Niloofar Danehchin; Nahid Javadifar; Mina Iravani; Maryam Dastoorpoor
Abstract
Background: The purpose of the present study was to evaluate the quality gap of maternity service in the labor and postpartum wards and its relationship with childbirth satisfaction.Methods: This cross-sectional study was carried out on 332 pregnant women referring to the labor and delivery wards of ...
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Background: The purpose of the present study was to evaluate the quality gap of maternity service in the labor and postpartum wards and its relationship with childbirth satisfaction.Methods: This cross-sectional study was carried out on 332 pregnant women referring to the labor and delivery wards of the two selected hospitals affiliated to Ahwaz University of Medical Sciences in 2020. Pregnant mothers were selected by convenience sampling method and data were collected using SERVQUAL and Mackey Childbirth Satisfaction Rating Scale in labor and postpartum wards. Data analysis was carried out using descriptive and inferential statistics.Results: The quality gap of maternity service in the postpartum ward (-0.35) was higher than that in the labor ward (-0.28). There was a significant difference between the mothers’ expectations and perceptions in all dimensions of the SERVQUAL except for the responsiveness dimension. The highest and lowest gap in the quality of service in labor and postpartum wards was related to empathy (-0.41 and -0.48, respectively) and the responsiveness dimensions (-0.07 and -1, respectively). There was a significant inverse correlation between the gap in the empathy dimension with overall childbirth satisfaction in the labor ward. There was a correlation between empathy and overall childbirth satisfaction and the physician’s satisfaction in the postpartum ward (P<0.05).Conclusion: Empathy is the most important variable affecting the quality of services provided in the maternity wards and it is necessary to improve this skill in maternity health care providers.
Tahereh Mokhtaryan; Fatima Ghodrati; Marzieh Akbarzadeh
Volume 4, Issue 2 , April 2016, , Pages 103-104
Abstract
Postpartum blues, as a transient phenomenon of mood changes, generally begins 1 to 3 days after the child birth.1 This phenomenon is accompanied with symptoms such as unstable moods, ranging from euphoria to sadness, high sensitivity, crying for no reason, restlessness, poor concentration, anxiety, irritability, ...
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Postpartum blues, as a transient phenomenon of mood changes, generally begins 1 to 3 days after the child birth.1 This phenomenon is accompanied with symptoms such as unstable moods, ranging from euphoria to sadness, high sensitivity, crying for no reason, restlessness, poor concentration, anxiety, irritability, and anger.2 Prevalence of postpartum blues has been estimated 44.3% in Hong- Kong,3 31.3% in Nigeria,2 and 58% in India.4 In Iran, 22.3% of women suffer from weak postpartum blues, 10.8% have medium, and 21.1% suffer from severe postpartum blues.5 Interaction between different biological, psychological and social factors could affect the postpartum blues.6 Some researchers have indicated that there is a reverse relationship between religion related beliefs and spiritual attitudes, participation in religious activities and reduction of pregnancy and postpartum anxiety and depression.7 Also, according to another study, 57% of the doctors believe that praying could enhance the healing effect of treatment.8 However, some other studies reject this idea.9-10 In this cross-sectional study conducted in selected prenatal clinics of Tehran University of Medical Sciences in 2013, 176 healthy pregnant women aged 18-35 years old participated. For assessment of postpartum blues, standard questionnaire of Edinburg Postnatal Depression Scale (EPDS)11 and Religious Attitude Scale (RAS-R) containing 25 questions with a Cronbach’s alpha of 0.954 in Iran were used.12