivery multiple dimensions postpartum mothers |
| title | The Association Between Pregnancy-Related Factors and Health Status Before and After Childbirth With Satisfaction With Skilled Delivery in Multiple Dimensions Among Postpartum Mothers in the Akatsi South District, Ghana |
| title_full | The Association Between Pregnancy-Related Factors and Health Status Before and After Childbirth With Satisfaction With Skilled Delivery in Multiple Dimensions Among Postpartum Mothers in the Akatsi South District, Ghana |
| title_fullStr | The Association Between Pregnancy-Related Factors and Health Status Before and After Childbirth With Satisfaction With Skilled Delivery in Multiple Dimensions Among Postpartum Mothers in the Akatsi South District, Ghana |
| title_full_unstemmed | The Association Between Pregnancy-Related Factors and Health Status Before and After Childbirth With Satisfaction With Skilled Delivery in Multiple Dimensions Among Postpartum Mothers in the Akatsi South District, Ghana |
| title_short | The Association Between Pregnancy-Related Factors and Health Status Before and After Childbirth With Satisfaction With Skilled Delivery in Multiple Dimensions Among Postpartum Mothers in the Akatsi South District, Ghana |
| title_sort | association between pregnancy related factors and health status before and after childbirth with satisfaction with skilled delivery in multiple dimensions among postpartum mothers in the akatsi south district ghana |
| topic | pregnancy-related factors health status before and after childbirth satisfaction skilled delivery multiple dimensions postpartum mothers |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2021.779404/full |
| work_keys_str_mv | AT lawrencesenatuglo theassociationbetweenpregnancyrelatedfactorsandhealthstatusbeforeandafterchildbirthwithsatisfactionwithskilleddeliveryinmultipledimensionsamongpostpartummothersintheakatsisouthdistrictghana AT lawrencesenatuglo theassociationbetweenpregnancyrelatedfactorsandhealthstatusbeforeandafterchildbirthwithsatisfactionwithskilleddeliveryinmultipledimensionsamongpostpartummothersintheakatsisouthdistrictghana AT lawrencesenatuglo theassociationbetweenpregnancyrelatedfactorsandhealthstatusbeforeandafterchildbirthwithsatisfactionwithskilleddeliveryinmultipledimensionsamongpostpartummothersintheakatsisouthdistrictghana AT comfortagbadja theassociationbetweenpregnancyrelatedfactorsandhealthstatusbeforeandafterchildbirthwithsatisfactionwithskilleddeliveryinmultipledimensionsamongpostpartummothersintheakatsisouthdistrictghana AT cynthiasekyerebruku theassociationbetweenpregnancyrelatedfactorsandhealthstatusbeforeandafterchildbirthwithsatisfactionwithskilleddeliveryinmultipledimensionsamongpostpartummothersintheakatsisouthdistrictghana AT cynthiasekyerebruku theassociationbetweenpregnancyrelatedfactorsandhealthstatusbeforeandafterchildbirthwithsatisfactionwithskilleddeliveryinmultipledimensionsamongpostpartummothersintheakatsisouthdistrictghana AT viviankumordzi theassociationbetweenpregnancyrelatedfactorsandhealthstatusbeforeandafterchildbirthwithsatisfactionwithskilleddeliveryinmultipledimensionsamongpostpartummothersintheakatsisouthdistrictghana AT viviankumordzi theassociationbetweenpregnancyrelatedfactorsandhealthstatusbeforeandafterchildbirthwithsatisfactionwithskilleddeliveryinmultipledimensionsamongpostpartummothersintheakatsisouthdistrictghana AT jessicadzigbordituglo theassociationbetweenpregnancyrelatedfactorsandhealthstatusbeforeandafterchildbirthwithsatisfactionwithskilleddeliveryinmultipledimensionsamongpostpartummothersintheakatsisouthdistrictghana AT jessicadzigbordituglo theassociationbetweenpregnancyrelatedfactorsandhealthstatusbeforeandafterchildbirthwithsatisfactionwithskilleddeliveryinmultipledimensionsamongpostpartummothersintheakatsisouthdistrictghana AT leticiaatiahasaaba theassociationbetweenpregnancyrelatedfactorsandhealthstatusbeforeandafterchildbirthwithsatisfactionwithskilleddeliveryinmultipledimensionsamongpostpartummothersintheakatsisouthdistrictghana AT leticiaatiahasaaba theassociationbetweenpregnancyrelatedfactorsandhealthstatusbeforeandafterchildbirthwithsatisfactionwithskilleddeliveryinmultipledimensionsamongpostpartummothersintheakatsisouthdistrictghana AT mercyagyei theassociationbetweenpregnancyrelatedfactorsandhealthstatusbeforeandafterchildbirthwithsatisfactionwithskilleddeliveryinmultipledimensionsamongpostpartummothersintheakatsisouthdistrictghana AT mercyagyei theassociationbetweenpregnancyrelatedfactorsandhealthstatusbeforeandafterchildbirthwithsatisfactionwithskilleddeliveryinmultipledimensionsamongpostpartummothersintheakatsisouthdistrictghana AT cynthiaboakye theassociationbetweenpregnancyrelatedfactorsandhealthstatusbeforeandafterchildbirthwithsatisfactionwithskilleddeliveryinmultipledimensionsamongpostpartummothersintheakatsisouthdistrictghana AT cynthiaboakye theassociationbetweenpregnancyrelatedfactorsandhealthstatusbeforeandafterchildbirthwithsatisfactionwithskilleddeliveryinmultipledimensionsamongpostpartummothersintheakatsisouthdistrictghana AT sylviamawusinusakre theassociationbetweenpregnancyrelatedfactorsandhealthstatusbeforeandafterchildbirthwithsatisfactionwithskilleddeliveryinmultipledimensionsamongpostpartummothersintheakatsisouthdistrictghana AT qingyunlu theassociationbetweenpregnancyrelatedfactorsandhealthstatusbeforeandafterchildbirthwithsatisfactionwithskilleddeliveryinmultipledimensionsamongpostpartummothersintheakatsisouthdistrictghana AT lawrencesenatuglo associationbetweenpregnancyrelatedfactorsandhealthstatusbeforeandafterchildbirthwithsatisfactionwithskilleddeliveryinmultipledimensionsamongpostpartummothersintheakatsisouthdistrictghana AT lawrencesenatuglo associationbetweenpregnancyrelatedfactorsandhealthstatusbeforeandafterchildbirthwithsatisfactionwithskilleddeliveryinmultipledimensionsamongpostpartummothersintheakatsisouthdistrictghana AT lawrencesenatuglo associationbetweenpregnancyrelatedfactorsandhealthstatusbeforeandafterchildbirthwithsatisfactionwithskilleddeliveryinmultipledimensionsamongpostpartummothersintheakatsisouthdistrictghana AT comfortagbadja associationbetweenpregnancyrelatedfactorsandhealthstatusbeforeandafterchildbirthwithsatisfactionwithskilleddeliveryinmultipledimensionsamongpostpartummothersintheakatsisouthdistrictghana AT cynthiasekyerebruku associationbetweenpregnancyrelatedfactorsandhealthstatusbeforeandafterchildbirthwithsatisfactionwithskilleddeliveryinmultipledimensionsamongpostpartummothersintheakatsisouthdistrictghana AT cynthiasekyerebruku associationbetweenpregnancyrelatedfactorsandhealthstatusbeforeandafterchildbirthwithsatisfactionwithskilleddeliveryinmultipledimensionsamongpostpartummothersintheakatsisouthdistrictghana AT viviankumordzi associationbetweenpregnancyrelatedfactorsandhealthstatusbeforeandafterchildbirthwithsatisfactionwithskilleddeliveryinmultipledimensionsamongpostpartummothersintheakatsisouthdistrictghana AT viviankumordzi associationbetweenpregnancyrelatedfactorsandhealthstatusbeforeandafterchildbirthwithsatisfactionwithskilleddeliveryinmultipledimensionsamongpostpartummothersintheakatsisouthdistrictghana AT jessicadzigbordituglo associationbetweenpregnancyrelatedfactorsandhealthstatusbeforeandafterchildbirthwithsatisfactionwithskilleddeliveryinmultipledimensionsamongpostpartummothersintheakatsisouthdistrictghana AT jessicadzigbordituglo associationbetweenpregnancyrelatedfactorsandhealthstatusbeforeandafterchildbirthwithsatisfactionwithskilleddeliveryinmultipledimensionsamongpostpartummothersintheakatsisouthdistrictghana AT leticiaatiahasaaba associationbetweenpregnancyrelatedfactorsandhealthstatusbeforeandafterchildbirthwithsatisfactionwithskilleddeliveryinmultipledimensionsamongpostpartummothersintheakatsisouthdistrictghana AT leticiaatiahasaaba associationbetweenpregnancyrelatedfactorsandhealthstatusbeforeandafterchildbirthwithsatisfactionwithskilleddeliveryinmultipledimensionsamongpostpartummothersintheakatsisouthdistrictghana AT mercyagyei associationbetweenpregnancyrelatedfactorsandhealthstatusbeforeandafterchildbirthwithsatisfactionwithskilleddeliveryinmultipledimensionsamongpostpartummothersintheakatsisouthdistrictghana AT mercyagyei associationbetweenpregnancyrelatedfactorsandhealthstatusbeforeandafterchildbirthwithsatisfactionwithskilleddeliveryinmultipledimensionsamongpostpartummothersintheakatsisouthdistrictghana AT cynthiaboakye associationbetweenpregnancyrelatedfactorsandhealthstatusbeforeandafterchildbirthwithsatisfactionwithskilleddeliveryinmultipledimensionsamongpostpartummothersintheakatsisouthdistrictghana AT cynthiaboakye associationbetweenpregnancyrelatedfactorsandhealthstatusbeforeandafterchildbirthwithsatisfactionwithskilleddeliveryinmultipledimensionsamongpostpartummothersintheakatsisouthdistrictghana AT sylviamawusinusakre associationbetweenpregnancyrelatedfactorsandhealthstatusbeforeandafterchildbirthwithsatisfactionwithskilleddeliveryinmultipledimensionsamongpostpartummothersintheakatsisouthdistrictghana AT qingyunlu associationbetweenpregnancyrelatedfactorsandhealthstatusbeforeandafterchildbirthwithsatisfactionwithskilleddeliveryinmultipledimensionsamongpostpartummothersintheakatsisouthdistrictghana |